A community based study to assess the validity of Indian diabetic risk score, among urban population of North Central India

Anil Kumar Agarwal, Ghanshyam Ahirwar, Priyesh Marskole, A. K. Bhagwat


Background: The prevalence of diabetes mellitus is growing rapidly worldwide and India has earned the dubious distinction of being the diabetic capital of the world and had 69.2 million (8.7%) people living with diabetes.1 Unfortunately over half of these people remain undiagnosed as diabetes. IDRS is a cost effective and simple tool for screening of undiagnosed diabetic individuals in the community. The objective of the study was to estimate prevalence of undiagnosed high risk subjects of diabetes mellitus to validate IDRS as effective tool for diagnosis of diabetes in urban areas of Gwalior City.

Methods: In community based cross-sectional observational study house to house survey was conducted and face to face interview had done by predesigned questionnaire, which was based on IDRS variables for those persons of age more than 20 and not known to diabetes previously.

Results: In present study 55 (8.94%) out of 615 respondents were diagnosed as a newly diabetic cases. We found that at IDRS score of ≥60 has a sensitivity of 45.5% and specificity of 88.0%.

Conclusions: This study provides a use of Indian diabetes risk score for identifying undiagnosed high risk for patients with diabetes in Indian population and could make screening programmes more cost effective. 


Diabetes, IDRS, Sensitivity, Specificity

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World Health Day (WHO). Available at: Accessed on 10 March 2017.

Global report on diabetes, World Health Organization, Geneva, 2016 Available at: http:// 9789241565257_eng.pdf. Accessed on 10 March 2017.

Developed under the Government of India – WHO Collaborative Programme 2008-2009. Available at: diseases/NCD_Resources_COMBINED_MANUAL_for_medical+officer.pdf. Accessed on 10 March 2017.

Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125(3):217-30.

Adhikari P, Pathak R, Kotian S. Validation of the MDRF Indian Diabetes Risk Score (IRDS) in another South Indian population through the Boloor Diabetes Study (BDS). J Assoc Physicians India. 2010;58:434-6.

Mohan V, Deepa R, Deepa M, Somannavar S, Datta M. A Simplified Indian Diabetes Risk Score for Screening for Undiagnosed Diabetic Subjects. J Assoc Physicians India. 2005;53:759-63.

Mohan V, Sandeep S, Deepa M, Gokulakrishnan K, Datta M, Deepa R. A diabetes risk score helps identify metabolic syndrome and cardiovascular risk in Indians-the Chennai Urban Rural Epidemiology Study (CURES-38). Diabetes Obes Metab. 2007;9:337-43.

Gwalior Population Census 2011.Available on Accessed on 20 November 2016.

Official data taken from ward office of the sub- municipal corporation, ward number 55, Amkho, Gwalior on date may 18, 2015,

Park’s text book of Preventive and Social Medicine K.PARK 23rd edition Bhanot publication by Tarun, page 482, table 8.

Shetty P. India’s diabetes time bomb-Epigenetic and lifestyle are conspiring to inflict a massive epidemic of type 2 diabetes in the subcontinent. Nature. 2012;485:14–6.

Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation [2008]. Available on Accessed on 10 March 2017.

Boren SA, Clarke WL. Analytical and Clinical Performance of Blood Glucose Monitors. J Diabetes Sci Technol. 2010;4(1):84–97.

Harrison S. Principles of Internal Medicine. 18th edition. Chapter 344. Diabetes Mellitus. Figure 344-1.

Deepa M, Pradeepa R, Rema M, Mohan A, Deepa R, Shanthirani S, et al. The Chennai Urban Rural Epidemiology Study (CURES)-study design and methodology (urban component) (CURES-I). J Assoc Physicians India. 2003;51:863-70.

Misra A, Nigam P, Hills AP, Chadha DS. Consensus Physical Activity Guidelines for Asian Indians. Diabetes Technol Therapeutics. 2012,14(1):83-98.

Mohan V, Deepa M, Anjana RM, Lanthorn H, Deepa R. Incidence of diabetes and pre-diabetes in a selected urban south Indian population (CUPS-19). J Assoc Physicians India. 2008;56:152-7.

Arun A, Zaidi ZH, Srivastava JP, Gupta P, Sachan B, Prakash D. Indian diabetes risk score (IDRS), a strong predictor of diabetes mellitus: A cross sectional study among urban and rural population of Lucknow. Int J Applied Res. 2015;1(7):135-8.

Nanandeshwar S, Jamra V, Pal DK. Indian diabetic risk score for screening of undiagnosed diabetic subjects of Bhopal city. National J Community Med. 2010;1(2):176-7.

Shanbhogue VV, Vidyasagar S, Madken M, Varma M, Prashant CK, Seth P, et al. Indian Diabetic Risk Score and its utility on steroid induced diabetes. J Assoc Physicians India. 2010;58:202.

National Programs for Prevention and Control of Cancer, Diabetes, Cardio-Vascular Disease and Stroke (NPCDCS) (2013). Directorate General of Health Services Ministry of Health & Family welfare Government of India. Available at: Accessed on 31 January 2017.