Metropolis Healthcare Study Indicates Diabetics in India at risk of developing Diabetes related complications


by Shrutee K/DNS

Type 2 Diabetes is a major health problem in India and the prevalence has only been escalating in the past few decades. One of the most important tests for diabetics is the HbA1C test. The HbA1C test gives an indication of the average blood glucose levels for over a three month period. The higher the HbA1C test value, the greater risk for diabetics for chronic illnesses. A high HbA1C value also means that blood sugar levels have been high.
Ideal HbA1c value should be below 6.4%. For diabetics though, the number is generally greater than 6.5%. Diabetics should maintain HbA1c levels below 7 for optimal health and to lower risk of illnesses related to diabetics.
Improving HbA1c by 1% (or 11 mmol/mol) for people with type 1 diabetes or type 2 diabetes cuts the risk of microvascular complications by 25%.
Microvascular complications include:
Retinopathy
Neuropathy
Diabetic nephropathy (kidney disease)

Research has also shown that people with type 2 diabetes who reduce their HbA1c level by 1% are: 
19% less likely to suffer cataracts
16% less likely to suffer heart failure
43% less likely to suffer amputation or death due to peripheral vascular disease
Elaborating on the study, Dr Kirti Chadha, Head of Laboratory Services, Metropolis Global Reference Laboratory said “It is important to increase awareness about the HbA1c test among diabetics. Inadequate blood glucose control which is reflected in elevated HbA1c  levels increases the risk of late diabetes complications such as diabetic eye and kidney disease.”

Metropolis study findings among diabetics
Row Labels
High Risk
Low Risk
Total
High Risk %
Low Risk %
F
92797
136825
229622
40.41
59.59
M
106835
118936
225771
47.32
52.68

Amongst females, 40% diabetics are under high risk of developing diabetes related complications and in males about 47%
Age wise pattern shows gradual increase in risk as there is a progression in age. About 50% of samples tested in 50-70 age group showed high risk of developing diabetes related complications

Row Labels
High Risk
Low Risk
Total
High Risk %
Low Risk %
20 to 30
10923
35233
46156
23.67
76.33
30 to 40
23114
52966
76080
30.38
69.62
40 to 50
38450
49519
87969
43.71
56.29
50 to 60
53783
47913
101696
52.89
47.11
60 to 70
47738
42755
90493
52.75
47.25
70 to 80
19340
19966
39306
49.20
50.80
Above 80
4227
5211
9438
44.79
55.21

Row Labels
% High Risk
% Low Risk
Delhi
36.18
63.82
Pune
41.85
58.15
Bangalore
42.82
57.18
Chennai
45.29
54.71
Kerala
49.76
50.24
Mumbai
51.93
48.07

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