HEALTH PROFILE OF DIABETIC PATIENTS IN AN URBAN SLUM OF MUMBAI, INDIA

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H. D. M. Maya V. Padvi, “HEALTH PROFILE OF DIABETIC PATIENTS IN AN URBAN SLUM OF MUMBAI, INDIA”, ijmhs, vol. 3, no. 3, Oct. 2013.
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Abstract

Diabetes has been proved to be the leading cause of morbidity and mortality in
developed countries, and is gradually emerging as an important health
problem in developing countries as well. Diabetes, an iceberg disease could be
described as the ‘sleeping snake’- which bites when it wakes up. Diabetics,
who are joyfully moving in and around us in the society, who are really not
aware of the possible catastrophic end results of harbouring this ‘sleeping
snake’. This study was carried out to assess co-morbidities, Life style factors,
Self Care Practices and Illness perception in Diabetic patients. Present
descriptive epidemiological study which had adopted exploratory survey
design was conducted during January 2011 to June 2011. Total 300 diabetic
patients were randomly selected and interviewed using preformed, pretested
and semi-structured interview schedule. Mean age of Diabetic patients was
51.6 (SD=5.1) years. Family history of diabetes mellitus was present in 17.7%
patients. Associated diseases and complications were present in 185 (61.7%)
patients. Hypertension was the most common (58.7%) associated disease
followed by ophthalmic diseases (23.7%). ‘Major’ modification in life style
factors and self care practices were done by 14.7% and 21.7% patients
respectively after diagnosis. Only 16.7% patients had ‘better’ perception of
illness. Life style modification score, self care practices score and illness
perception score was significantly associated with Blood Glucose Level (both
fasting and post-prandial blood sugar level). Diabetic patients may benefit
from periodical health promotion and education programmes in the area of
diet management, self care and adherence to treatment. Family should be
considered as a more useful unit of intervention for diabetic individuals when
designing diabetes care strategies.

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