A Survey on Practice and Treatment Towards Diabetes Mellitus of Diabetic Patients in Bangladesh Perspective

Abstract

Diabetes mellitus is a rapidly growing disease around the world., About 387 million people have diabetes worldwide. This is equal to 8.3% of the adult population, with equal rates in both women and men. In the years 2012 to 2014, diabetes is estimated to have resulted in 1.5 to 4.9 million deaths per year. In Bangladesh, the number diabetic patient has also increased due to lack of in appropriate practice and treatment. There is little work done on diabetes mellitus as well as practice and treatment towards Diabetes mellitus of diabetic patients in Bangladesh. The main objective of our study was to see the recent consequences of practice and treatment pattern of Diabetes mellitus. It was a survey based study and performed on 202 diabetic patients in BIRDEM (Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders) at Shahbag, Dhaka, BIRDEM at Rampura, Dhaka and Sangshad Vaban park. In this study 51.44% male and 48.55% female participants were found. Patients were selected randomly. Here common factors are considered affecting diabetes practice and treatment pattern were sex, age, level of education, marital status, profession, and income, mode of diagnosis and duration of diabetes. Only Diabetic patients were selected as study population. 96.53% of them were married and 3.96% were single. The study also showed that the maximum percentage (20.79%) of normal range of fasting blood glucose level was 4.1-6 mg/ml and the maximum percentage (33.66%) normal range of random blood glucose level was 8.1-12mg/ml. HbA1c test which is very essential for the measurement of diabetes is not very popular among the patients. Only small amount of about 13.86% performed this test and remaining 86.14% don’t heard about this test. Our study also showed that people in Bangladesh frequency of visiting healthcare provider has risen alarmingly, 71.78% patients visit healthcare provider more than twice in a year, 22.77% visit twice in a year and the patient also concern about controlling their diabetes .In this regard we saw that 27.54% people inject insulin and 22.72% take medicine 25.4% taking exercise 20.32% took healthy diet to manage hyperglycemic condition. We found that people are more cautious about their diabetic condition and their treatment pattern. They know the sign and symptoms and management practice of diabetes in hyperglycemic and hypoglycemic condition. In spite of that Government & society should take proper and powerful steps to decrease the number of diabetic patients by creating awareness among mass population.