Overview Of Diabetes


Peculiarities of Diabetes among Indians

Indians in particular have high ethnic and genetic predisposition for the disease and also have lower threshold limits for the environmental risk factors. It is a matter of major concern that Indians develop diabetes at a younger age than the western populations.  They also develop diabetes with minor weight gain.  

Indians have peculiar characteristics due to which great economic and health care burden ensue.

  • Young age at onset.  Diabetes is common even among people in their thirties.
  • Diabetes develops even in “normal weight” people.
  • Patients seek medical help at a late stage due to lack of awareness and economic reasons.  Therefore occurrence of complications and metabolic risk factors are very common.
  • Cultural and social factors are important. The Indian diet is rich in carbohydrates and saturated fats. A typical Indian diet has more calories and sugar than required by the body. This is the cause of obesity, which in turn leads to diabetes.
  • Urban migration and change in The younger generations are increasingly choosing a sedentary lifestyle. With rising standard of living comes the tendency to consume processed sugary foods.
  • Body mass index (BMI) of >23 kg/m2.
  • Waist circumference of 90 cm for men and 80 cm for women in Asian Indians.
  • For a given BMI, Asian Indians have higher central adiposity.
  • Higher insulin resistance amongst Indians, and this is partly explained by higher body fat percentage.
  • Infectious complications are more common resulting in hospitalization.Cost of treatment is very high. Therefore people tend to neglect regular treatment.
  • Illiteracy leads to non-compliance. 

References:

  1. A. Ramachandran, C. Snehalatha, V. Vijay; Low risk threshold for acquired diabetogenic factors in Asian Indians; Diabetes Research and Clinical Practice 65 (2004) 189–195

Overview Of Diabetes


Peculiarities of Diabetes among Indians

Indians in particular have high ethnic and genetic predisposition for the disease and also have lower threshold limits for the environmental risk factors. It is a matter of major concern that Indians develop diabetes at a younger age than the western populations.  They also develop diabetes with minor weight gain.  

Indians have peculiar characteristics due to which great economic and health care burden ensue.

  • Young age at onset.  Diabetes is common even among people in their thirties.
  • Diabetes develops even in “normal weight” people.
  • Patients seek medical help at a late stage due to lack of awareness and economic reasons.  Therefore occurrence of complications and metabolic risk factors are very common.
  • Cultural and social factors are important. The Indian diet is rich in carbohydrates and saturated fats. A typical Indian diet has more calories and sugar than required by the body. This is the cause of obesity, which in turn leads to diabetes.
  • Urban migration and change in The younger generations are increasingly choosing a sedentary lifestyle. With rising standard of living comes the tendency to consume processed sugary foods.
  • Body mass index (BMI) of >23 kg/m2.
  • Waist circumference of 90 cm for men and 80 cm for women in Asian Indians.
  • For a given BMI, Asian Indians have higher central adiposity.
  • Higher insulin resistance amongst Indians, and this is partly explained by higher body fat percentage.
  • Infectious complications are more common resulting in hospitalization.Cost of treatment is very high. Therefore people tend to neglect regular treatment.
  • Illiteracy leads to non-compliance. 

References:

  1. A. Ramachandran, C. Snehalatha, V. Vijay; Low risk threshold for acquired diabetogenic factors in Asian Indians; Diabetes Research and Clinical Practice 65 (2004) 189–195