Case Report of International Journal of Hospital Pharmacy
An Assessment of Knowledge and Evaluation of Risk on Developing Type II Diabetes Mellitus- a Prospective Study
Ms. ANCY PAUL*a, Ms. ANJU PAULa, Ms. SONA BENNYa, Mrs. DEEPTHI. C. DENNYb, Mrs. LINCY GEORGEc, Dr. K. KRISHNAKUMARd, Dr. L. Panayappane
a (Pharm. D), Department of Pharmacy Practice, St. James College of Pharmaceutical Sciences, Chalakudy, b M.Pharm, Assistant Professor, Department of Pharmacy Practice, St. James College of Pharmaceutical Sciences, Chalakudy, c M.Pharm, (Ph.D), Assistant Professor, Department of Pharmacy Practice, St.James College of Pharmaceutical Sciences, Chalakudy, d M.Pharm, Ph.D, Principal, St. James College of Pharmaceutical Sciences, Chalakudy, eM.Pharm, Ph.D, Head of Department of Pharmacy Practice.
As per WHO definition Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Recent study estimates that there were 171 million people in the world with diabetes in the year 2000 and this is projected to increase to 366 million by 2030. WHO projects that diabetes will be the 7th leading cause of death in 2030.
To identify and improve the level of knowledge in type II Diabetes and to evaluate risk of developing type II DM among non-diabetics attending tertiary care hospital.
A qualitative observational interview based method was conducted out in a 450 bedded tertiary care hospital for a period of 6 months. Patient data was collected through structured form and evaluated using standard validated scales DKQ – 24 item questionnaire form and Type II Diabetes Risk Assessment form. All patients admitted with Type II DM with/ without co-morbidities in the age range of 18-70years will be selected. The patients with increased risk of developing Type II DM will also be evaluated. The patients who are not interested to participate in study or due to serious illness or impairment are excluded.
150 patients enrolled for study of both having diabetic and non-diabetics. They were also carried out the post survey for assessment diabetic knowledge after patient counseling. Patient counseling along with leaflets were provided to patients with poor knowledge. Patient improved from (SD +/-8.63) average pre-score of knowledge to post-score (SD +/-2.505) with P<0.05. Risk was estimated and found to slightly elevated risk in majority of respondents.
In conclusion this study revealed the need for pharmacist intervention in improving knowledge about Type II Diabetes Mellitus and risk assessment of developing diabetes mellitus. Also statistical significant difference was observed between pre and post survey.
Keywords: Diabetes Mellitus, World Health Organization, Diabetes Knowledge Questionnaire, Standard Deviation.
How to cite this article:
Ancy Paul et al., An Assessment of Knowledge and Evaluation of Risk on Developing Type II Diabetes Mellitus- a Prospective Study. International Journal of Hospital Pharmacy, 2017,2:2. DOI: 10.28933/ijhp-2017-02-02
1. Shannon Shalene Prasad, Final Technical Report for Research Project ‘Type 2 Diabetes -Patients’ Knowledge On Diabetes, Its Medications And Complications At Outpatient Pharmacy, Colonial War Memorial Hospital, 2014 November
2. Global report on diabetes. World Health Organization, Geneva, 2016.
3. Ambady Ramachandran, Ananth Samith Shetty, Arun Nanditha, Chamukuttan Snehalatha, Type 2 Diabetes in India: Diabetes mellitus Challenges and Possible Solutions, Medicine update 2016
4. LM Moodley BPharm, MMed. Sci, MPS & V Rambiritch PhD, An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting, South African Family Practice, 49:10, 16-16d, 2007
5. Tandon, Nikhil, Raizada, Nishant. The burden of diabetes in India. 2014 Sep 3
6. Senlin Luo, Longfei Han, Ping Zeng, Feng Chen, Limin Pan, Shu Wang, Tiemei Zhang, A Risk Assessment Model for Type 2 Diabetes in Chinese; August 7, 2014.
7. R Malathy, MP Narmadha, S Ramesh, Jose M Alvin, and Babu N Dinesh, Effect of a diabetes counseling programme on knowledge, attitude and practice among diabetic patients in Erode district of South India
8. Sunya-Lee Antoine, Dawid Pieper, Tim Mathes, and Michaela Eikermann, Improving the adherence of type 2 diabetes mellitus patients with pharmacy care: a systematic review of randomized controlled trials; 2014 Jul 7.
9. D Og. O’Donovan, S. Byrne, L. Sahm, The role of pharmacists in control and management of type 2 Diabetes Mellitus; a review of the literature
10. Azuka C. Oparah, Akintoye J Famakinde & Adebayo OJ, Outcomes of pharmacists’ interventions in the collaborative care of patients with diabetes; January 2009; 9 (1): 18-22
11. Lucy Nkukuma Ngoh. Health Literacy: A Barrier to Pharmacist- Patient Communication and Medication Adherence. Pharmacy Today. 2009 Aug; 15 (8): 45-57
12. Statistics About Diabetes, Overall Numbers, Diabetes and Prediabetes – See more at: http://www.diabetes.org/diabetes
13. Anju Gautam, Dharma Nand Bhatta, and Umesh Raj Aryal, Diabetes related health knowledge, attitude and practice among diabetic patients in Nepal; 2015 Jun 5
14. Unyime Sunday Jasper,Babatunde Gbolahan Ogundunmade, Macmillian Chinonso Opara, Olayinka Akinrolie, Edna Bawa Pyiki and Aishatu Umar, Determinants of diabetes knowledge in a cohort of Nigerian diabetics; Journal of Diabetes & Metabolic Disorders; 4 March 2014
15. Kalayou K Berhe, Haftu B Gebru, Hailemariam B Kahsay and Alemseged A Kahsay, Assessment of Diabetes Knowledge and its Associated Factors among Type 2 Diabetic Patients in Mekelle and Ayder Referral Hospitals, Ethiopia; May 25, 2014
16. Patrício Fernando Lemes dos Santos, Poliana Rodrigues dos Santos, Graziele Souza Lira Ferrari, Gisele Almeida Amaral Fonseca, Carlos Kusano Bucalen Ferrari, Knowledge of Diabetes Mellitus: Does Gender Make a Difference? August 2014Volume 5, Issue 4, Pages 199–203
17. Anil C Mathew, Neethu Jacob, Shintu Jose, Rathan P, Suvetha K, Senthil Kumar R, Yunsheng Ma, Knowledge about risk factors, symptoms and complications of diabetes among adults in South India; 2014; 3(9): 1086-1092
18. Teerapon Dhippayom Nathorn Chaiyakunapruk, Ines Krass, How diabetes risk assessment tools are implemented in practice: A systematic review; June 2014Volume 104, Issue 3, Pages 329–342
19. Niciane Bandeira Pessoa Marinho; Hérica Cristina Alves de Vasconcelos; Ana Maria
Parente Garcia Alencar; Paulo César de Almeida; Marta Maria Coelho Damasceno, Risk for type 2 diabetes mellitus and associated factors; vol.26 no.6 São Paulo Nov./Dec. 2013
20. Fatma Al-Maskari, Mohamed El-Sadig, Juma M. Al-Kaabi, Bachar Afandi, Nicolas Nagelkerke, and Karin B. Yeatts, Knowledge, Attitude and Practices of Diabetic Patients in the United Arab Emirates; 2013 Jan 14
21. Nelofer Khan, Kadayam G Gomathi, Syed Ilyas Shehnaz and Jayakumary Muttappallymyalil, Diabetes Mellitus-Related Knowledge among University Students in Ajman, United Arab Emirates; 2012 Aug; 12(3): 306–314.
22. Brian Buijsse, Rebecca K. Simmons, Simon J. Griffin, and Matthias B. Schulze, Risk Assessment Tools for Identifying Individuals at Risk of Developing Type 2 Diabetes; 2011 May 27
23. C. Muninarayana, G. Balachandra, S. G. Hiremath, Krishna Iyengar, and N. S. Anil, Prevalence and awareness regarding diabetes mellitus in rural Tamaka; 2010 Jan-Mar; 30(1): 18–21.
24. Nighat Nisar, Iftikhar Ahmad Khan, Majid hafeez Qadri, Syed Azam Sher, Knowledge and Risk assessment of diabetes mellitus at primary care level: A Preventive approach required combating the disease in a developing country; October – December 2008 (Part-I) Vol. 24 No. 5 667-672
25. Katherine Heller, OTC Product: BioSafe Diabetes Risk Assessment; Journal of the American Pharmacists Association; July–August, 2008Volume 48, Issue 4, Page 562
26. Bertram Häussler, Gisela C Fischer, Sibylle Meyer, and Diethard Sturm, Risk assessment in diabetes management: how do general practitioners estimate risks due to diabetes? 2007 Jun; 16(3): 208–212.
27. Jaana Lindström, and Jaakko Tuomilehto, American diabetes association, The Diabetes Risk Score-A practical tool to predict type 2 diabetes risk
28. Kyung Soo Kim, Soo Kyung Kim, Kyung Mi Sung, Yong Wook Cho, and Seok Won, Management of Type 2 Diabetes Mellitus in Older Adults
29. Hwee H. Tan, Ritchie R. McAlpine, Peter James, Philip Thompson, Marion E.T. McMurdo, Andrew D. Morris, Josie M.M. Evans, Diagnosis of Type 2 Diabetes at an Older Age
30. Naveed Sattar, Gender aspects in type 2 diabetes mellitus and cardiometabolic risk
31. Gale, Gillespie KM, Diabetes and gender.
32. Paula M. Trief, Christine L. Himes, Rebecca Orendorff, and Ruth S. Weinstock, The Marital Relationship and Psychosocial Adaptation and Glycemic Control of Individuals With Diabetes
33. Marilyn C Cornelis, Maria Glymour, Ichiro Kawachi, Stephanie E Chiuve, Shun-Chiao Chang, Karestan C Koenen, Liming Liang, Eric B Rimm, Eric J Tchetgen Tchetgen and Laura Kubzansky, Marital status and Risk of type 2 Diabetes in the Health Professionals Follow-up Study
34. Laura A. Rivera, Michael Lebenbaum and Laura C. Rosella, The influence of socioeconomic status on future risk for developing Type 2 diabetes in the Canadian population between 2011 and 2022: differential associations by sex; 24 October 2015
35. Raja Subramani, Uma Devi, Udhay Shankar, Stephen, Karthik, Seshadhri, Satheesh Kumar and Sathya Suganya, Assessment of Risk of Type 2 Diabetes Mellitus Among Rural Population in Tamilnadu by Using Indian Diabetic Risk Score
36. Kaan Tunceli, Cathy J. Bradley, David Nerenz, L. Keoki Williams, Manel Pladevall and Jennifer Elston Lafata, . The Impact of Diabetes on Employment and Work Productivity
37. Meena Kumari, Jenny Head, Michael Marmot, Prospective Study of Social and Other Risk Factors for Incidence of Type 2 Diabetes in the Whitehall II Study FREE
38. Mini, Nichter M, Thankappan K, Does increased knowledge of risk and complication of smoking on diabetes affect quit rate? Findings from a randomized controlled trial in kerala, India.
39. Carole Willi, Patrick Bodenmann, William A. Ghali, Peter D. Faris, Jacques Cornuz, Active Smoking and the Risk of Type 2 Diabetes -A Systematic Review and Meta-analysis
40. Anju Gautam, Dharma Nand Bhatta and Umesh Raj Aryal, Diabetes related health knowledge, attitude and practice among diabetic patients in Nepal; BMC Endocrine Disorders 2015
41. Sofia Carlsson, Niklas Hammar, Valdemar Grill and Jaakko Kaprio, Alcohol Consumption and the Incidence of Type 2 Diabetes
42. Christie Y. Jeon, BA1, R. Peter Lokken, Physical Activity of Moderate Intensity and Risk of Type 2 Diabetes
43. Laura A. Rivera, Michael Lebenbaum and Laura C. Rosella, The influence of socioeconomic status on future risk for developing Type 2 diabetes in the Canadian population between 2011 and 2022: differential associations by sex; International Journal for Equity in Health; 24 October 2015
44. Raja Subramani, Uma Devi, Udhay Shankar, Stephen, Karthik, Seshadhri, Satheesh Kumar and Sathya Suganya, Assessment of Risk of Type 2 Diabetes Mellitus Among Rural Population in Tamilnadu by Using Indian Diabetic Risk Score
45. Iglay, Hannachi, Joseph Howie, , Engel , Moore, Rajpathak, Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus.
46. Mithun Das, Susil Pal, and Arnab Ghosh, Family history of type 2 diabetes and prevalence of metabolic syndrome in adult Asian Indians
47. InterAct Consortium, Scott RA, Langenberg Sharp, Franks, Rolandsson, Drogan, van der Schouw, Ekelund, Kerrison, Ardanaz, Arriola, Balkau, Barricarte, Barroso , Bendinelli , Beulens , Boeing , de Lauzon-Guillain , The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study.
48. Titien Siwi Hartayu, Mohamed Izham MI and Sri Suryawati , Improving of Type 2 Diabetic Patients’ Knowledge, Attitude and Practice Towards Diabetes Self-care by Implementing Community-Based Interactive Approach-Diabetes Mellitus Strategy; 21 June 2012
49. Shrestha, Yadav, Joshi, Patel, Shrestha, Bharkher, Diabetes Knowledge and Associated Factors among Diabetes Patients in Central Nepal
50. Sanjay Arora, Karl Marzec, Carolyn Gates, Michael Menchine, Diabetes Knowledge in Predominantly Latino Patients and Family Caregivers in an Urban Emergency Department
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