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Home » Karachi

Sindh leading in diabetes prevalence, reveals NDSP survey

KARACHI: An estimated 26.3% population in Pakistan is diabetic and prevalence of pre-diabetes is as high as 14.4 %, reveals National Diabetes Survey of Pakistan (NDSP), conducted over a period of one year from August 2016 to August 2017 in four provinces of Pakistan.

The survey was conducted by NDSP in Punjab, Sindh, Khyber Pakhtunkhwa and Balochistan in collaboration with Ministry of National Health Services, Regulations and Coordination (NHSRC), Pakistan Health Research Council (PHRC), Diabetic Association of Pakistan (DAP),Baqai Institute of Dialectology and Endocrinology (BIDE), and Baqai Medical University (BMU).

Sindh is leading in diabetes prevalence as 30.2% cases of total diabetics cases in Pakistan are reported from this province. It followed by Punjab and Balochistan with 28.8 % and 28.1% cases, respectively. The prevalence ratio of diabetes in Khyber Pakhtunkhwa is only 12.9 %, said Principal Investigator of NDSP Survey, Prof Abdul Basit while announcing the results of NDSP at Karachi Press Club (KPC).

He informed that on the basis of previous survey conducted in 1999, Pakistan had an estimated 6.9 million people with diabetes and this number was predicated to increase up to 14.4million by the year 2040 according to an International Diabetes Federation (IDF). The number was extrapolated on the basis of surveys done by the Diabetic Association of Pakistan (DAP) and World Health Organization (WHO) collaborating center in 1999.

He said hence, a repeat survey was needed to estimate the recent numbers of people suffering from type 2 diabetes. Thus, a community-based NDSP 2016-17 was conducted over period of one year from August 2016 to August 2017 in all provinces of Pakistan. Ethical approval was obtained from National Bioethics Committee (NBC) Pakistan, explained Prof Basit.

He informed that WHO criteria for diagnosis of diabetes was used in this survey and blood samples were drawn at fasting state (at least 8 hours) and after 2 hours of glucose intake (75g anhydrous glucose load).

The survey estimated prevalence of diabetes in Pakistan as high as 26.3% in people aged over 20 years. He further informed that about 19.2% people known to be suffering from diabetes while another 7.1% people have been newly diagnosed to be suffering diabetes.

Similarly, prevalence of pre-diabetes is as high as 14.4% in Pakistan.

Co-Investigator of NDSP Survey, Dr Asher Fawwad said more than half (52.6%)of population in Pakistan was hypertensive, 27.9% individuals were known hypertensive and 24.7% were newly diagnosed with hypertensive. He informed that three forth of the participants (76.2%) were overweight. Similarly, high prevalence of obese population was found as per Asian cutoffs.

He informed that prevalence of dyslipidaemia or cholesterol was 93.2%.

The figures are alarming and underscore the urgent need of national programs to prevent diabetes, early diagnosis and active management along with cost-effective strategies.

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