Title: Performance of Indian diabetes risk score in Southern Karnataka Plateau rural population
Authors: Dr Prasanna Kumar N, Dr Sasi Sekhar, Dr Bhoomika. V, Dr Dheeraj
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.107
Abstract
Introduction
Diabetes, is a major lifestyle disorder, has become a global burden. As of 2019, according to WHO approximately 463 million adults (20-79 years) are living with diabetes; by 2045 this will rise to 700 million. Out of which 79% of adults with diabetes are living in low- and middle-income countries1. India has become one of the epicenters of the global diabetes mellitus pandemic. Rapid socioeconomic development and demographic changes, along with increased susceptibility for Indian individuals, have led to the explosive increase in the prevalence of diabetes mellitus in India over the past2. In IDF data as of 2019, 77 million people are affected by diabetes and the number going double by 20453. Changing the pattern of epidemiology of diabetes and meeting of rural-urban difference of incidence of the explosive growth of diabetes put the health-care system at stake4.
Primary health-care practitioners in low-income countries do not have access to the basic technologies needed to diagnose diabetes at primary level. Only one in three low and middle-income countries report that the most basic technologies for diabetes diagnosis and management are generally available in primary health-care facilities4. The problem is further compounded by the fact that 66% of Indian Diabetics are not diagnosed as compared to 50% in Europe and 33% in USA5. To intervene, one requires a cost-effective reasonably handy tool to assess the risk of people, pertaining to diabetes. Many health professional organizations in the world have prepared risk assessing tools for predicting the risk of diabetes. Data to support the use of risk scores in screening programs to detect people with prediabetes and undiagnosed diabetes in low- and middle-income countries are limited6. The Indian Diabetes Risk Score (IDRS), a simple screening tool for prediction of undiagnosed diabetes developed by Dr. Mohan and colleagues at the Madras Diabetes Research Foundation (MDRF), Chennai. The advantage of IDRS are its simplicity, low cost and is easily applicable for mass screening7.
