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HindustanTimes Thu,02 Oct 2014

‘Diabetes capital’ tag a burden on India’s heart

HT Correspondent, Hindustan Times  Lucknow, August 19, 2013
First Published: 10:54 IST(19/8/2013) | Last Updated: 11:01 IST(19/8/2013)

Being home to around 40 million diabetics, India is emerging as the ‘diabetes capital’ of the world.

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And with this, people would be more susceptible to heart disease.

“One-third of the diabetics develop coronary artery disease (CAD), irrespective of the precaution they take and death of 80% diabetics can be attributed to CAD,” said Prof AK Srivastava, chairman, Divine Heart Multi-Specialty Hospital.

He was delivering a talk on ‘Impact of Diabetes on Heart’ organised by the Lucknow Management Association in collaboration with Hearts and Minds at the LMA hall.

“Around 50 to 60 million Indians suffer from heart disease and if figures are further explained, every 10th Indian suffers with either CAD or diabetes,” he said.

According to Prof Srivastava, diabetes attacks people in many ways.

First it alters lipid metabolism, precipitates clotting in the artery and t6hen damages artery walls.

“The most vulnerable are those who have a family history of diabetes. For them, I would advise check-ups after the age of 35 years, which is the best way to prevent disease,” said Prof Srivastava.

He said when people from the vulnerable group go for preventive test, they should ensure that albumin is included in the test.

The sugar test should also be considered important where fasting level should be below 110, random between 140 and 160 and the range for the 2-hour glucose test should be 180 to 200.

Apart from these clinical precautions diet is another factor, which can help check the impact of diabetes on the heart.

“For diabetics, controlled intake of carbohydrates is one of the important factors in diet management,” said Sachin Singh of Diet Mantra.

As per statistics, about 50% diabetics develop renal problems. But by checking their vulnerability status and with regular tests, further ailments could be prevented.

In the next 17 years, India, China and the US would have the largest number of diabetics. It is estimated that every fifth person with diabetes will be an Indian.

Due to this, the economic burden due to diabetes in India is amongst the highest in the world.

As per WHO estimates, mortality from diabetes, heart disease and stroke cost about $210 billion in India in 2005.

Much of the heart disease and stroke in these estimates was linked to diabetes.

Diabetes, heart disease and stroke together would cost about $ 333.6 billion over the next 10 years in India alone, estimates WHO.


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