Open Access Open Access  Restricted Access Subscription Access

A cross-sectional study among government employees to detect undiagnosed cases of Hypertension and Diabetes in Gujarat

Rajendra Gadhavi, Arjunkumar Hardas Jakasania


Background: Diabetes and hypertension are rising like an epidemic in India. The initial phase of hypertension and diabetes is asymptomatic and may, therefore, remain undiagnosed. Early diagnosis and treatment can reduce complication and with this background, the present study was carried out in government employees of Gandhinagar to find out the prevalence of undiagnosed cases of Hypertension and Diabetes. Objective: To measure the prevalence of hypertension and diabetes among the employees of New Sachivalaya, Gandhinagar, and to estimate the ratio of diagnosed cases to undiagnosed cases of diabetes and hypertension. Result: Out of 775 subjects examined, 676 (87.2%) were males and 99 (12.8%) were females. The ratio of diagnosed to undiagnosed cases was 98:177. The ratio indicates that for every 10 known cases of hypertension, there were about 18 cases which were undetected. The ratio of diagnosed cases to undiagnosed cases was 36:43. This ratio indicates that for every 10 known cases of diabetes there were about 12 cases, which are left undetected. There is no statistically significant difference found between gender and distribution of diabetes and hypertension cases as per Chi-square test. Conclusion: Prevalence of undiagnosed cases of hypertension and diabetes was found high in the study population in spite of high education. Awareness regarding regular periodic checkup for hypertension and diabetes should be promoted and such diagnostic camps should be organized for the early detection of diabetes and hypertension for employees in offices.


Prevalence; Diagnosed cases; Undiagnosed cases; Ratio; Diabetes; Hypertension.

Full Text:



Seshasai SR, Kaptoge S, Thompson A, et al. Diabetes mellitus, fasting glucose, and risk of cause-specific death. N Engl J Med 2011; 364:829–41. 2. Harris MI, Klein R, Welborn TA, et al. Onset of NIDDM occurs at least 4–7 yr before clinical diagnosis. Diabetes Care 1992; 15:815–19. 3. Spijkerman AM, Dekker JM, Nijpels G, et al. Microvascular complications at time of diagnosis of type 2 diabetes is similar among diabetic patients detected by targeted screening and patients newly diagnosed in general practice: the Hoorn Screening Study. Diabetes Care 2003; 26:2604–8. 4. Harris MI, Eastman RC. Early detection of undiagnosed diabetes mellitus: a US perspective. Diabetes Metab Res Rev 2000; 16:230–6. 5. Holman RR, Paul SK, Bethel MA, et al. 10-Year followup of intensive glucose control in type 2 diabetes. N Engl J Med 2008; 359:1577–89. 6. Park K (2011) Epidemiology of chronic non- communicable diseases, Diabetes Mellitus. In: Textbook of preventive and social medicine. M/s BanarsidasBhanot Jabalpur, 21st edition.pp:362-366. 7. NCD Risk Factor Collaboration (NCD-RisC)*. Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4·4 million participants. Lancet 2016; 387: 1513–30. 8. Mohan V, Deepa M, Farooq S, Datta M, Deepa R. Prevalence, awareness and control of hypertension in Chennai–The Chennai Urban Rural Epidemiology Study (CURES-52). J Assoc Physicians India. May 2007; 55:326-332. 9. Charan J, Biswas T. How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine 2013; 35(2):121-126. 10. Nayak HK, Vyas S, Solanki A, Tiwari H. Prevalence of types -2 diabetes in an urban population of Ahmedabad, Gujarat. Indian journal of medical specialities Jul 2011; 2(2):101-105. 11. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2014; 37(Suppl. 1):S81– S90. 12. Practice Guidelines: New AHA Recommendations for Blood Pressure Measurement – American Family Physician 1001/p1391. Last assessed on July 20, 2017. 13. New JNC 7 hypertension guidelines released – Medscape - May 14, 2003. Last assessed on July 20, 2017. 14. S. R. Joshi, B. Saboo, M. Vadivale et al., revalence of diagnosed and undiagnosed Diabetes and hypertension in India-results from the screening India’s twin epidemic (SITE) The study,” Diabetes Technology and Therapeutics, vol. 14, no. 1, pp. 8–15, 2012.

Int. J. Preven. Curat. Comm. Med. 2017; 3(3)

ISSN: 2455-3190

Jakasania A et al.

Gupta R, Gupta VP, Sarna M, Bhatnagar S, Thanvi J, Sharma V, Singh AK, Gupta JB, Kaul V: Prevalence of coronary heart disease and risk factors in an urban Indian population: Jaipur Heart Watch-2. Indian Heart J 2002; 54:59–66. 16. Gupta R, Prakash H, Majumdar S, Sharma S, Gupta VP: Prevalence of coronary heart disease and coronary risk factors in an urban population of Rajasthan. Indian Heart J 1995; 47:331– 338. 17. Gupta R, Sarna M, Thanvi J, Rastogi P, Kaul V, Gupta VP: High prevalence of multiple coronary risk factors in Punjabi Bhatia community: Jaipur Heart Watch-3. Indian Heart J 2004; 56:646–652. 18. Moore WV, Fredrickson D, Brenner A, Childs B, Tatpati O, Hoffman JM, Guthrie R: Prevalence of hypertension in patients with type II diabetes in referral versus primary care clinics. J Diabetes Complications 1998;

:302–306. 19. Kabakov E, Norymberg C, Osher E, Koffler M, Tordjman K, Greenman Y, Stern N: Prevalence of hypertension in type 2 diabetes mellitus: impact of the tightening definition of High blood pressure and association with confounding risk factors. J Cardiometab Syndr 2006; 1:95–101. 20. Dhobi GN, Majid A, Masoodi SR, Bashir MI, Wani AI, Zargar AH: Prevalence of hypertension in patients with new onset type 2 diabetes mellitus. J Indian Med Assoc 2008; 106:92, 94–98. 21. Ministry of Health and Family Welfare and International Institute for Population Sciences National Family Health Survey –4.2015 -16.


  • There are currently no refbacks.

Copyright (c) 2017 International Journal of Preventive, Curative & Community Medicine

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.