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Burden and risk factors of diabetes and hyperglycemia in India: findings from the Global Burden of Disease Study 2016

Authors Tripathy JP

Received 17 November 2017

Accepted for publication 6 March 2018

Published 31 July 2018 Volume 2018:11 Pages 381—387

DOI https://doi.org/10.2147/DMSO.S157376

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 3

Editor who approved publication: Professor Ming-Hui Zou


Jaya Prasad Tripathy1,2

1International Union Against Tuberculosis and Lung Disease, The Union South East Asia Office, New Delhi, India; 2International Union Against Tuberculosis and Lung Disease, Paris, France

Background: Diabetes, hyperglycemia, and their complications are a growing problem in India. However, no comprehensive picture of this disease burden has yet been presented to date.
Methods: I used aggregate data from the Global Burden of Disease 2016 to describe the burden of diabetes and its risk factors, chronic kidney disease (CKD) due to diabetes, and diseases caused by high fasting plasma glucose from 1990 to 2016 in India.
Results: Deaths due to diabetes accounted for 3.1% (95% uncertainty interval [UI]: 2.9–3.3) of all deaths in India in 2016, up from 0.98% (95% UI: 0.87–1.1) of all deaths in 1990. Diabetes and hyperglycemia accounted for 27.5 million disability-adjusted life years in 2016, of which diabetes accounted for 10 million. Diabetes contributes to the causation of ischemic heart disease, stroke, CKD, peripheral artery disease, specific cancers, and tuberculosis via intermediate hyperglycemia. High body mass index, dietary factors (diet low in fruits, nuts and seeds, and whole grains), and tobacco use were the most important risk factors for diabetes.
Conclusion: Diabetes and CKD due to hyperglycemia pose a large and increasing burden in India. Urgent programs and policies are needed to reduce the identified risk factors for diabetes and its burden.

Keywords: diabetes, hyperglycemia, mortality, morbidity, chronic kidney disease, ischemic heart disease, tuberculosis

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