An epidemiological study on diabetes and its determinants among urban slum women of Rajkot city, Gujarat

Ruchita T. Lunagariya, Umed V. Patel


Background: India has the maximum number of diabetic patients in the world and this had given the country the dubious distinction of being the “diabetic capital” of the world. It is evident that the urban poor living in slums and slum like areas adopt a more urbanized lifestyle which places them at a higher risk for non-communicable diseases and have poor access to healthcare, partly related to their poor purchasing ability. Women slum dwellers are particularly vulnerable to negative health outcomes. The study was conducted with objectives to assess prevalence, determine factors and know treatment and control status.

Methods: This is a cross sectional study conducted among 405 slum women of age 35 years or more in Rajkot city. Interview, anthropometric measurements and selective clinical examinations i.e., blood sugar estimation were done for all participants.

Results: In present study, total 64 (15.80%) women were diagnosed with diabetes. A statistically significant association was found between body mass index, remaining busy in household work, walking, practicing healthy habits, parental history, sibling history and diabetes. Out of 64 women who were diagnosed with diabetes, about half i.e., 36 (56.25%) were aware of their diabetic status. Out of those aware, 29 (80.66%) were on treatment. Among those on treatment, about half i.e., 16 (55.17%) had their blood sugar under control.

Conclusions: Studied population high prevalence and inadequate control of diabetes. 


Diabetes, Slum, Women, Control status

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Chakma JK, Gupta S. Lifestyle and non-communicable diseases: a double edged sword for future India. Indian J Community Heal. 2014;26(4):325–32.

Heitzinger K, Montano SM, Hawes SE, Alarcón JO, Zunt JR. A community-based cluster randomized survey of noncommunicable disease and risk factors in a peri-urban shantytown in Lima, Peru. BMC Int Health Hum Rights [Internet]. 2014;14(1):19.

Vishal J, Bansal RK, Swati TBP. Prevalence of hypertension among elderly women in slums of surat city. Natl J Community Med. 2010;1(1):47–9.

Bansal AS, Gupta R. Importance of Periodic Health Check Up for Indian Women. J Evol Med Dent Sci. 2014;3(28):7853–60.

NCD Alliance. Non-communicable diseases: a priority for women’s health and development. NCD Alliance. 2011;1–20.

Department of health and Family Welfare, Government of Gujarat. NPCDCS -A manual for Medical Officers, Department of health and Family Welfare, Government of Gujarat; 2015-16: 1-92.

Singh AK, Mani K, Krishnan A, Aggarwal P, Gupta SK. Prevalence, awareness, treatment and control of diabetes among elderly persons in an urban slum of delhi. Indian J Community Med. 2012;37(4):236–9.

Mohan V, Deepa M, Deepa R, Shanthirani CS, Farooq S, Ganesan A, et al. Secular trends in the prevalence of diabetes and impaired glucose tolerance in urban South India—the Chennai Urban Rural Epidemiology Study (CURES-17). Diabetologia. 2006;49(6):1175–8.

Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, Rao PV, et al. High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001;44(9):1094–101.

Misra A, Pandey RM, Devi JR, Sharma R, Vikram NK, Khanna N. High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. Int Obesity. 2000;25(11):1722–9.

Ahmad SR, Velhal GD, Kazi YK. Impact of life style modifications among diabetics in an urban slum of Mumbai. National J Community Med. 2012;3(4):636–41.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase i results of the Indian Council of Medical Research-INdia DIABetes (ICMR-INDIAB) study. Diabetologia. 2011;54(12):3022–7.