SUN-157 Clinical and Demographic Profile of Type 2 Diabetes Patients: an Epidemiology Report from Central India

Objective: Our study aimed to assess the clinical and demographic profile of type 2 diabetes mellitus (T2DM) patients registered at our clinic in Central India. Methods: The current study is a retrospective data analysis of T2DM patients registered at our outpatient clinic located in Central India, Chhattisgarh State- Raipur and Bilaspur from Jan 2016 to Dec 2017. Demographic, clinical characteristics, comorbidities and complications of T2DM patients recorded were extracted from electronic medical records were analyzed. Descriptive statistics were used to report the data. Results: Total 1216 patient records were screened and included in the analysis. Among these patients, 1019 patients were with diabetes. Further analysis revealed 977 (95.8%) T2DM, 34 (3.5%) T1DM, and 8 (0.7%) had MODY, and 197 patients were with other conditions such as hypothyroidism (93; 47%), hypertension (52; 26%), obesity (46; 23%), and hyperthyroidism 3 (2%). Mean (±SD) age of T2DM patients was 50 (±13) years, males and females were 537 (55%) and 440 (45%), respectively. Mean (±SD) BMI, Duration of disease and HBA1c was 27.6 (±5.7) kg/m2, 6.9 (±6.6) years and 9.1 (±2.2)%, respectively. Majority of the patients were prescribed with oral anti-diabetes agents (59%), followed by oral+insulin (19%), insulin (11%) and only medical nutrition therapy (2%). The most common comorbidities associated with T2DM were hypertension (48%), hypothyroidism (12%), and obesity (3%). Nearly 211 (21.6%) patients have macro (CAD [6.2%] and microvascular complications [15.4%]). Neuropathy (13.8%) is the most common complication observed in microvascular complications. Among T2DM patients 82% were uncontrolled (HbA1c >7%) and 18% were controlled (HbA1c >7%) at the time of the first visit to the clinic. After 2-4months of treatment, 16.5% of uncontrolled diabetes patients achieved HbA1c of <7%. Further analysis of the correlation between DOD and HbA1c was negative and there was no significant correlation. Conclusion: The clinical and demographic profile of T2DM patients is similar to rest of our clinics, Pan India. Uncontrolled diabetes is in rising and treatment decision should focus on patients’ demographic and clinical characteristics to individualize treatment strategy for better clinical outcomes.