title: Evaluation of risk for type 2 diabetes mellitus in medical students using Indian Diabetes Risk Score.
abstract: BACKGROUND
  According to World Health Organisation, type 2 diabetes mellitus [type 2 D. M] has recently escalated in all age groups and is now being identified in younger age groups. This underscores the need for mass awareness and screening programs to detect diabetes at an early stage. For this purpose we have used a simplified Indian Diabetes Risk Score (IDRS) for prediction of diabetes in undergraduate medical students.
  
  
  OBJECTIVE
  To screen and to identify 1st MBBS students at risk for developing type 2 D. M using IDRS.
  
  
  METHODS
  261 undergraduates (1st MBBS students) were scored using IDRS which includes age, family history of diabetes, exercise status, and waist circumference. After scoring them, we assessed random capillary blood glucose (RCBG) in students with high IDRS score. Students with RCBG ≥ 113 mg/dl are followed for definitive tests for diagnosis of prediabetes and diabetes.
  
  
  CONCLUSIONS
  We have assessed 261 students till now. It was observed that 5%, 55%, and 38% students in High, Moderate, and Low risk group, respectively, for developing type 2 D. M. The mean abdominal obesity in high risk students was 101.95 ± 5.76 as compared to 79.17 ± 11.08 in moderate and low risk students (P < 0.0001). 63% students were having sedentary lifestyle. Family history of diabetes in either or both parents was present in 25% students. Mean RCBG in students having score more than 50 was 97.33 ± 9.68 mg/dl. Also, two students were having RCBG > 113 mg/dl in which one student found to have prediabetic.
  
  
  CONCLUSIONS
  This underscores the need for further investigations to detect diabetes at an early stage and to overcome the disease burden of diabetes in future. Prevention of obesity and promotion of physical activity have to be the future plan of action which can be suggested in the form of regular exercise and diet planning for the students as part of an integrated approach.
authors.affiliation: Department of Physiology, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
authors.forename: Pranita
authors.initials: P
authors.lastname: Ashok
authors.forename: Jayshree S
authors.initials: JS
authors.lastname: Kharche
authors.forename: Aniruddha R
authors.initials: AR
authors.lastname: Joshi
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology* / Q000235:genetics*; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D009043:Motor Activity; D056128:Obesity, Abdominal / Q000453:epidemiology; D018570:Risk Assessment; D057185:Sedentary Behavior; D055815:Young Adult
chemical_list: D001786:Blood Glucose