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Research article · 2024 · Full text

International Journal of Agriculture and Nutrition

An assessment of awareness regarding diabetes mellitus and its management

Bharti GoelSapna Nanda

Volume 6(2) · Pages 21–25 · DOI: 10.33545/26646064.2024.v6.i2a.174 ↗

Research areasDiabetes Management and EducationObesity and Health Practices

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Abstract

Author-written

The present study was undertaken to assess the information about diabetes mellitus and its management which was gathered from Diabetic and Non-Diabetic subjects both male and female ranging in age from 20 to 70 years old from various Indian states through Google Survey form. It was mailed to around 500 respondent and the responses was received from 208 respondents. A questionnaire was developed to assess their knowledge, attitude and Practice (KAP) regarding diabetes mellitus and its management through use of value-added products. Results revealed that The majority of the population (56.7%) had diabetes whereas 41.3% of the respondents did not have the disease. Type 2 diabetes affected 51 percent of the population, one-third of respondents (30.3 percent) had the disease for more than a year, 13.9 percent of subjects were pre-diabetic, 8.2 percent of respondents had the disease for less than a year, and 7.7% of respondents had the disease for many years. Sixty-one percent of the public knew what the actual symptoms were. The majority of participants (71.2%) stated that amla contains vitamin C. The majority of participants (58.2%) stated that amla might be used to pickles, candies, chutneys, and other recipes. Over half of the participants (55.3%) selected all the advantages of amla, including boosting immunity, delaying ageing, and enhancing vision. Among the possibilities were blood purification, relief from constipation, and cholesterol control, with over half of the population (53.8%) reporting using them all. 41.3% of participants stated that there are stevia forms available. all of these, including the green-colored liquid and powder and white extract. Therefore, it is evident that most of the respondents knew how to control their diabetes mellitus.

Summary

Source-checked

Plain-language reading of the full paper, prepared with AI and checked against the text. Each point links to the authors' own words.

  1. Why it matters

    • Diabetes Mellitus is described as a highly destructive metabolic endocrine condition. View evidence ↗

      Why it matters

      Diabetes Mellitus is described as a highly destructive metabolic endocrine condition.

      In the paper's own words

      “Diabetes Mellitus (DM) is a metabolic endocrine condition that is extremely destructive.”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
    • The most common causes of this condition are metabolic imbalance and hyperglycemia. View evidence ↗

      Why it matters

      The most common causes of this condition are metabolic imbalance and hyperglycemia.

      In the paper's own words

      “Hyperglycemia and metabolic imbalance are the most common causes”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  2. The question

    • The study aimed to assess public awareness regarding the management and nature of Diabetes Mellitus. View evidence ↗

      The question

      The study aimed to assess public awareness regarding the management and nature of Diabetes Mellitus.

      In the paper's own words

      “The present study was designed to assess the awareness of population regarding Diabetes Mellitus and its management”

      Page 1

      Found in: Objective

      Read it in the full textOpen PDF at page 1 ↗
  3. What they did

    • The researchers employed a descriptive survey method for the study. View evidence ↗

      What they did

      The researchers employed a descriptive survey method for the study.

      In the paper's own words

      “Descriptive survey method was used in the present study.”

      Page 1

      Found in: Design of study

      Read it in the full textOpen PDF at page 1 ↗
    • A random sampling method was used to target 500 subjects, resulting in 208 actual respondents. View evidence ↗

      What they did

      A random sampling method was used to target 500 subjects, resulting in 208 actual respondents.

      In the paper's own words

      “Random sampling method had been used to select the sample of 500 subjects for the present study”

      Page 1

      “It was mailed to 500 participants and the responses were received from 208 respondents.”

      Page 2

      Found in: Sample

      Read it in the full textOpen PDF at page 1 ↗
    • Awareness was measured using a self-designed questionnaire. View evidence ↗

      What they did

      Awareness was measured using a self-designed questionnaire.

      In the paper's own words

      “A self-designed questionnaire to assess the awareness about Diabetes Mellitus had been developed and used for the present study.”

      Page 1

      Found in: Tool used

      Read it in the full textOpen PDF at page 1 ↗
  4. What they found

    • Among respondents, 56.7% were diabetic, 41.3% were not diabetic, and 2% were unaware of their status. View evidence ↗

      What they found

      Among respondents, 56.7% were diabetic, 41.3% were not diabetic, and 2% were unaware of their status.

      In the paper's own words

      “the majority of the population (56.7 percent) was diabetic, the other half of the respondents (41.3 percent) were not diabetic, and the remaining subjects (2%) were unaware about their status”

      Page 2

      Found in: Result and Discussion

      Read it in the full textOpen PDF at page 2 ↗
    • Type 2 diabetes was the most prevalent type, affecting 51% of the population. View evidence ↗

      What they found

      Type 2 diabetes was the most prevalent type, affecting 51% of the population.

      In the paper's own words

      “More than half of the population (51percent) were suffering from type 2 diabetes”

      Page 2

      Found in: Fig 2: Type of diabetes mellitus diagnosed

      Read it in the full textOpen PDF at page 2 ↗
    • Regarding the nature of the disease, 51.9% correctly identified it as high blood sugar, while 23.6% incorrectly identified it as low blood sugar. View evidence ↗

      What they found

      Regarding the nature of the disease, 51.9% correctly identified it as high blood sugar, while 23.6% incorrectly identified it as low blood sugar.

      In the paper's own words

      “The majority of respondents were aware that diabetes is characterised by high blood sugar (51.9%), while less than quarter of population (23.6%) were aware that it is characterised by low blood sugar”

      Page 2

      Found in: Fig 4: Showing awareness about diabetes mellitus

      Read it in the full textOpen PDF at page 2 ↗
    • Approximately 60.1% of the population demonstrated correct knowledge of diabetes symptoms. View evidence ↗

      What they found

      Approximately 60.1% of the population demonstrated correct knowledge of diabetes symptoms.

      In the paper's own words

      “three fifth population were aware of the true symptoms (60.1 percent) who reported skin rashes is not symptom of diabetes”

      Page 3

      Found in: Fig 7: Showing knowledge regarding symptom of diabetes mellitus

      Read it in the full textOpen PDF at page 3 ↗
    • A majority of participants (71.2%) were aware that amla contains vitamin C. View evidence ↗

      What they found

      A majority of participants (71.2%) were aware that amla contains vitamin C.

      In the paper's own words

      “The majority of respondents (71.2 percent) reported that vitamin C is found in amla”

      Page 3

      Found in: Fig 7: Showing knowledge regarding symptom of diabetes mellitus

      Read it in the full textOpen PDF at page 3 ↗
    • Most respondents (65.9%) identified stevia as a suitable sugar substitute. View evidence ↗

      What they found

      Most respondents (65.9%) identified stevia as a suitable sugar substitute.

      In the paper's own words

      “the majority (65.9 percentage) opted for stevia as a sugar substitute”

      Page 4

      Found in: Fig 10: Showing awareness regarding usage of amla

      Read it in the full textOpen PDF at page 4 ↗
    • Over half of the respondents (53.8%) were aware of multiple benefits of wood apple (bael), including blood purification, constipation relief, and cholesterol control. View evidence ↗

      What they found

      Over half of the respondents (53.8%) were aware of multiple benefits of wood apple (bael), including blood purification, constipation relief, and cholesterol control.

      In the paper's own words

      “more than half of the population (53.8 percent) reported for all of the options, which included cholesterol control, constipation relief, and blood purification.”

      Page 4

      Found in: Fig 10: Showing awareness regarding usage of amla

      Read it in the full textOpen PDF at page 4 ↗
    • Knowledge of contributing nutrients was mixed, with 48.1% citing fat and 38.9% citing carbohydrates as causes. View evidence ↗

      What they found

      Knowledge of contributing nutrients was mixed, with 48.1% citing fat and 38.9% citing carbohydrates as causes.

      In the paper's own words

      “Half of the respondents (48.1%) reported fat to be contributing nutrient for diabetes, While 38.9% reported carbohydrate content of diet to be contributing cause”

      Page 2

      Found in: Fig 4: Showing awareness about diabetes mellitus

      Read it in the full textOpen PDF at page 2 ↗
  5. What it means

    • The authors conclude that most subjects manage their diabetes using a mix of medication and herbal therapies like bael, amla, and stevia. View evidence ↗

      What it means

      The authors conclude that most subjects manage their diabetes using a mix of medication and herbal therapies like bael, amla, and stevia.

      In the paper's own words

      “the bulk of the subjects were managing their diabetes with a combination of medication and herbal therapies, such as stevia, amla, and bael.”

      Page 4

      Found in: Conclusion

      Read it in the full textOpen PDF at page 4 ↗
    • The authors suggest that good health practices are a result of a positive attitude and sound knowledge. View evidence ↗

      What it means

      The authors suggest that good health practices are a result of a positive attitude and sound knowledge.

      In the paper's own words

      “it might be argued that excellent practice follows good knowledge, and that good practice follows good attitude.”

      Page 4

      Found in: Conclusion

      Read it in the full textOpen PDF at page 4 ↗

Figures & tables

From the original paper
Prevalence of diabetes mellitusFigure 1Page 2Type of diabetes mellitus diagnosedFigure 2Page 2Period of diabetes mellitus diagnosedFigure 3Page 2Showing awareness about diabetes mellitusFigure 4Page 2Highlights knowledge regarding contributing nutrients forFigure 5Page 2Depicts knowledge about HbA1cFigure 6Page 2Showing knowledge regarding symptom of diabetesFigure 7Page 3Highlights knowledge regarding long term damage fromFigure 8Page 3Depicts knowledge about nutritive value of amlaFigure 9Page 3Showing awareness regarding usage of amlaFigure 10Page 3Depicts knowledge regarding benefits of Indian gooseberryFigure 11Page 3Highlights knowledge regarding common name of baelFigure 12Page 3Depicts awareness about therapeutic importance of parts ofFigure 13Page 4Highlights awareness regarding benefits of wood appleFigure 14Page 4Showing knowledge regarding stevia as substituteFigure 15Page 4Highlights awareness regarding benefits of steviaFigure 16Page 4Depicts knowledge regarding available forms of steviaFigure 17Page 4
FULL TEXT Original article · reflowed for reading

Introduction

Diabetes Mellitus (DM) is a metabolic endocrine condition that is extremely destructive. Hyperglycemia and metabolic imbalance are the most common causes (American Diabetes 2009, 2010). The disorder's common symptoms include frequent urination, increased thirst, and increased hunger. The problem could be caused by one of two factors: 1. The pancreases have ceased making enough insulin, or 2. The body cells have stopped responding appropriately to the insulin that has been generated (Kalra et al., 2016) [3] .

Objective

The present study was designed to assess the awareness of population regarding Diabetes Mellitus and its management

Design of study

Descriptive survey method was used in the present study.

Sample

Random sampling method had been used to select the sample of 500 subjects for the present study

Tool used

A self-designed questionnaire to assess the awareness about Diabetes Mellitus had been developed and used for the present study.

Methodology

Google Survey form was developed and used for the present study. It was mailed to 500 participants and the responses were received from 208 respondents. The responses had been analysed and presented in the following results.

Result and Discussion

Out of 208 participants who responded to the present study, the results have been analysed and reported in the following Figures as follows: Figure 1 depicts the prevalence of diabetes, showing that the majority of the population (56.7 percent) was diabetic, the other half of the respondents (41.3 percent) were not diabetic, and the remaining subjects (2%) were unaware about their status whether they were diabetic or not probably due to the fact that they never got themselves examined for diabetes.

Figure 1. Prevalence of diabetes mellitus
Prevalence of diabetes mellitus↗ Enlarge
Figure 1
Prevalence of diabetes mellitus

Prevalence of diabetes mellitus

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Fig 2: Type of diabetes mellitus diagnosed

The type of diabetes diagnosed among respondents is depicted in Fig 2 . More than half of the population (51percent) were suffering from type 2 diabetes, while among the remaining respondents, the majority of subjects were not diabetic (40 percent), followed by pre-diabetic (5 percent), and the remaining seemed to have type 1 diabetes (4 percent ). Figure 3 shows the period of diabetes diagnosed in which the one-third of respondents (30.3 percent) had diabetes for more than a year, followed by 13.9 percent subjects who were pre-diabetic and 8.2 percent of respondents had diabetes for less than a year and the remaining 7.7% had diabetes for many years. Remaining 39.4 percent of respondents were not classified as diabetic.

Figure 3. Period of diabetes mellitus diagnosed
Period of diabetes mellitus diagnosed↗ Enlarge
Figure 3
Period of diabetes mellitus diagnosed

Period of diabetes mellitus diagnosed

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Figure 2. Type of diabetes mellitus diagnosed
Type of diabetes mellitus diagnosed↗ Enlarge
Figure 2
Type of diabetes mellitus diagnosed

Type of diabetes mellitus diagnosed

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Fig 4: Showing awareness about diabetes mellitus

Figure 4 demonstrates the awareness about diabetes mellitus. The majority of respondents were aware that diabetes is characterised by high blood sugar (51.9%), while less than quarter of population (23.6%) were aware that it is characterised by low blood sugar, and only 13% told that it is a family blood infection, while the remaining population (11.5%) were unaware of the cause of diabetes. The majority of the participants (51.9%) who were suffering from diabetes were consciously aware of its causes. ) reported fat to be contributing nutrient for diabetes, While 38.9% reported carbohydrate content of diet to be contributing cause, while only 7.7% reported vitamins as contributing nutrient for diabetes. Remaining, respondents (11%) considered protein as nutrient for occurrence of diabetes. One third population had correct knowledge of contributing nutrients for onset of Diabetes while reaming two third had myth that fat and vitamin may contribute to diabetes.

Figure 4. Showing awareness about diabetes mellitus
Showing awareness about diabetes mellitus↗ Enlarge
Figure 4
Showing awareness about diabetes mellitus

Showing awareness about diabetes mellitus

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Fig 6: Depicts knowledge about HbA1c

Figure 6 illustrates an equal no. of respondents for HbA1c reported HbA1c 40.4 percent as current glycaemic control (40.4%), glycaemic control in the previous three months (39.4%). while,13 percent reported for glycaemic control in the previous year, and only 7.2 percent considered it as glycaemic control in the last one decade. The majority of respondents (39.4%) were aware that HbA1c is a measure of glycaemic control in the previous three months because they may be having a diabetes check-up at every three months.

Figure 6. Depicts knowledge about HbA1c
Depicts knowledge about HbA1c↗ Enlarge
Figure 6
Depicts knowledge about HbA1c

Depicts knowledge about HbA1c

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Fig 7: Showing knowledge regarding symptom of diabetes mellitus

Figure 7 demonstrates the percentage of respondents that three fifth population were aware of the true symptoms (60.1 percent) who reported skin rashes is not symptom of diabetes, while remaining two fifth reported muscle pain (15.9 percent), frequent urination (14.4 percent reporting), and (9.6 percent) informed excessive thirst not to be symptom of diabetes which is not correct. All the 51% of the subjects who were suffering from diabetes had correct knowledge of the symptoms of diabetes. Figure 9 demonstrates the knowledge of respondents about nutritive value of amla. The majority of respondents (71.2 percent) reported that vitamin C is found in amla, while only 13 percent of the population opted for vitamin B and only 9.1 percent of the population reported for vitamin A and remaining, rest of the population (6.7%) opted amla for vitamin K. It might be stated that majority of respondents were aware about the nutritive value of amla due to the fact that those respondents might be aware about citrus fruits, including amla is rich in vitamin C.

Figure 9. Depicts knowledge about nutritive value of amla
Depicts knowledge about nutritive value of amla↗ Enlarge
Figure 9
Depicts knowledge about nutritive value of amla

Depicts knowledge about nutritive value of amla

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Figure 7. Showing knowledge regarding symptom of diabetes
Showing knowledge regarding symptom of diabetes↗ Enlarge
Figure 7
Showing knowledge regarding symptom of diabetes

Showing knowledge regarding symptom of diabetes

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Fig 10: Showing awareness regarding usage of amla

Figure 10 depicts the awareness regarding use of amla in various forms such as pickle, candy, and chutney, in which the majority of subjects (58.2 percent) reported that amla can be used in all forms, whereas 24.5 percent chose candy only and 8.7 percent told for pickle, and the rest of the population (8.7%) opted for chutney. In this study, majority of subjects might be using all the different forms of amla as it is richest, cheapest and easily available in India. Figure 12 depicts the percentage of respondents who reported another name of bael, in which the majority of respondents (38 percent) chose all the names such as wood apple, bilwa, and shriphal, while the same percentage of subjects (38 percent) chose wood apple only and the least population (13.9 percent) chose bilwa as another name of bael, and the rest of the respondents (10.1%) chose shriphal. Subjects who were aware of the benefits and consuming bael in their diet might be aware of the botanical name of bael and in other parts of the country (13.9% and 10.1%) knew only local names as bilwa and sriphal. Figure 14 reveals the awareness regarding benefits of wood Apple, with more than half of the population (53.8 percent) reported for all of the options, which included cholesterol control, constipation relief, and blood purification. While the second highest percentage of respondents (18.8 percent) reported that wood apple is good for controlling cholesterol, only 15.4 percent reported for blood purification and remaining respondents i.e. 12 percent reported for constipation relief. Majority of the respondents (53%) were aware of all the benefits as they might be using it in their diets and the remaining who might not be consuming regularly or might be aware of only one or another benefit of it. Figure 15 demonstrates the knowledge regarding Stevia as substitute, in which the majority (65.9 percentage) opted for stevia as a sugar substitute, while only 15.4 percentage opted for ginger, the nearest percentage (10.1 percent) opted for salt substitute, and some respondents (8.7 percent) opted for turmeric. As a result, the percentage of respondents who have diabetes might be using stevia as a sugar substitute in their diet.

Figure 15. Showing knowledge regarding stevia as substitute
Showing knowledge regarding stevia as substitute↗ Enlarge
Figure 15
Showing knowledge regarding stevia as substitute

Showing knowledge regarding stevia as substitute

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Figure 14. Highlights awareness regarding benefits of wood apple
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Figure 14
Highlights awareness regarding benefits of wood apple

Highlights awareness regarding benefits of wood apple

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Figure 12. Highlights knowledge regarding common name of bael
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Figure 12
Highlights knowledge regarding common name of bael

Highlights knowledge regarding common name of bael

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Figure 10. Showing awareness regarding usage of amla
Showing awareness regarding usage of amla↗ Enlarge
Figure 10
Showing awareness regarding usage of amla

Showing awareness regarding usage of amla

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Fig 16: Highlights awareness regarding benefits of stevia

Figure 16 shows the awareness of respondents regarding benefits of Stevia. Out of total respondents, 43.3 percent reported for all options, including helps in weight control, reduces high blood pressure, and good for diabetes, while the second highest population (21.2 percent) reported Stevia is good for diabetics, the nearest percentage of respondents (20.7 percent) opted Stevia being helpful in weight control, and only 14.9 percent respondents reported it reduce high blood pressure. Figure 17 depicts the knowledge of respondents regarding available forms of stevia. It was found that 41.3% respondents reported to be available forms of stevia. All of these, including white extract, green coloured powder and liquid. While, 26.9% reported only white extract, 16.3% opted for green coloured powder and remaining least percentage of respondents (15.4%) reported for liquid as available form of stevia. Those who were consuming stevia as a substitute of sugar might be aware of the fact that it is available in all these forms.

Figure 17. Depicts knowledge regarding available forms of stevia
Depicts knowledge regarding available forms of stevia↗ Enlarge
Figure 17
Depicts knowledge regarding available forms of stevia

Depicts knowledge regarding available forms of stevia

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Figure 16. Highlights awareness regarding benefits of stevia
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Figure 16
Highlights awareness regarding benefits of stevia

Highlights awareness regarding benefits of stevia

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Conclusion

The current study's findings demonstrated the subjects' enthusiastic response to the survey-based awareness assessment. Type 2 diabetes affected the majority of those surveyed. Because of this, the bulk of the subjects were managing their diabetes with a combination of medication and herbal therapies, such as stevia, amla, and bael. While the majority of the individuals used various bael and amla products, most were unaware of the intake of stevia. Finally, it might be argued that excellent practice follows good knowledge, and that good practice follows good attitude.

Acknowledgement

International Journal of Agriculture and Nutrition https://www.agriculturejournal.net

Figures and tables from the paper

Figure 5. Highlights knowledge regarding contributing nutrients for
Highlights knowledge regarding contributing nutrients for↗ Enlarge
Figure 5
Highlights knowledge regarding contributing nutrients for

Highlights knowledge regarding contributing nutrients for

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Figure 8. Highlights knowledge regarding long term damage from
Highlights knowledge regarding long term damage from↗ Enlarge
Figure 8
Highlights knowledge regarding long term damage from

Highlights knowledge regarding long term damage from

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Figure 11. Depicts knowledge regarding benefits of Indian gooseberry
Depicts knowledge regarding benefits of Indian gooseberry↗ Enlarge
Figure 11
Depicts knowledge regarding benefits of Indian gooseberry

Depicts knowledge regarding benefits of Indian gooseberry

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Original paper figureSource PDF · page 3 ↗
Figure 13. Depicts awareness about therapeutic importance of parts of
Depicts awareness about therapeutic importance of parts of↗ Enlarge
Figure 13
Depicts awareness about therapeutic importance of parts of

Depicts awareness about therapeutic importance of parts of

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Original paper figureSource PDF · page 4 ↗

References

5 in the original paper
  1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care, 2009, 32(1).
  2. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care, 2010, 33(1).
  3. Kalra S, Zargar AH, Jain SM, Sethi B, Chowdhury S, Singh AK, et al. Diabetes insipidus: The other diabetes. Indian J Endocrinol Metab. 2016;20:09-21. https://doi.org/10.4103/2230-8210.172273.
  4. Mashige KP, Notshweleka A, Moodley S, Rahmtoola FH, Sayed SB, Singh S, et al. An assessment of the level of diabetic patients' knowledge of diabetes mellitus, its complications and management in Durban, South Africa. African Vision and Eye Health. 2008 Dec 17;67(3):95-105.
  5. Ahmed IB, Binnwejim MS, Alnahas TM, Raes AA, Basamad MA, Alqurashi AE, et al. Level of diabetic patients' knowledge of diabetes mellitus, its complications and management. Archives of Pharmacy Practice. 2019;10(4-2019):80-86.