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Diabetes Care Publish Ahead of Print published online ahead of print March 3, 2008
DOI: 10.2337/dc07-1680
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Original Research

A Community-Based Diabetes Prevention and Management Education Program in a Rural Village in India

Padmini Balagopal, PHD CDE RD1, N. Kamalamma, PHD2, Thakore G.Patel, MD3 and Ranjita Misra, PHD, CHES,FMALRC4

1Principal Investigator (velchet{at}aol.com)
2Retd. HOD & Professor, Gandhigram Rural Institute, Tamilnadu, India
3Adjunct Professor of Medicine, Uniformed Services University of the Health Sciences
4Associate Professor, Texas A&M University, College Station, Texas (misra{at}hlkn.tamu.edu)

misra{at}hlkn.tamu.edu

ABSTRACT

Objective: This study evaluates a 7-month community-based non-pharmacological lifestyle intervention to prevent/reduce the risk of developing diabetes and its complications in a resource-poor village in Tamilnadu, India.

Research Design and Methods: Seven hundred and three village inhabitants, comprising of adults and youth 10 - 92 years of age were provided educational intervention using ‘trained trainers'. Culturally and linguistically appropriate health education messages addressed diet, physical activity and knowledge improvement. The prevalence of diabetes mellitus and the effectiveness of the intervention were assessed using select parameters.

Results: The crude prevalence of diabetes and pre-diabetes among adults was 5.1% and 13.5% respectively, while pre-diabetes in youth 10-17 years of age was 5.1%. Intervention reduced fasting blood glucose levels of pre-diabetes adults by 11%, pre-diabetes youth by 17% and among adults with type 2 diabetes mellitus by 25%. Improvements in obesity parameters and dietary intake also occurred. A step-wise worsening of parameters progressing from the normoglycemic state to the impaired levels of pre-diabetes and Diabetes mellitus was observed.

Conclusions: This study has charted the increasing prevalence of diabetes and pre-diabetes in rural India. Educational intervention was successful in reducing some of the obesity parameters and improving dietary patterns of individuals with pre-diabetes and diabetes mellitus.


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Copyright © 2008 by the American Diabetes Association.