Diabetes Prevalence Survey of Pakistan (DPS-PAK): prevalence of type 2 diabetes mellitus and prediabetes using HbA1c: a population-based survey from Pakistan

BMJ Open
Azizul Hasan AamirAdrian H Heald

Abstract

We conducted a Pakistan-wide community-based survey on the prevalence of type 2 diabetes using glycated haemoglobin (HbA1c) as the screening test. The aim was to estimate diabetes prevalence across different demographic groups as well as all regions of Pakistan. Multistaged stratified cluster sampling was used for the representative selection of people aged ≥20 years, residing in 378 sampled clusters of 16 randomly selected districts, in this cross-sectional study. Eligible participants had blood drawn for HbA1c analyses at field clinics near to their homes. The oral glucose tolerance test (OGTT) was conducted on a subsample of the participants. Overall and stratified prevalence of type 2 diabetes and its association with risk factors were estimated using logistic regression models. Prevalence of prediabetes and type 2 diabetes. Of 18 856 eligible participants the prevalence of prediabetes was 10.91% (95% CI 10.46 to 11.36, n=2057) and type 2 diabetes was 16.98% (95% CI 16.44 to 17.51, n=3201). Overall, the mean HbA1c level was 5.62% (SD 1.96), and among newly diagnosed was 8.56% (SD 2.08). The prevalence was highest in age 51-60 years (26.03%, p<0.001), no formal education (17.66%, p<0.001), class III obese (35.09%, p<0.001), ...Continue Reading

Citations

Mar 21, 2020·Public Health Nutrition·Biplab K Datta, Muhammad Jami Husain
Aug 25, 2020·International Journal of Mental Health Systems·Jerome WrightUNKNOWN NIHR Global Health Research Group, IMPACT
Aug 8, 2020·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Rubina IzharSonia Husain
Dec 5, 2019·Therapeutic Advances in Endocrinology and Metabolism·Shahzaib Ahmad, Tahseen A Chowdhury
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