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Pakistan Journal of Biological Sciences

Year: 2002 | Volume: 5 | Issue: 8 | Page No.: 878-880
DOI: 10.3923/pjbs.2002.878.880
Epidemiology of Diabetes Mellitus in and Around Faisalabad, Pakistan
Amjad Hameed, Salman Ahmad Malik , Fazli-Rabbi , Aysha Sharif , Nasir Ahmad , Wajahat Hussain , Hassan Akhtar Bokhari , Shafaqat Ali , Farwa Nurjis , Ahmad Mukhtar Khalid and Javed Anver Qureshi

Abstract: The epidemiology of diabetes mellitus was studied in and around Faisalabad, Pakistan. The age of diabetic patients ranged from 5 to 82 years. The mean (SD) values for age, age at diagnosis of diabetes and duration of diabetes were 50.798(13.449), 44.086(13.163) and 6.744(5.668) years respectively. The most frequent age, age at diagnosis and duration of diabetes was 45, 40 and 10 years respectively. Family history of diabetes was observed in 25.962% patients. There was no association among family history, age at diagnosis of diabetes and gender. Prevalence of obesity was 28% while 30% diabetic patients were lean. In obese group a high prevalence of female patients (79.310%) was observed as compared with males (20.689%). Type 2 diabetes was (98.077%) the most prevalent type and was more common in females. Preponderance of females (86.207% vs 13.793%) was found in age group of 35-44 years based on age at diagnosis of diabetes. Any kind of late diabetic complications were observed in 76% diabetic patients. Finally obese females with diabetic history in their families should be diagnosed for diabetes during 35-44 years of age. This practice may be of great help in early diagnosis and then after proper management of diabetes.

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Amjad Hameed, Salman Ahmad Malik , Fazli-Rabbi , Aysha Sharif , Nasir Ahmad , Wajahat Hussain , Hassan Akhtar Bokhari , Shafaqat Ali , Farwa Nurjis , Ahmad Mukhtar Khalid and Javed Anver Qureshi , 2002. Epidemiology of Diabetes Mellitus in and Around Faisalabad, Pakistan. Pakistan Journal of Biological Sciences, 5: 878-880.

Keywords: Diabetes mellitus, epidemiology, family history, obesity, age and diabetes duration

REFERENCES
  • Alberti, K.G.M.M. and P.Z. Zimmet, 1998. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic Med., 15: 539-553.
    CrossRef    PubMed    Direct Link    

  • WHO., 1999. Definition, diagnosis and classification of diabetes mellitus and its complications: Report of WHO consultation, Part 1: Diagnosis and classification of diabetes mellitus. WHO/NCD/NCS/99.2, World Health Organization, Geneva, Switzerland, pp: 1-59.

  • Alessandro, D., Y. Yang, M.M. Alecki, S. Scotti and J. Dreyfus, 1999. Phenotypic characteristics of early onset autosomal dominant type 2 diabetes unlinked to known maturity onset diabetes of the young genes. Diabetes Care, 22: 253-261.

  • Turner, A.P., B. Chen and S.A. Piletsky, 1999. In vitro diagnostics in diabetes meeting the challenge. Clin. Chem., 45: 1596-1601.
    Direct Link    

  • Black, S.A., P.L. Jakobi, R.D. Rush, A.R. Dinuzzo and D. Garcia, 1999. Ethnic variation in the health burden of self-reported diabetes in adults aged 75 and older. Ethnic Dis., 9: 22-32.

  • Bodansky, H.J., D.W. Beverley, K. Gelsthorpe, A. Saunders, G.F. Bottazzo and D. Haigh, 1987. Insulin dependent diabetes in Asians. Arch. Dis. Child., 62: 227-230.

  • Ehtisham, S., T.G. Barrett and N.J. Shaw, 2000. Type 2 diabetes mellitus in UK children: An emerging problem. Diabetic Med., 17: 867-871.

  • Falkner, B., K. Sherif, A. Sumner and H. Kushner, 1999. Hyperinsulinism and sex hormones in young adult African Americans. Metabolism., 48: 107-112.

  • Gaillard, T.R., D.P. Schuster and K. Osei, 1998. Gender differences in cardiovascular risk factors in obese, nondiabetic first-degree relatives of African Americans with type 2 diabetes mellitus. Ethnic Dis., 8: 319-330.

  • Gu, K., C.C. Conie and M.I. Harris, 1998. Mortality in adults with and with out diabetes in a national cohort of the US population. Diabetes Care, 21: 1138-1145.

  • Haider, Z. and S. Obadiullah, 1981. Clinical diabetes mellitus in Pakistan. J. Trop. Med. Hyg., 84: 155-158.
    PubMed    

  • Haider, Z., S. Obaidullah and K. Maqbool, 1980. Hypertension in Pakistani patients with diabetes mellitus. J. Trop. Med. Hyg., 83: 251-253.

  • Hameed, K., M. Kadir, T. Gibson, S. Sultana, Z. Fatima and A. Syed, 1995. The frequency of known diabetes, hypertension and ischaemic heart disease in affluent and poor urban populations of Karachi, Pakistan. Diabetes Med., 12: 500-503.

  • Khan, A.J., 1991. Prevalence of diabetic retinopathy in Pakistani subjects: A pilot study. J. Pak. Med. Assoc., 41: 49-50.

  • King, H., R.E. Aubert and W.H. Herman, 1998. Global burden of diabetes, 1995-2025: Prevalence, numerical estimates and projections. Diabetes Care, 21: 1414-1431.
    CrossRef    PubMed    Direct Link    

  • Lloyd, G., 1991. Psychiatry. In: Davidson`s Principles and Practice of Medicine, Edwards, C. and I. Bouchier (Eds.). Longman Group, UK., pp: 958-959

  • Mangia, A., G. Schiavone, G. Lezzi, R. Marmo and F. Bruno et al., 1998. HCV and diabetes mellitus: Evidence for a negative association. Am. J. Gastroenterol., 93: 2363-2367.

  • Okosun, I.S., R.S. Cooper, C.N. Rotimi, B. Osotimehin and T. Forrester, 1998. Association of waist circumference with risk of hypertension and type 2 diabetes in Nigerians, Jamaicans and African-Americans. Diabet. Care, 21: 1836-1842.
    Direct Link    

  • Rajaram, S.S and V. Vinson, 1998. African American women and diabetes: Aociocultural context. J. Health Care Poor Underserved, 9: 236-247.

  • Rosenbloom, A.L., D.V. House and W.E. Winter, 1998. Physical activity and NIDDM in African-Americans. Clin. Pediatr., 37: 143-152.

  • Rosenstock, J. and P. Raskin, 1988. Diabetes and its complications: Blood glucose control vs. genetic susceptibility. Diabetes Metab. Rev., 4: 417-435.

  • Shera, A.S., G. Rafique, I.A. Khwaja, J. Ara, S. Baqai and H. King, 1995. Pakistan national diabetes survey: Prevalence of glucose intolerance and associated factors in Shikarpur, Sindh Province. Diabetes Med., 12: 1116-1121.
    PubMed    

  • Shera, A.S., G. Rafique, I.A. Khawaja, S. Baqai, I.A. Khan, H. King and K.I. Ahmad, 1999. Pakistan national diabetes survey prevalence of glucose intolerance and associated factor in North West Frontier Province (NWFP) of Pakistan. J. Pak. Med. Assoc., 49: 206-211.
    PubMed    Direct Link    

  • Sowers, J.R., 1998. Obesity and cardiovascular disease. Clin. Chem., 44: 1821-1825.

  • Staines, A., S. Hanif, S. Ahmed, P.A. McKinney, S. Shera and H.J. Bodansky, 1997. Incidence of insulin dependent diabetes mellitus in Karachi, Pakistan. Arch. Dis. Childhood, 76: 121-123.

  • Sumner, A.E., H. Kushner, K.D. Sherif, T.N. Tulenko, B. Falkner and J.B. Marsh, 1999. Sex differences in African-Americans regarding sensitivity to insulin's glucoregulatory and antilipolytic actions. Diabetes Care, 22: 71-77.

  • Truswel, A.S. and J.D. Baird, 1991. Nutritional Factors in Disease. In: Davidson's Principles and Practice of Medicine, Christopher, R.W., I. Edwards and A.D. Bouchier (Eds.). Churchill Livingstone, USA., pp: 45-80

  • Zimmet, P. and D. McCarty, 1995. The NIDDM epidemic. Global estimates and projection: A look into the crystal ball. IDF. Bull., 40: 8-16.

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