Joint Program Of Saudi Diploma

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Joint Program of Saudi Diploma for Family Medicine in Northern Borders Region and Aljouf Region

RESEARCH PROPOSAL/SYNOPSIS

TOPIC:
PREVELANCE OF DIABETES AND PREDIABETES AMONG ADULT IN ALOWEGEELA CITY .

DR : ABDELRAHMAN HAMZA ELGACK

NAME OF THE SUPERVISOR

Dr Altaf Hussain Banday

Introduction

Diabetes mellitus (DM) is a syndrome characterized by chronic hyperglycemia and insulin deficiency ,resistance or both (1).

DM is universal health problem and one of a leading cause of death (2) and disability over world (3) .

prevalence of DM are growing in over the world. In 2014, 422 million adults (or 8.5% of the population) had diabetes, compared with 108 million (4.7%) in 1980 (4).

In 2012, diabetes caused 1.5 million deaths.
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15-30% of people with prediabetes will develop type 2 diabetes within 5 years.

In study done in jedda in found the prevalence of prediabetes was 9.0% (95% CI 7.5–10.5); 9.4% (7.1–11.8) in men and 8.6% (6.6–10.6) in women. For DM it was 12.1% (10.7–13.5); 12.9% (10.7–13.5) in men and 11.4% (9.5–13.3) in women (7).

Intensive and structured lifestyle modification that results in loss of approximately 5% of initial body weight can reduce the risk of progression from impaired glucose tolerance to type 2 diabetes by almost 60%. Progression from prediabetes to type 2 diabetes can also be reduced by pharmacologic therapy with metformin (30% reduction) .(8)

Therefore, attempting to prevent this progression or at least to delay it should be a superior national health strategy than only attempting to manage the disease after it is established (5),
, so is very important to magnitude the prediabetes state to use the preventive intervention strategies RECMMENDED BY American Diabetes Association (ADA) to prevent or delay progression from prediabetes to diabetes mellitus.

Aim

determine the prevalence of prediabetes in a representative population to aware the Decsition maker in northern border MOH to generate or apply the preventive intervention strategies of type 2 diabetes in PHC .

objective :

1-prevelance of prediabetes in alowegeela .
2- identify factors associated with prediabetes in this
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