Study of factors associated with poor glycemic control in Type -2 Diabetic patients

INTRODUCTION Diabetes mellitus is the most common chronic diseases among adults. By 2030, number will increase to 439 million with prevalence of 7.7 %.Number of deaths in adult due to diabetes is estimated to be 3.96 million per year and mortality rate of diabetes in all ages is 6.8 %, at global level. In India, 40 million have diabetes. By 2025 it is estimated to rise to 70 million. In spite of well-defined treatment for type 2 diabetes, in majority of the people, disease is poorly controlled with existing therapies. Studies like UKPDS and DCCT have proven that poor glycemic control(HbA1C>7%) is associated with increased risk for micro vascular complications. An Indian study showed that the prevalence of diabetes is high in urban India. There is a large pool of subjects with impaired glucose tolerance at a high risk of conversion to diabetes. Hence it would be interesting to identify the factors associated with poor control of diabetes.