Prevalence of type 2 diabetes mellitus in rural population of India- a study from Western Uttar Pradesh

P. S. Singh, Himanshu Sharma, Khwaja S. Zafar, Prafulla K. Singh, Sudhir K. Yadav, Rajesh K. Gautam, Tony Pious


Background: Diabetes is a major challenge for a resource-limited country like India. Majority of the patients are diagnosed late in the course of illness with presence of complications. There is limited data on diabetes from rural India. Present study is an attempt to provide data on diabetes in rural India. The overall objective of present study was to estimate the prevalence of Type 2 diabetes mellitus in rural population above 25 years age in district Etawah and neighbouring areas of Uttar Pradesh, India.

Methods: The study was planned to determine the prevalence of diabetes mellitus in rural community by health camp and door to door approach. Fasting capillary blood glucose was first determined using a glucose meter (SD check code free, SD biosensor Inc. Korea). All the adults were given 75gm of glucose dissolved in 200ml water which was drunk over a period of up to 5 minutes and the 2-hour post load capillary blood glucose was estimated. Diabetic status was confirmed by taking blood samples for fasting and postprandial blood sugar levels in a fluoride vacutainer. Fasting plasma glucose ≥126mg/dl and or 2-hour postprandial glucose ≥200mg/dl were taken as the diagnostic criteria for diagnosis.

Results: Prevalence of type 2 diabetes in the rural population was found to be 8.03%. Prevalence was higher in female population (9.91%) as compared to males (6.79%). 19.74 % of participants over 70 yrs of age were diabetics while diabetes was present only in 2.95% of participants in the age group of 25-39 year. The maximum number of diabetes were in the age group of 50-59 years. 10.04 % of participants were diagnosed to be Prediabetics. 35.77% of the diabetics were newly diagnosed.

Conclusions:Present study shows there is high prevalence of type 2 diabetes in rural area of western Uttar Pradesh, India.



Blood glucose, Prediabetes, Rural India, Type 2 diabetes mellitus

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Classification of diabetes mellitus and other categories of glucose intolerance. In: Alberti K, Zimmet P, De Fronzo R, eds. International Textbook of Diabetes Mellitus. Chichester: John Willey and Sons Ltd; 1997:9-23.

Tipton MC. Susruta of India, an unrecognised contributor to the history of exercise physiology. J Appl Physiol. 2008;108:1553-6.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study. Diabetologia. 2011;54:3022-7.

International Diabetes Federation. IDF Diabetes Atlas, 7th edition. Brussels, Belgium: International Diabetes Federation. 2015;7:55-63.

Deepa M, Deepa R, Shanthirani CS, Datta M, Unwin NC, Kapur A, et al. Awareness and knowledge of diabetes in Chennai-The Chennai urban rural epidemiology study (CURES-9). J Assoc Physic India. 2005;53:283-7.

Joshi SR, Das AK, Vijay VJ, Mohan V. Challenges in diabetes care in India: sheer numbers, lack of awareness and inadequate control. J Assoc Physic India. 2008;56:443-50.

Ramachandran A, Snehalatha C, Vijay V, King H. Impact of poverty on the prevalence of diabetes and its complications in urban southern India. Dia Med. 2002;19:130-5.

Kapur A, Bjork S, Nair J, Kelkar S, Ramachandran A. Socio-economic determinants of the cost of diabetes in India. Dia Voice. 2004;49:18-21.

Census of India. Rural urban distribution of population. office of the registrar general and census commissioner, India. Available from: paper2/ data_files/ india/ Rural_Urban_2011.pdf. (Accessed on 7 nov 2016).

International Diabetes Federation. The human, social and economic impact of diabetes. Available from:

Ahmad J, Masoodi MA, Mohd A, Rahid R, Ahmad R, Ahmad A, et al. Prevalence of diabetes mellitus and its associated risk factor in age group of 20 years and above in Kashmir, India. AI Ameen J Med Sci. 2011;4(1):38-44.

Iyer SR, Iyer RR, Upasani SV, Baitule MN. Diabetes mellitus in Dombivli-an urban population study. J Assoc Physicians India. 2001;49:713-6.

Misra A, Pandey RM, Devi JR, Sharma R, Vikram NK, Khanna N. High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in Northern India. Int J Obes Relat Metab Disord. 2001;25:1722-9.

Prabhakaran D, Shah P, Chaturvedi V, Ramakrishnan L, Manhapra A, Reddy KS. Cardiovascular risk factor prevalence among men in a large industry of Northern India. Natl Med J India. 2005;18:59-65.

Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. Diabetes epidemiology study group in India. High prevalence of diabetes and impaired glucose tolerance in India: national urban diabetes survey. Diabetologia. 2001;44:1094-101.

Ramachandran A, Snehalatha C, Latha E, Vijay V, Viswanathan M. Rising prevalence of NIDDM in urban population of India. Diabetologia. 1997;40:232-7.

Mohan V, Shanthirani CS, Deepa R. Glucose intolerance (diabetes and IGT) in a selected South Indian population with special reference to family history, obesity and lifestyle factors- The Chennai urban population study (CUPS 14). J Assoc Physic India. 2003;51:771-7.

Ramachandran A, Snehalatha C, Baskar AD, Mary S, Kumar CK, Selvam S, et al. Temporal changes in prevalence of diabetes and impaired glucose tolerance associated with lifestyle transition occurring in the rural population in India. Diabetologia. 2004;47:860-5.

Mohan V, Deepa M, Deepa R, Shanthirani CS, Farooq S, Ganesan A, et al. Secular trends in the prevalence of diabetes and glucose tolerance in urban South India-the Chennai urban rural epidemiology study (CURES-17). Diabetologia. 2006;49:1175-8.

Ramachandran A, Mary S, Yamuna A, Murugesan N, Snehalatha C. High Prevalence of diabetes and cardiovascular risk factors associated with urbanization in India. Diabetes Care. 2008;31:893-8.

Bai PV, Krishnaswami CV, Chellamariappan M. Prevalence and incidence of type-2 diabetes and impaired glucose tolerance in a selected Indian urban population. J Assoc Physic India. 1999;47:1060-4.

K Park. Park‟s Textbook of preventive and social medicine. 20th edition. Jabalpur India: M/s Banarsidas Bhanot; 2009:341-345.

Chow CK, Raju PK, Raju R, Reddy KS, Cardona M, Celermajer DS, et al. The prevalence and management of diabetes in rural India. Dia Care. 2006;29:1717-8.

Deo SS, Zantye A, Mokal R, Mithbawkar S, Rane S. To identify the risk factors for high prevalence of diabetes and impaired glucose tolerance in Indian rural population. Int J Diab Dev Countries. 2006;26:19-23.

Shrivastava S, Ghorpade A. (2014). High prevalence of type 2 diabetes melitus and its risk factors among the rural population of Pondicherry, South India. J Res Health Sci. 2014;14(4):258-63

Vijayakumar G, Arun R, Kutty VR. High prevalence of type 2 diabetes mellitus and other metabolic disorders in rural Central Kerala. J Assoc Physic India. 2009;57:563-7.

Little M, Humphries S, Patel K, Dodd W, Dewey C. Factors associated with glucose tolerance, pre‑diabetes, and type 2 diabetes in a rural community of south India: a cross‑sectional study. Diabetol Metab Syndr. 2016;8(21):3-11