Type 2 & other diabetes

Burden of undiagnosed and suboptimally controlled diabetes in selected regions of India: Results from the SMART India population‐level diabetes screening study

Diabet MedPublished Cross-sectional study

Authors' conclusion

High prevalence of undiagnosed diabetes and suboptimally controlled diabetes emphasises the urgent need to identify and optimally treat people with diabetes to reduce the burden of diabetes.

Study context

Population
People aged ≥40 years in urban and rural areas across 10 states and one union territory in India, November 2018–March 2020screened
Participants
42,146 people
Exposure
Urban vs Rural
  • Urbann = 22,150
  • Ruraln = 19,996
Outcome
Prevalence of undiagnosed diabetes and of suboptimal control (HbA1c ≥53 mmol/mol [≥7%]) among those with known diabetes
Methodological detailsmulticentre, community house-to-house screening
  • Multicentre
  • Community house-to-house screening

Main finding

As reported in the abstract

Age-standardised prevalence of undiagnosed diabetes

Age-standardised prevalence of undiagnosed diabetes

6.0%

95% CI 5.7–6.2

Highest proportion of undiagnosed diabetes: East

8.0%

Highest proportion of undiagnosed diabetes: South

7.8%

Suboptimal glycaemic control among known diabetes

Almost 75%

Observational data: associations, not effects.

Further findings

Age-standardised prevalence of known diabetes

Undiagnosed diabetes among all people with diabetes

Age-standardised prevalence of known diabetes — Overall
13.1% (95% CI 12.8-13.4)
Age-standardised prevalence of known diabetes — Participants with known diabetes
5689

Original publication

Burden of undiagnosed and suboptimally controlled diabetes in selected regions of India: Results from the SMART India population‐level diabetes screening study. Diabet Med. Published 21 June 2023. doi:10.1111/dme.15165

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