18551 - K.A.P STUDY ON HT & DM INTRODUCTION In...

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Unformatted text preview: K.A.P STUDY ON HT & DM INTRODUCTION In 2003, there were 189 million diabetic in the world. The global prevalence of Type-2 diabetes is expected to double in the period 20002025 and may reach a level of almost 324 million people. The "Top 10" countries of the world in terms of the number of people with diabetes: India, China, Russian Federation, Brazil, Indonesia, Pakistan, Mexico, Ukraine, Egypt, Japan. India tops the list of 10 countries, followed by china. In fact in 1997, the diabetic population in India was 11.6%, which in 2000 was estimated to be 14.7% and to rise to 17.4% in 2005. Today, India has 25 million diabetic patients, more than any other country, and the number is expected to rise to 35 million by 2010 and to 57 million by 2025!). The important risk factors for the high prevalence of diabetes include: (a) High familial aggregation. (b) Obesity, especially central obesity. (c) Insulin resistance. (d) Lifestyle changes due to urbanization. Moreover, diabetes occurs at a much younger age in India than in the developed countries. Family History of Diabetes, Age, Body Mass Index (BMI), waist to hip ratio and sedentary life-style showed positive association with diabetes in Indian population. Diabetes is the single most important metabolic disease, which can affect nearly every organ system in the body. The reasons for this escalation are due to changes in lifestyle, people living longer than before (ageing) and low birth weight could lead to diabetes during Lifestyle modifications, inclusive of dietary modification, regular physical activity and weight reduction are indicated for prevention of diabetes. However, in developing nations urbanization is occurring rapidly and is producing lifestyle changes that adversely affect metabolism and are thereby causing a large increase in the number of diabetic patients. Long-term complications of diabetes will also occur in a large proportion of diabetic patients in the developing countries during the most productive years of their lives, causing severe economic and social burdens. Therefore, developing countries such as India are expected to confront an enormous health care burden due to a large number of the population suffering from this chronic disorder and its sequelae. Hypertension affects all ages, but primarily occurs in adults. 690 million people have hypertension worldwide (20% prevalence). It is one of the major risk factor for stroke, Coronary Heart Diseases. There are 5 million deaths/ year worldwide due to strokes alone, with another 30 million are suffering from its disabling effects. Hypertension is extremely common in patients with diabetes mellitus. Tight control of hypertension in diabetes has shown to decrease the complications like ischaemic heart disease and renal failure thereby reducing the morbidity and mortality....
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18551 - K.A.P STUDY ON HT & DM INTRODUCTION In...

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