A DIABETES AWARENESS

AND SCREENING
PROGRAMME
 INTRODUCTION

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 RESEARCH QUESTION

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 OBJECTIVES
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 REVIEW OF LITERATURE
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TABLE 1: IMPACT OF EDUCATIONAL INTERVENTION
AWARENESS ABOUT ORGANS AFFECTED IN DIABETES

No Of Correct
Answers
s.No Organs Pretest Post test Chi P Value
squa
res
01. Eyes 17 35 15.9 <0.001

02. Heart 6 39 52.01 <0.001

03. Kidney 23 40 ----- ------
04. Leg 15 37 24.23 <0.001
05. Nerves 2 28 36.05 <0.001

OBSERVATION:
The results of interventional study suggests that
many people were initially aware of kidney being
affected in diabetics. However their knowledge on
effect of diabetes on other organs like heart, leg,
nerves being affected was significantly low.
INTERVENTIONAL SCORES ON AWARENESS ABOUT
ORGANS AFFECTED IN DIABETES

120
100
S C OR E S %

80 PRE TEST
60
40 POST TEST
20
0
EY
N E LEG
HE S
KI T

ES
AR
E

DN
EY

RV
 TABLE 2:IMPACT OF EDUCATIONAL INTERVENTION
AWARENESS ABOUT FOOD ITEMS TO BE AVOIDED TO
PREVENT THE COMPLICATIONS OF DIABETES
S.No Food Items No of Correct
answers
Pre Test Post test Chi squares P Value

1 Sugar products 21 36 11.96 <0.001

2 Milk & its products 4 36 48.05 <0.001

3 Oil foods 8 39 53.15 <0.001

4 Large amt of rice 15 39 30.14 <0.001

5 Non –vegetarian 1 21 25.08 <0.001

foods
6 Fast foods 0 15 18.46 <0.001

Educational programme conducted among them has made them

realize that other food items also have a role in predisposing to
diabetes and post- test score shows that there has been a
significant increase in their knowledge about the effects of oil foods
and rice on diabetes.
 INTERVENTIONAL SCORES ON AWARENESS ABOUT FOOD
ITEMS TO BE AVOIDED TO PREVENT COMPLICATIONS OF
DIABETES

FAST FOODS

NON VEG

RICE
POST TEST
PRE TEST
OIL

MILK

SUGAR

0 50 100 150
SCORES %
 TABLE 3:IMPACT OF EDUCATIONAL INTERVENTION
AWARENESS ABOUT THE FOOD ITEMS THAT ARE SAFE FOR
CONSUMPTION IN DIABETICS

S.No Food Items No of Correct answers

Pre Test Post test Chi squares P Value

1 Green leafy vegetables 16 38 25.13 <0.001

2 Whole grains 17 32 11.85 <0.001

3 Vegetarian foods 12 30 16.24 <0.001

4 Fruits 11 33 24.44 <0.001

OBSERVATION: Their knowledge about the role of vegetables

and fruits in preventing development of complications of diabetes
was average. The educational intervention has proved to be
effective in increasing their knowledge about the good effects of
fruits and vegetables.
INTERVENTIONAL SCORES ON AWARENESS ABOUT FOOD
ITEMS THAT ARE SAFE FOR CONSUMPTION IN DIABETICS

100
90
80
70
S CO RE S %

60 PRE TEST
50
40 POST TEST
30
20
10
0
GREEN WHOLE VEG FRUITS
LEAFY GRAINS FOODS
VEG
TABLE 4: IMPACT OF EDUCATIONAL INTERVENTION
AWARENESS ABOUT GESTATIONAL DIABETES

QUESTION NO OF CORRECT
ANSWERS

PRE TEST POST TEST CHI P VALUE

SQU
ARE

Can pregnant women get 18 30 7.50 0.006

diabetes?
 INTERVENTIONAL SCORES ON AWARENESS ABOUT
GESTATIONAL DIABETES

80
70
60
SCO RES %

50
40
30
20
10
0
PRE TEST POSTTEST
 TABLE 5: IMPACT OF EDUCATIONAL INTERVENTION
KNOWLEDGE ABOUT THE ROLE OF PHYSICAL ACTIVITIES IN
PREVENTING DIABETES

QUESTION NO OF CORRECT ANSWERS CHI P VALUE

SQUA
RE
PRE TEST POST TEST

Can exercise help to prevent diabetes? 17 39 26.25 <0.00

How? 1

OBSERVATION:
The table shows that there was a marked increase in
knowledge among the subjects about the role of physical
activities in preventing diabetes. We were successful in
educating 98% of subjects about role of physical activities.
 INTERVENTIONAL SCORES ON KNOWLEDGE ABOUT THE
ROLE OF PHYSICAL ACTIVITIES IN DIABETES

120

100

80
SCORES %

60

40

20

0
PRE TEST POST TEST
TABLE 6: IMPACT ON EDUCATIONAL INTERVENTION
AWARENESS ABOUT THE RISK FACTORS OF DIABETES

RISK FACTORS NO OF CORRECT CHI P VALUE

ANSWERS SQUAR
E
PRE TEST POST
TEST
1. Obesity 1 37 61.40 <0.001

2. High blood cholesterol 1 35 55 <0.001

3. Smoking 2 29 20.86 <0.001

4.Hypertention 5 30 31.75 <0.001

5. Heredity 21 39 19.27 <0.001

6. Reduced insulin 1 25 32.82 <0.001
secretion
7. Physical inactivity 3 35 48.17 <0.001
 HI PH
GH YS
CH HY I
O P L O C AL
OBL E SM ER H W
S
ES TE O T E ER IN IN A
K I NT E D S U C T
IT RO N G IO I T L I IV
Y L N Y N IT
Y

0
50

SCORES %
100
150
PRE TEST
POST TEST
FACTORS OF DIABETES
INTERVENTIONAL SCORES ON AWARENESS ABOUT RISK
 SUMMARY OF RESULTS
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SUMMARY OF RESULTS

100
80
SCORE %

60
40
20
0
PRE TEST POST TEST
 DISCUSSION
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 CONCLUSION
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REFERENCE
1.Joslin.E.P.L.T. Dublin & H.H.Marks.
STUDIES IN DIABETES MELLITUS ; 4TH edition; 192:9(1936)
American Journal of Medical Sciences.

2.Newburgh, L.H. & J.W. Conn.

A NEW INTERPRETATION OF HYPERGLYCEMIA IN OBESE
MIDDLE AGED PERSONS.
112:7(1939) ; Medical Clinics of North America; vol.8, no.5, 1964.
3.Williams.R.H.
TEXTBOOK ON ENDOCRINOLOGY
3RD edition; 609(1962); W.B.Saunders company.
4.Hudley.J.M.
DIABETES AND OVERWEIGHT IN THE USA
32:418(1956); Journal of American Diabetic Association.
5.Paulin J.H. & H.C.Sauls.
A STUDY OF GLUCOSE TOLERANCE TEST IN OBESE.
15:249(1922); Southern Medical Journal.
6.John.H.J.: A summary of the findings of the 1100 glucose tolerance
estimations.: TEXTBOOK OF ENDOCRINOLOGY
13:388(1929)
7.Ashrya et al.: TEXTBOOK OF DIABETES MELLITUS
Published in 2002 by Research society for study of diabetes in
India.
8.Sherta Hill Golden et al
1110: DIABETES CARE; Vol. 26; No.4; April 2003.
9. DIABETES MELLITUS- A FUNDAMENTAL AND CLINICAL
TEXT; 2ND edition; Lippincott & Williams publications.
10. Stone .D.B.; A STUDY ON INCIDENCE AND CAUSES OF POOR
CONTROL IN PATIENTS WITH DIABETES.
American Journal of Medical Sciences; 241-436(1961)
11. Leverduski et al: IMPACT OF NUTRITIONAL EDUCATION IN A
COMMUNITY-BASED DIABETES EDUCATION PROGRAMME.
12. Nicholas et al, Department of public health & primary care,
University of Cambridge.
British Journal of Medicine; 2001; 322:986-988.
13. David.C. Zeimer et al. Journal of Diabetes Care 26:1719-1724,2003.
14. Engelgau MM et al. SCREENING FOR TYPE-2 DIABETES; Diabetes
Care 2000 0ctober ;23(10) :1563-80 ;PMID:11023153.
15.Angela M.Kemple et al. CDC; PREVENTING CHRONIC DISEASE;
2005,Nov.2:A07.
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