THE PREVALENCE OF UNRECOGNIZED CASES OF DIABETES MELLITUS AND IMPAIRED FASTING BLOOD GLUCOSE IN PATIENT RECEPTION CENTER IN SULAIMANI TEACHING HOSPITAL

Background: The prevalence of undiagnosed type II diabetes mellitus (DM) and impaired fasting glucose (IFG) is rising globally, often going undetected for years. Methods: In this cross sectional study 434 individuals enrolled from August 2012 to April 2013. Those who were diabetic, pregnant, and have history of recent surgery, trauma, or serious illness, were excluded from the study. Random capillary blood glucose were taken from all subjects measured, in the next visit after an overnight fasting, blood glucose, HbA1c, serum total cholesterol, triglyceride, high density lipoprotein were measured by enzymatic method. Results: Recently diagnosed diabetes mellitus were seen in 12(2.8%) and impaired fasting in 18(4.1%), who met the criteria of American Diabetes Association for diagnosis of diabetes and impaired fasting glucose (IFG), the mean age of normal group was 39.83±18.1,while mean age of hyperglycemic group (impaired and diabetes), was 50.00±15.2. Also mean BMI for normal was (25.65±4.7) respectively, compare to hyperglycemic group were (29.51±4.9) respectively, there was increase prevalence of hyperglycemia with increase age and this statistically significant with (p=0.003). There was high prevalence of overweight 15(8.6%) and 11(15.7) obese among this group and this statistically significant with (p=0.001). Conclusion: Using opportunistic screening for DM in major hospital in Sulaimani, Kurdistan region of Iraq, we detected 2.8% new patients with diabetes undiagnosed, 4.1 % impaired fasting glucose in the screened population.