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BRIEF COMMUNICATION
Year : 2017  |  Volume : 21  |  Issue : 1  |  Page : 242-244

The rule of two-thirds in diabetes epidemiology


1 Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India
2 Department of Medicine, DiaCare, Ahmedabad, Gujarat, India
3 Department of Endocrinology, Osmania Medical College, Hyderabad, Telangana, India
4 Department of Endocrinology, Maharaja Agrasen Hospital, New Delhi, India
5 Department of Endocrinology, Golden Hospital, Jalandhar City, Punjab, India
6 Department of Endocrinology, CEO, Chellaram Diabetes Institute, Pune, Maharashtra, India

Correspondence Address:
Sanjay Kalra
Department of Endocrinology, Bharti Hospital, Karnal, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.196027

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This communication hypothesises a rule of two thirds which seems to operate in Indian diabetes epidemiology. Two thirds of all persons with dysglycemia are prediabetic; two thirds of all persons with diabetes are diagnosed to have the condtion; and two thirds are diagnosed before the age of 50 years. Two thirds of people with diabetes have concomitant hypetension or dyslipidemia; two thirds do not get their HbA1c assessed; and two thirds of those who do, do not achiev target values. Yet, two thirds of people with diabetes report satisfactory psychosocial health and quality of life, and adherence to dietary therapy and medication. Only one thirds adhere to exercise and self monitoring advice, however. Two thirds of persons on oral glucose lowering drugs receive metformin; two thirds of those on insulin receive premixed insulin or twice daily isnuslin, and a similar proportion uses pens for delivery. Thus, the rule of two thirds, rather than of halves, operates in modern Indian diabetes practice.


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