Retrospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Apr 15, 2019; 10(4): 241-248
Published online Apr 15, 2019. doi: 10.4239/wjd.v10.i4.241
Risk factors in patients with type 2 diabetes in Bengaluru: A retrospective study
Jagadeesha Aravinda
Jagadeesha Aravinda, Dr. Aravind’s Diabetes Centre, Bangalore 560079, Karnataka, India
Author contributions: Aravinda J solely contributed to this paper.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Dr. Aravind’s Diabetes Centre.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained.
Conflict-of-interest statement: Author declares no conflicts-of-interest related to this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jagadeesha Aravinda, FRCP, MD, Chief Doctor, Dr. Aravind’s Diabetes Centre, Basaveshwara Nagar, Behind Total Gas Bunk, Near Pavithra Paradise, Bangalore 560079, Karnataka, India. arvi03@yahoo.com
Telephone: +91-80-9916922303
Received: February 18, 2019
Peer-review started: February 20, 2019
First decision: February 26, 2019
Revised: March 19, 2019
Accepted: March 26, 2019
Article in press: March 26, 2019
Published online: April 15, 2019
Processing time: 55 Days and 22.9 Hours
ARTICLE HIGHLIGHTS
Research background

The highest risk of diabetes with a family history (FH) of diabetes mellitus, age, obesity, and physical inactivity were identified. Influence of dietary practices and lifestyle factors are critical, making occurrence and prevalence of obesity and diabetes significantly more in the urban population. As per the International Diabetes Federation estimates India would gallop to the first position with a diabetes population of 151 million by 2045.

Research motivation

“Real world” practice environment is an invaluable source of information and reveals important trends in the “real world” medical practice.

Research objectives

Our diabetes centre initiated a data collection drive in form of a questionnaire. Our objective for the retrospective analysis was to gain insights into the patient profile and associated risk factors.

Research methods

Information was obtained through a questionnaire from patients on their first visit to our diabetes clinic. Information regarding various aetiological determinants and risk factors viz.: Genetic risk factor and few modifiable risk factors was sought. Chi-squared test is used for statistical analysis.

Research results

Statistical analysis of the organized information obtained indicated a higher incidence of type 2 diabetes in males and younger population. Obesity, FH was significant risk factors for not only type 2 diabetes but also early onset of diabetes. In addition, maternal history of type 2 diabetes and consanguinity were found to play an important role in increasing incidence of early onset type 2 diabetes.

Research conclusions

Particular attention to risk factors like obesity, FH specifically maternal history of type 2 diabetes and consanguinity may be important for screening of patient’s family members to initiate early intervention and reduce risk of subsequent complications. Moreover, susceptible population can be counselled regarding the risk, periodic investigation of blood glucose levels and lifestyle changes.

Research perspectives

Multiple risk factors mainly obesity, FH specifically maternal history of type 2 diabetes and consanguinity play an important role to development of type 2 diabetes mellitus. To overcome this risk factors, screening of patient’s family members is essential to identify in early stage and conquer this disease and improve the quality of life with increases in overall life span of individuals.