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Dr Sandeep Goyal, New Delhi 27 November 2018

As expected, most of the patients are of type 2 diabetes; the proportion of female patients is higher as compared to males.
Age at presentation is consistent at 50 years, although now the patients are presenting earlier in the course of disease.
The peak of our diabetic patients is between 35-44 years of age over the last two decades and the take-off point is between 25-34 years of age. Both of these are almost a decade earlier than in western countries.
Over 40% of patients have at least one first-degree relative with obesity.
Overweight and central obesity (esp. in female patients) rates are alarmingly high and have increased from two-third in last decade to three-fourth now.
Diabetes control is worsening over the last two decades despite availability of more facilities for treatment.
Very high proportion of dyslipidemia among diabetic patients with worsening TGs and HDL.
HT is present in >40% of patients with diabetes at presentation; there is also a jump in the diabetic complications at presentation despite patients coming earlier for treatment.
Limitations of our data: Not generalizable to North India and better screening for complications now as compared to earlier may have contributed to jump in proportion of patients presenting with complications of diabetes.

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