Adiposity contributes to poor glycemic control in people with diabetes mellitus, a randomized case study, in South Kashmir, India

BACKGROUND: Diabetes mellitus (DM) is a significant health burden and recent reports suggest that the incidence of diabetes is increasing. Poor knowledge, fear of use of new drugs, and lack of awareness of the importance of the control of the disease are common among primary care physicians caring for diabetes patients. Many diabetes patients continue to be underdiagnosed, undertreated, increased use of expensive acute health-care services, and reduced quality of life. AIMS AND OBJECTIVES: The aim was to study the poor control of DM and the associated risk factors associated with Type 2 DM, to spread awareness about DM, to assess the prevalence, treatment, and control of diabetes, to examine the relationship of obesity with raised blood glucose, and finally, to evaluate the effect of the educational level on glycemic control. STUDY MATERIAL: This study was conducted to evaluate the control of diabetes in South Kashmir, India. It was done among patients in the Outpatient Department of Medicine, MMAB Memorial Hospital (GMC Associated Hospital) Anantnag, Kashmir. A random sampling procedure was adopted for the study, and a total of 300 patients were studied over a period of 5 months, which included 155 men and 145 women. During a period of study, within the age group of 36–50 years with adiposity were assessed for glycemic control. METHODOLOGY: All patients underwent anthropometric assessment and blood pressure measurements. Fasting blood sample was obtained for plasma glucose and lipids. Patients were assessed for weight and body mass index. RESULTS: The prevalence of uncontrolled glycemia was more frequent in women as compared to men because of adiposity.