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Recent Trends of Diabesity and its Non-Clinical Management among Urban Pts

Author Affiliations

  • 1Department of Medicine, K.G. Medical University, Lucknow, INDIA
  • 2Lucknow University, Lucknow U.P. INDIA

Res. J. Recent Sci., Volume 4, Issue (ISC-2014), Pages 261-264, (2015)

Abstract

Interdependent Relationship between diabetes mellitus and obesity is termed as “Diabesity” that is a complex syndrome whereby obesity progresses to diabetes with overlapping symptoms of insulin resistance, hyperinsulinemia, hyperglycemia, dyslipidemias, ion imbalances and inflammation. Diabetes presently affects 155 million people and obesity 310 million and an additional 800 million people are overweight. World-wide, these two serious conditions have become a health problem onepidemic proportions. The rising prevalence of DM appears to be greatly related to be increasing prevalence of overweight and obesity. Obesity is an important risk factor for diabetes also. Recently (2009) the general consensus in American Diabetes Association and American College of Endocrinology that an HbA1C level of more than 7% serves as a call to action to initiate or change therapy with the goal of achieving an HbA1C level below 7%. It was still realized that the importance of non-clinical management of diabesity, weight control is an important part of management. Diet and exercise intervention should be initiated early and should continue throughout the duration of the treatment. The objective of the paper to assess the role of non-clinical intervention for management of diabesitycontrol among urban patients. The paper was prepared at Barabanki, U.P. India. The subjects were purposively selected of diabesity. Those were taking treatment at different private nursing home at Barabanki U.P. India. A hundred patients were selected for intervention and ten for control group. The main findings of the paper changes after intervention bring in non-clinical diet 62%; exercise 58%; stress management 22%, cognitive management 20% smoking cessation 10% that changes in weight 43% cases upto 2 kg.and diabetes control approx. 69% patients having their HbAC less than 7%. The calculated value of chi-square was found much more higher (26.0) as compared to table value (3.841) at one degree of freedom and five percent significant level. Therefore null hypothesis rejected and alternate hypothesis accepted i.e. knowledge, attitude and practices for diabesity non-clinical recent recommendation intervention could better control diabesity.

References

  1. Kapt J, Cain, Reyes E.J., Kibbe W.A. Conney C.A., Javanovic B., Visek W.J. and Wolff G.L., Identification of genes contributing to the obese yelloe A(vy) Phenotype Caloric Restriction, genotype diet X interactions, physiological Genemics,18, 316-24 (2004)
  2. Jayaram BM, Diabesity, 27-28 (2007)
  3. Caterson ID and Grill TP, Obesity, epidemiology and possible prevention, Best Oract Clin Endocrinol Metab, 16, 595-610 (2002)
  4. American Diabetes Associationl, Standards Medical Care in Diabetes, Diabetes Care,32, 513-561 (2013)
  5. American Society for Bariatric, Surgery, Rationale for the surgical treatment of morbid density, http://www.asbs.org/Newsite07/patients/resources/asbs_rationale.htm (2014)
  6. Diabetes Prevention Program Research Group, Reduction in the incidence of Type II diabetes with life style intervention or metformin, NEIM, 346, 393-403 (2002)
  7. Leibson Cl Williamson DF, Melton III L J et.al. Temporal Trends in BMI among adults with diabetes, Diabetes Care,24, 1584-9 (2001)
  8. Salmeron J., Hu F.B. and Manson J.B. et.al.; Dietary Fat Intake and Risk of type II Diabetes in Women, American Journal of Clinical Nutrition,73, 1079-26 (2001)
  9. Christian E., Schmider S. and Pakm rig B et.al., Intake of Diet high in Trans mono-unsaturated fatty acids or saturated fatty acids, Effects of Post Prandial Insulinemia and glycemia in obese patients with NIDDM, Diabetes Care,20, 881-7 (1997) 261-264 (2015)