NEED A BETTER RECOGNITION - MMDM

Diabetes is a heterogeneous group of conditions characterized by hyperglycemia. Malnutrition and obesity are associated with diabetes. Malnutrition during intra-uterine period and early childhood may impair development and leads to several diseases later on. This study is aimed to determine the burden of malnutrition modulated diabetes mellitus (MMDM) from northwest part of India. This study was conducted on 6948 diabetes subjects attending a diabetic center over a period of 3 years. The criteria were fixed for the diagnosis of MMDM viz. age of the patient, fasting blood sugar level, BMI, mean requirement of insulin, imaging of pancreas by plain x-ray and sonography. Out of 6948 study cohort, only 344 patients were under the age of 30 years and 31 patients met the criteria of MMDM. There were 22 males and 9 females, 12 were from urban and 19 form rural background. Mean age of MMDM group was 15.35 yrs, mean BMI 12.66 kg/m 2 , mean fasting blood sugar 260.87 mg/dl, mean insulin requirement was 64.12 IU/day and there was no pancreatic classification in plain x-ray of abdomen. This study highlighted the burden of MMDM in north west region of India. Such studies are needed elsewhere also to decide the status of MMDM as an entity.