title: A community-based diabetes prevention and management education program in a rural village in India.
abstract: OBJECTIVE
  In this study we evaluated a 7-month community-based nonpharmacological lifestyle intervention to prevent/reduce the risk of developing diabetes and its complications in a resource-poor village in Tamilnadu, India.
  
  
  METHODS
  A total of 703 village inhabitants, comprising adults and youth aged 10-92 years, were provided educational intervention using "trained trainers." Culturally and linguistically appropriate health education messages addressed diet, physical activity, and knowledge improvement. The prevalence of diabetes and the effectiveness of the intervention were assessed using select parameters.
  
  
  RESULTS
  The crude prevalences of diabetes and pre-diabetes among adults were 5.1 and 13.5%, respectively, while the prevalence of pre-diabetes in youth aged 10-17 years was 5.1%. Intervention reduced fasting blood glucose levels of pre-diabetic adults by 11%, pre-diabetic youth by 17%, and type 2 diabetic adults by 25%. Improvements in obesity parameters and dietary intake also occurred. A stepwise worsening of parameters progressing from the normoglycemic state to the impaired levels of pre-diabetes and diabetes was observed.
  
  
  CONCLUSIONS
  This study has charted the increasing prevalence of diabetes and pre-diabetes in rural India. Educational intervention was successful in reducing some of the obesity parameters and improving dietary patterns of individuals with pre-diabetes and diabetes.
authors.affiliation: Gandhigram Rural Institute, Tamilnadu, India.
authors.forename: Padmini
authors.initials: P
authors.lastname: Balagopal
authors.forename: N
authors.initials: N
authors.lastname: Kamalamma
authors.forename: Thakor G
authors.initials: TG
authors.lastname: Patel
authors.forename: Ranjita
authors.initials: R
authors.lastname: Misra
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003153:Community Health Services / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control* / Q000534:rehabilitation; D005260:Female; D006293:Health Promotion; D006801:Humans; D007194:India / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011236:Prediabetic State / Q000453:epidemiology / Q000534:rehabilitation; D015995:Prevalence; D012424:Rural Population / Q000706:statistics & numerical data