Abstract 281: Diabetes in India: Insights from PINNACLE India Outpatient Registry
Background: India may have the largest diabetes (DM) population in the world. Indians have high genetic susceptibility and a low threshold for risk factors. Prevention, delay through lifestyle intervention or drug therapy has proven effective in all ethnic groups. Thus surveillance of vulnerable populations through a cardiovascular (CV) registry can assist in targeting opportunities for intervention.
Methods: PINNACLE India is the first CV data collection and reporting program in India. Data are collected by transmission from paper scanners and an electronic data collection tool. Patients are followed longitudinally if they return to a data collecting site.
Results: DM is documented in 14.5% of patients and 17.1% of encounters. Mean glucose was 125 mg/dL and 28.4% of values fell above 130 mg/dL. Among HbA1c values, 88.7% were high. For documented DMs, mean total cholesterol was 137.6 mg/dL, LDL was 87.8 mg/dL, HDL was 32.3 mg/dL and triglycerides were 133.7 mg/dL.
Conclusion: Cholesterol is well managed among diagnosed DMs. Blood sugar is not well managed and indicates a significant number of undiagnosed DMs. DM appears underdocumented, underdiagnosed, and sub-optimally managed in the registry population. In the US, an estimated 7 million DMs are undiagnosed.A similar or higher proportion is likely in India. Reducing risk of CV disease requires prevention for non-DMs and management of those diagnosed. Data suggest a focus on DM diagnosis and management as opposed to lipid control for already diagnosed DMs.
Author Disclosures: S.A. Risch: None. N.T. Glusenkamp: None. P. Kerkar: None. G. Kumar: None. W.J. Oetgen: None.
- © 2014 by American Heart Association, Inc.