P05.002 Early Detection Of Diabetes Mellitus In Primary Settings In Uzbekistan

Conference: 
Author(s): 
O. Yusupov;
Tashkent Medical Academy, Tashkent, Uzbekistan.
Otabek Yusupov
Tashkent Medical Academy
Tashkent
Uzbekistan
Email: otabekus@yahoo.com
Phone: 998 97 7278828
Text: 
Background: Incidence of diabetes, particularly, that of Diabetes Mellitus (DM), has been increasing over the recent decades. Quite often patients with abnormal metabolic exchange do not know that they have increased serum glucose levels. Therefore, they are frequently diagnosed with diabetes only when they develop complications. General practitioners in primary care can play a significant role in early detection of DM cases and hence prevention of diabetic complications.
Objective: to estimate the prevalence of diabetes in two primary care settings in Uzbekistan
Methods: Two primary care units, Family Practice Clinic #37 in Tashkent city and Rural Primary Care Clinic in Ferghana region, were included into the study. In total, 1690 individuals of 35 years and older that were not previously diagnosed with diabetes were attached to these two clinics (eight registered diabetes patients in two clinics). Of the individuals with no diabetes, 1540 agreed to participate in the study: 750 in Tashkent and 790 in Ferghana region. Individuals were screened for diabetes by combination of history taking, physical examination and laboratory investigations such as fasting glucose levels and glucose (75g) tolerance test (WHO, 1999). History taking and examination had an aim of detecting signs and symptoms of DM as well as risk factors. These included specifically focusing on complaints of thirst, frequent urination, itching, furunculosis, as well as family history of DM, obesity and history of high serum glucose levels. Body mass and abdominal indices were measured.
Results: Among the participants in Tashkent, 11.9% yielded abnormal glucose tolerance test results and 2.1% met the criteria for diabetes. In Ferghana, the numbers were 14.5% and 2.9% respectively.
About 30% of participants in Tashkent clinic and 19% in rural Ferghana clinic had normal BMI, while 21% and 33% were obese respectively in these two locations. Blood pressures above the threshold of 140/90 were observed among 22% of participants in Tashkent and 32% in Ferghana.
Conclusion: Efforts directed at early detection of DM in the setting of primary (both rural and urban general practices) could be effective in detection of undiagnosed diabetes cases and individuals at high risk.
Literature: 
P05.002
Early detection of Diabetes Mellitus in primary settings in Uzbekistan