National Estimates of the Adult Diabetes Care Continuum in India, 2019-2021
Authors' conclusion
In this survey study, the diabetes care continuum in India is represented by considerable district-level variation, age-related disparities, and rural-urban differences. Surveillance at the district level can guide state health administrators to prioritize interventions and monitor achievement of global targets.
Study context
- Population
- Adults (18–98 years) in India from 28 states, 8 union territories and 707 districts, 2019–2021; analytic sample restricted to those self-reporting diabetes or with valid blood glucose measurement1,651,176 with blood glucose measures
- Participants
- 1,895,287 adults
- Outcome
- Among those previously diagnosed with diabetes: proportion treated (self-reported medication use) and proportion controlled (fasting blood glucose <126 mg/dL; nonfasting ≤180 mg/dL)
Methodological detailsnationally representative survey, National Family Health Survey (NFHS-5)
- Nationally representative survey
- NFHS-5
Main finding
As reported in the abstract
Diabetes prevalence
6.5%
95% CI 6.4%–6.6%
Diagnosed, among adults with diabetes
74.2%
95% CI 73.3%–75.0%
Taking medication, among those diagnosed
59.4%
95% CI 58.1%–60.6%
Achieved control, among those diagnosed
65.5%
95% CI 64.5%–66.4%
Observational data: associations, not effects.
Further findings
Districts meeting World Health Organization (WHO) Global Diabetes Compact targets
- Districts meeting WHO diagnosis target (80%)
- 246 (34.8%)
- Districts meeting WHO control target (80%)
- 76 (10.7%)
- Of 707 districts
Variability within states (VPC)
- Diagnosis
- 89.1%
- Treatment
- 85.9%
- Control
- 95.6%
- Most variability within states, not between states
Sociodemographic differences
- Diagnosis and treatment higher in urban areas, older age groups and wealthier households
Original publication
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