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International Journal of Diabetes in Developing Countries

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01-12-2015 | Original Article

The facts, figures, and reality of the diabetes epidemic in Sri Lanka: a systematic review

Authors: P. Ranasinghe, R. Jayawardena, P. Katulanda

Published in: International Journal of Diabetes in Developing Countries | Issue 4/2015

Abstract

Prevalence of diabetes mellitus (DM) has reached epidemic proportions in Sri Lanka. We aim to systematically review the literature for studies on DM published by Sri Lankan authors and provide a comprehensive analysis of its prevalence, trends, and risk factors. Retrieval of diabetes-related research articles conducted in Sri Lanka was by a comprehensive systematic search of the literature in the following medical bibliographical databases: PubMed, Web of Science, SciVerse Scopus, CINAHL, and Cochrane Library. Studies published before January 6, 2012 was included. Search terms used were “Sri Lanka,” “Lanka,” “Ceylon,” “pre-diabetes,” “diabetes,” “type-2 diabetes,” “type-1 diabetes,” “diabetes mellitus,” “dysglycaemia,” and “glucose intolerance”. Studies not in English, conference proceedings, and abstracts were excluded. The number of studies included in the present systematic review is 96 (journal articles—82, dissertation—14). Our results based on the available latest national data (2005–2006) show that Sri Lanka is facing a significant burden of both diabetes (prevalence 10.3 %) and pre-diabetes (prevalence 11.5 %). Urban residency and familial inheritance appear to be important factors associated with diabetes in Sri Lanka. There were a number of ethno-medical studies done by Sri Lankan authors evaluating herbal products in diabetes treatment. DM is a major health problem in Sri Lanka, with an unprecedented current level of prevalence. Considering the gravity of the health issue and the economical burden, very little local research has been conducted to combat the epidemic. Future studies should be focused on the causes of this high prevalence, such as genetic characteristics, dietary habits, body composition, and level of physical activity.

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Title: The facts, figures, and reality of the diabetes epidemic in Sri Lanka: a systematic review
Authors: P. Ranasinghe
R. Jayawardena
P. Katulanda
Publication date: 01-12-2015
Publisher: Springer India
Published in: International Journal of Diabetes in Developing Countries / Issue 4/2015
Print ISSN: 0973-3930
Electronic ISSN: 1998-3832
DOI: https://doi.org/10.1007/s13410-015-0326-z

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