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首页> 外文期刊>International journal of diabetes in developing countries. >Utility of secondary screening in early detection of diabetic retinopathy and assessing diabetes management through rural referral mechanism
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Utility of secondary screening in early detection of diabetic retinopathy and assessing diabetes management through rural referral mechanism

机译：Utility of secondary screening in early detection of diabetic retinopathy and assessing diabetes management through rural referral mechanism

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Abstract Background Diabetes mellitus is one of the major non-communicable diseases in India. Kamareddy district, with the support of Novartis under its Public Health Initiatives, has implemented secondary screening camps for subjects with higher risk of diabetes through screening under NPCDCS. In this analysis, we aim to identify the utility of the camps in monitoring diabetes management and early detection complications like diabetic retinopathy (DR).Methods Seventeen camps were conducted in the rural Kamareddy district during Jun 2019 to Mar 2020. Subjects with RBS?≥?140?mg/dl in the field screening were counselled and referred to the camps conducted as per schedule for further assessment through HbA1c, fundoscopy, ECG and lipid profile in an algorithm-based screening protocol.Results Twelve percent (24,965/208,685) of screened subjects had abnormal RBS and were referred to the camps. Of them, 9.2 (n?=?2287; male?=?1291; female?=?996) could avail HbA1c testing in the camps, which consisted of 45 (1022) known diabetics. Forty-nine percent of the subjects belonged to age group 40–59?years (range: 6–88). Nearly one-third (34) had HbA1c levels?≥?7. More than 63 of the known Diabetic subjects had HbA1c?≥?7 indicating the need for strengthening treatment adherence (p?

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