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Journal of Diabetology | Volume 3
May 16-17, 2019 | Prague, Czech Republic
Diabetes and Endocrinology
27th International Conference on
J Diabetol, Volume 3
Notes:
India’s fastest growing disease, diabetes, was recorded in
72 million cases in the year 2017, making India account for
49% of the world’s diabetes burden. Diabetes prevalence has
increased by 64% across India in the last 25 years, reports the
Indian Council of Medical Research ICMR), November 2017.
The prevalence of Prediabetes or Impaired Glucose Tolerance
(IGT) is 1.4 times higher than the diabetes prevalence of 7.3%,
reported by the ICMR INDIA B study of 57,117 adults over 20
years from 14 states and the Union Territory of Chandigarh.
It was observed that low diabetes prevalent states (4.3%)
such as Bihar, had a higher prevalence of Prediabetes (10%)
indicating an expected rise in diabetes in the next decade.
There is sufficient evidence supporting the “Asian Phenotype”
in diabetes, which is characterized by early onset, higher
risk even at low BMI, higher abdominal adiposity, higher
CVD in South Asia and stroke in East Asia. Researchers have
shown that lifestyle interventions may decrease the risk of
prediabetes progressing to diabetes for as long as 10 years.
The benefits of long-term diet and exercise intervention to
prevent diabetes was shown in the Chinese Da Quing study of
more than 500 IGT subjects. The Finnish Diabetes Prevention
Study also demonstrated a 58% reduction in the progression
from IGT to diabetes with intense lifestyle changes. During
Preventive health screening, routinely done in many hospitals
across India we find many cases of IGT/ Prediabetes. These
patients are counselled about diet as well as therapeutic
lifestyle changes and weight management that could prevent
diabetes. It is often observed that there is lack of follow up
in this segment. A better follow-up, constant motivation
and monitoring not only helps in establishing the lifestyle
changes, but also in sustaining these on a long-term basis.
This presentation would throw light on how therapeutic
lifestyle changes, if closely followed up by the dietitians/
wellness consultants, can prevent IGT patients frombecoming
diabetics. We have an ongoing study where we follow-up
with the Prediabetic patients in our hospital for a span of
three months with interventional intensive therapeutic
lifestyle changes, the results of which will be discussed in this
presentation. This study gives scope for further research on
the duration of follow-up required to sustain the change and
the barriers faced in implementing these lifestyle changes in
the community. As compared to a standard lifestyle advice, an
intensive therapeutic lifestyle change, with periodic follow-up
would help in the prevention of diabetes.
Speaker Biography
Uthara Upadhrashta is a registered dietitian in India. She graduated in
food science and nutrition from Sri Sathya Sai Institute of Higher Learning,
Anantapur. She holds a post graduate certificate in practical diabetology
conducted by Steno Diabetes Research centre, Denmark. She is also a
certified diabetes educator from the Christian Medical College, Vellore-
under project HOPE, recognized by the International Diabetes Federation.
She is a clinical dietitian and has completed 21 years of clinical nutrition
practice in various multi-specialty hospitals in India. She has actively
participated in national and international conferences and currently
pursuing research on lifestyle risk factors and coronary artery disease,
she works with a passion to advocate nutrition therapy in various clinical
conditions, both in the hospital as well as in the community. She is the
chief dietitian at SIMS Hospital (SRM Institutes for Medical Science), India.
e:
Uthara Upadhrashta
SRM Institutes for Medical Science, India
Handling the prediabetes burden: The way forward