Frequency and Association of Gamble Variables of Impaired Glucose Tolerance Among Medical Students
DOI:
https://doi.org/10.51273/esc23.251922Keywords:
Diabetes Mellitus, Prediabetes, Gamble Variables, Impaired fasting glucose (IFG), Impaired Glucose Tolerance (IGT)Abstract
Objective: To find out the frequency and association of gamble variables of impaired glucose tolerance among medical students.
Method: This cross-sectional study was conducted at Quaid-e-Azam Medical College Bahawalpur in month of March 2022 to assess the frequency of impaired glucose tolerance and the factors predisposing to the same. After necessary permissions, participants giving written informed consent were interviewed and participants were subjected to an oral glucose tolerance test (OGTT) and their heights, weights were measured.
Results: None of the participants had increased fasting blood glucose but 60 min after OGTT serum glucose levelswere increased in 79(49.37%)subjects and 120min afterOGTTserumglucosewasincreased in 15 (9.3%) subjects. There was association of age, male gender, increased BMI, positive family history of diabetes, lack of physical activity, junk food intake and smoking with impaired glucose tolerance in medical students.
Conclusions: Impaired glucose tolerance was found in a substantial number of non-diabetic medical students and had a statistically significant association with gamble variables high BMI, family foundation of diabetes middle financial class, scarce physical activity, high junk food intake and smoking
References
ZgiborJ,Dorman J.Diabetes.In:Wallace/Maxcy-Rose-nau-Last. PublicHealth and PreventiveMedicine. 15th Edition. Editor(s) Maxcy-Rosenau-Last. Publisher: McGraw-HillEducation;Year ofPublication (orLatest Edition): Pages 1101-1112.
Gbadamosi MA,TlouB.Prevalence of abnormal glucose metabolism among adults attending an out patient department at a tertiary referral hospital in Swaziland;Across sectional Study.BMC Pub health2020;20:392
Diabetes Facts and Figures,International Diabetes Federation. Available http://www.idf.org/ about-diabetes/ facts-figures Last Accessed: 29/12/2018.
Harrison's Principles of Internal Medicine, Chapter 397, 20th Edition 2018.
Sanjeevaiah A,Sushmita A,Srikanth T.Prevalence of DiabetesMellitus and itsrisk factors.IAIM2019; 6(3): 319-24
SinhaR,FischG,TeagueB,TamborlaneWV,BanyasB, Allen K, et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl Engl J Med. 2002;346(11):802-10.
Mazzucato CA, Diaque P, Hernandez S,et al. Understanding the growing epidemic oftype 2 diabetesin the Hispanic population living in the United States. 2019; 35(2):e3097
Kapoor N,Lotfaliany M,Sathish T,et al. Prevalence of normal weight obesity and its associated cardio metabolic risk factors Resultsfrom the baseline data of the Kerala Diabetes Prevention Program(KDPP). PloS one 2020;15(8),e0237974.
Hopper M, Koch C. A preliminary study on the variability of blood glucose following meal consumption as it relates to differences in oral glucose tolerance in young adults. Nutr Health. 2015;22(3-4):197-214.
Bell K,Shaw JE,Brown LM,et al.A position statement on screening and management of prediabetesin adults in primary care inAustralia.Diab Resea and clini Prac. 2020:(164):108188
Eckstein ML,Williams DM,Neil LK,et al.Physical exercise and non Insulin glucose lowering therapiesin
the management of type 2 diabetes mellitus: a clinical review.Diabetic Medicine 2019;36(3):349-58
HariharanR, Odjidja EN, Scot D,et al.The dietary inflammatory index, obesity, type 2 diabetes and cardiovascular risk factors and diseases. Obesity Reviews. 2022:23(1):e13349.
Zhou X, Pang Z, Gao W, Wang S, Zhang L, Ning F, et al. Performance of an A1C and fasting capillary blood glucose test forscreening newly diagnosed diabetes and pre-diabetes defined by an oral glucose tolerance test inQingdao,China.DiabetesCare.2010;33(3):545-50.
Davidson MB, Schriger DL, Peters AL, Lorber B. Revisiting the Oral Glucose Tolerance Test Criterion for the Diagnosis of Diabetes. J Gen Int Med. 2000; 15(8): 551-5.
HuangTT,ShimelA,LeeRE,DelanceyW,StrotherML. Metabolic Risks among College Students: Prevalence and Gender Differences. Metab Syndr Relat Disord. 2007;5(4):365-72
Broz J,Malinovska J,Nunes MA, et al. Prevalence of diabetes and prediabetes and its risk factors in adults aged 25…64 in the Czech Republic:Across..sectional study. Diab Resea and Clini Prac 2020; (170):108470
Kamdem F,Lemogoum D,Jingi AM,et al.Prevalence and determinants of abnormal glucose metabolism in urban and rural secondary schools in Cameroon: A cross..sectional study in sub Saharan Africa setting. Primary Care Diabetes.2019;13(4):370-75
Guzzetti C,Ibba A,Casula L,et al.Cardiovascular risk factors in children and adolescents with Obesity: sex.. related differences and effect of puberty. Frontiers in Endocrinology2019;10:591
Santos JPD,Vieira LMC, PionorioMES. Diabetes mellitusinBrazil:Risk factors, classification and complications. IntJour Med Rev and Case Rep 2020; 3(11): 744-744
AntwiJ,LavinR,SullivanS,et al.Perception of and risk factors for type 2 diabetes among students attending an upstate NewYork college :a pilotstudy. Diabetology and Metabolic Syndrome. 2020;12(1):1-8
Greiner GG ,Fees KME,ReckerJ,et al.Toward targeted prevention:risk factors for prediabetes defined by impaired fasting glucose,impaired glucose tolerance and increased HbA1c in the population-based KORA study…..Acta Diabetologica 2020:57:1481-91
DabeleaD,Stafford JM,Mayer-DavisEJ, et al.SEARCH for Diabetes in youth Research Group. Association of
type 1 diabetes vs type 2 diabetes diagnosed among childhood and adolescence with complications during teenage years and young adulthood. JAMA.2017: 317(8):825-35