Diabetes Risk Score in Indian Population: Experience from Central India

Abstract

Diabetes is a major health problem in the world causing significant morbidityand mortality. Currently, 77 million people in India and 463 million people are living withdiabetes across the world, and this number is expected to rise to 101 million in India and 578million globally by 2030. The key to reduce the morbidity and mortality is early diagnosis andmanagement. The Madras Diabetes Research Foundation (MDRF) has developed an IndianDiabetes Risk Score (IDRS) to identify people who are at risk of developing diabetes or areundiagnosed. Thus, we conducted a study to calculate the IDRS of people from Central Indiaand identify those who are at risk of getting diabetes. Methods: A total of 1,500 patients orattendants, aged 18 to 60 years (mean age 41.2 years), visiting the Endocrinology clinic, andnot diagnosed with diabetes earlier were included in the study after taking proper consentand IDRS was calculated. Results: The male-to-female ratio was 914:586. The mean IDRS was51.29 in our population with 35.93%, 18.2% and 45.87% of screened subjects having a score of<30, 30-60 and ≥60, respectively. Conclusion: Forty-five percent people of the population wasat high risk of diabetes as estimated by IDRS, which proved to be an effective and economicaltool to identify persons at increased risk of diabetes and diagnose the undiagnosed cases andstart early management to reduce the morbidity and mortality

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