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Title: Prevalence of Diabetes and Diabetic Retinopathy in Far-western Province of Nepal
Authors: Bhatta, Subash
Pant, Nayana
Pant, Suresh Raj
Citation: BhattaS., PantN., & PantS. R. (2023). Prevalence of Diabetes and Diabetic Retinopathy in Far-western Province of Nepal. Journal of Nepal Health Research Council, 20(4), 875-880.
Issue Date: 2022
Publisher: Government of Nepal; Nepal Health Research Council; Ramshah Path, Kathmandu, Nepal
Keywords: Diabetes
Diabetic retinopathy
Rural Nepal
Vision Impairment
Series/Report no.: Oct-Dec, 2022;4425
Abstract: Abstract Background: Although diabetes is emerging as growing public health problem, there is limited population based data about the prevalence of the disease in Nepal. Methods: This cross-sectional population-based survey, conducted in the Far-western province of Nepal from April 2020 to April 2021, used standardized RAAB + DR methodology. Diabetes was diagnosed on the basis of treatment history and random blood sugar test results of greater than 200 mg/dl. Diabetic retinopathy screening was done by ophthalmologists. All relevant data were imported into the RAAB software package (RAAB V.6) for analysis. Results: Among 4615 study population, 2.8 % (n=129) had diabetes, and 35.7% (n=46) of the diabetics were newly identified cases. Of the known diabetics, 61.4% (n=51) never had an eye examination, and only 27.7% (n=23) of cases had their eye checked for DR in the last year. Fundus examination showed 13.2 % (n=17) of the diabetic patients to have some form of diabetic retinopathy and 6.2% (n=8) had diabetic maculopathy. Only 0.8% (n=1) of the cases were categorized as sight-threatening DR but a greater number of diabetes patients had severe visual impairment or blindness (3.9%) as compared to non-diabetic patients (1.8%). Conclusions: Prevalence of diabetes and DR were relatively lower in Far-western Nepal. However poor coverage of screening examinations have left many of these cases undetected in the communities. Effective community-based diabetes and DR screening and referral programs can help to detect and treat diabetes and DR early on to prevent vision loss and other diabetic complications. Keywords: Diabetes; diabetic retinopathy; maculopathy; rural Nepal, vision Impairment
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol 20 No 04 Issue 57 Oct-Dec, 2022

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