The incidence of poorly controlled diabetes or type 2 diabetes was found to peak in the age group of 50-60 years, according to a newly released report by Metropolis Healthcare, Mumbai.
The results also show that a higher proportion of men suffered from poorly controlled diabetes than women. About 22.7% of the inflicted group were females, while a higher proportion (28%) were males.
The report is based on the HbA1c test data obtained from 5,321,82 blood samples conducted at Metropolis from over the last five years.
Of the total samples tested 25% were found to be suffering from type 2 diabetes. The incidence was the lowest in the age group of 20-30 years (10%) followed by 40-50 years (27.6%).
Analysis of 532182 samples tested for HbA1c in Mumbai
|Normal||Pre-Diabetic||Diabetic||Poorly controlled diabetes|
|20 to 30||65.07||17.49||7.41||10.03|
|30 to 40||42.33||23.92||16.00||17.75|
|40 to 50||21.68||24.36||26.33||27.63|
|50 to 60||11.33||22.60||34.05||32.02|
|60 to 70||8.82||22.08||39.85||29.25|
|70 to 80||9.35||24.78||42.17||23.70|
|Gender||Normal||Pre-Diabetic||Diabetic||Diabetic with Poor Control|
But the incidence was found to peak in the age group of 50-60 years (32%), followed by a steady decline in the older age group 60-70 years (29%).
Type 2 diabetes is a form of diabetes that is characterized by high blood sugar levels, presence of insulin resistance and relative lack of insulin secretion.
The symptoms of type 2 diabetes develop over years and without proper monitoring, the disease can go undiagnosed leading to high blood glucose levels resulting in various complications.
HbA1c or glycated haemoglobin develops when haemoglobin (that carries oxygen throughout the body) present within red blood cells combines with glucose in the blood, resulting in ‘glycation of haemoglobin’.
By measuring glycated haemoglobin (HbA1c), clinicians can get an overall picture of average blood sugar levels over approximately 3 months.
For people with diabetes this is important as the higher the HbA1c, the greater the risk of developing diabetes-related complications.
According to American Diabetes Association (ADA) reference range for HbA1c, the results ranging below 5.7% is considered normal, between 5.7% and 6.5% is considered to be prediabetic, result in greater than 6.5% and below 8% is considered diabetic and above 8% is considered as poorly controlled diabetes.
Diabetes is a growing challenge in India with about 8.7% of the diabetic population in the age group of 20 and 70 years, says Dr. Mayur Nigalye, Deputy Chief of Lab, Metropolis Healthcare in the release.
The rising prevalence of diabetes is mostly driven by a combination of factors involving rapid urbanization, sedentary lifestyles, unhealthy diets, uncontrolled use of alcohol and tobacco.
Lifestyle interventions including proper sleep, exercise and diet modifications along with regular monitoring is a must for diabetes management, says Dr. Mayur.