Appraisal Of Risk Factors For Diabetes Mellitus Type 2 in Central Indian Population: A Case Control Study

Diabetes mellitus is characterized by high levels of blood glucose, late onset of disease and associated with serious complications. Genetic and environmental risk factors are known to exist and the importance of elucidating these risk factors in different populations will be of importance in view of the ultimate goal of personalized medicine. The objective was to assess the impact of risk factors such as Body Mass Index (BMI), Waist Circumference (WC), and Waist to Hip Ratio (WHR) on diabetic and control subjects using statistical tools in a specific geographical category of Indian population. Methods: 92 diabetic patients and 123 controls living in urban areas of Nagpur city, Maharashtra, India, were selected for a case control study. BMI, WC, WHR, fasting glucose, blood pressure (systolic and diastolic) and skinfold thickness at four points were assessed. For logical interpretation, the data have been subjected to statistical analysis such as risk ratio, odds ratio and chi square. Multivariate regression analysis was carried out to adjust for age and sex. Results: The plasma glucose, HDL cholesterol and Waist to hip ratio are significant in between control and diabetes subjects even after adjusting to age and sex. Conclusion: Comparison of diabetic and control showed that the central obesity (WHR) and HDL were most important risk factors for type 2 diabetes in the studied population.