Burden of Type 2 Diabetes Mellitus among Chronic Obstructive Pulmonary Disease Patients: Challenge of dual Co-Morbidities among Indians?

Authors

  • Prashant Kumar Assistant Professor, Department of Respiratory Medicine, IQ City Medical College & Multispecialty Hospital, Durgapur, West Bengal, India
  • Rakesh Kumar Professor, Dept. of Community Medicine, IQ City Medical College and Multispecialty Hospital, Durgapur, West Bengal, India
  • Debasis Basu President, Diabetes Awareness & You, Kolkata, West Bengal, India
  • Sasthi Narayan Chakraborty Consultant Diabetologist, Annapurna Health Point Hospital, Durgapur, West Bengal, India
  • Deval Parekh Specialist Pathologist, Department of Pathology, Central Hospital, Eastern Coalfield Limited, Kalla, Andhra Pradesh, India
  • Sudip Ghosh Statistician cum Assistant Professor, Dept. of Community Medicine, IQ City Medical College and Multispecialty Hospital, Durgapur, West Bengal, India

Keywords:

T2DM, COPD, COPD GRADING, GOLD Criteria

Abstract

Introduction: Non Communicable diseases (NCDs) like chronic respiratory diseases, stroke, cardiovascular diseases, metabolic disorders like diabetes and obesity are burden on the global health. Chronic obstructive pulmonary disease (COPD) is projected to the third leading cause of death in world by 2030. Chronic obstructive pulmonary disease can lead to diabetes mellitus (DM) and vice versa. Objective: To find out the prevalence of type 2 diabetes mellitus (T2DM) among COPD patients. Materials and Methods: Total 369 study participants were included in the study. Estimation of Fasting Plasma glucose (FPG), Post Prandial Plasma Glucose and Gylcated Hemoglobin (HbA1C) and Anthropometric measurements were done as per WHO guidelines. Type 2 Diabetes Mellitus was diagnosed as per American Diabetes Association (ADA). COPD was diagnosed and classified as per © 2020, Global Initiative for Obstructive Lung Diseases (GOLD). Result: Prevalence of T2DM was found to be 39.6%, 20.3% were known cases of T2DM and 19.2% were newly diagnosed. Increasing age, female gender, urban residence, longer duration of COPD, high BMI and smoking were found to be significant risk factors for T2DM among COPD patients. Presence of T2DM was associated with significantly more severe COPD cases. Conclusion: High prevalence of T2DM was found among COPD patients. More frequent screening of T2DM and good control of T2DM should be done because about 1/5th of the COPD patients had newly diagnosed T2DM and presence of T2DM significantly resulted in more severe disease.

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Published

2022-01-18

How to Cite

Prashant Kumar, Rakesh Kumar, Debasis Basu, Sasthi Narayan Chakraborty, Deval Parekh, & Sudip Ghosh. (2022). Burden of Type 2 Diabetes Mellitus among Chronic Obstructive Pulmonary Disease Patients: Challenge of dual Co-Morbidities among Indians?. International Journal of Health and Clinical Research, 5(3), 137–142. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/4320