title: Diabetes in rural individuals of different nutritional status and the alarming situation demands focus more on its under-nutrition association.
abstract: OBJECTIVE
  To study the relationship of nutritional-status with diabetes.
  
  
  METHODS
  The socioeconomics/anthropometrics, blood-glucose/systemic-hypertension are evaluated in consecutively-selected diabetic-patients.
  
  
  METHODS
  Semi-urban/rural India.
  
  
  METHODS
  Hyperglycaemic patients (total 90/male 37).
  
  
  RESULTS
  Blood-glucose (PP-mean ± SE) in individuals is overweight - 38.89% (226.94 ± 9.59), normal-weight - 50% (217.58 ± 1.34), underweight - 11.11% (305.50 ± 21.35) indicating most hyperglycaemia in undernourished-group (F = 6.357, p < 0.003). This group occupies higher glucose-groups in ≤140, 141-270, and ≥270 mg/dL. The blood-glucose negatively correlates with waist(r = -0.282; p < 0.01) and hip (r = -0.254; p < 0.05) circumference indicating the under-nutrition association with glucose-homeostasis (F = 7.6-8.2, p < 0.001). The higher glucose is noticed in more number of individuals in lower (<40 years) age-group (χ(2 )= 12.86; p < 0.002/ρ = -0.355; p < 0.001). The prevalence of hypertension is 28% (underweight = 20%, overweight = 27%, normal = 30%). The group of 141-270 mg/dL glucose has 45% and rest groups together have 23% hypertensive individuals relating directly, hypertension and diabetic-onset.
  
  
  CONCLUSIONS
  Diabetes, explored in <40 years group and even more in female should be extensively studied accounting WHO categorization (1985/TRS/727) of malnutrition related diabetes (MRDM). Further, different interactive risk-factors should be properly addressed and the global-malnutrition/gender-based inequities be eradicated.
authors.affiliation: Department of Biochemistry and Biotechnology, Cell and Molecular Therapeutics Laboratory, Oriental Institute of Science and Technology , Midnapore, West Bengal , India .
authors.forename: Smarajit
authors.initials: S
authors.lastname: Maiti
authors.forename: Nirmalya K
authors.initials: NK
authors.lastname: Sinha
authors.forename: Md Mobidullah
authors.initials: MM
authors.lastname: Khan
authors.forename: Prasanta K
authors.initials: PK
authors.lastname: Das
authors.forename: Jadab C
authors.initials: JC
authors.lastname: Chattopadhyay
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000503:physiopathology*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000150:complications / Q000503:physiopathology*; D006973:Hypertension / Q000097:blood / Q000150:complications / Q000503:physiopathology*; D007194:India; D008297:Male; D044342:Malnutrition / Q000097:blood / Q000150:complications / Q000503:physiopathology*; D009752:Nutritional Status; D012424:Rural Population; D013851:Thinness; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose
keywords: Body mass index; blood pressure; malnutrition related diabetes; semi-urban/rural community; socioeconomic status