Page 83 - ISMCON souvenir 2021

ISMSCON - 2021

OS55: A case report on Type 3 diabetes: a new unique and
unusual type of diabetes.

Shafaque Fatima
University of Chester, Department of Medical Genetics
Email- shafaquefatima8@gmail.com
Abstract: Background: Type 3 diabetes (T3D) is a syndrome which is a combination of Alzheimer’s
disease (AD), Type 2 Diabetes(T2D) and obesity.T3D is also called as brain type of diabetes as the
insulin receptors located in the brain become resistant to insulin which leads to deterioration of brain
neuron cells and becomes cause of dementia, particularly AD.
Case Report: 64 years old overweight lady with the history of T2D more than 15 years presented to the
hospital with the vivid symptoms of dementia. Her laboratory analysis showed severe hyperinsulinemia
and high level of inflammatory markers. MRI and PET showed changes in the brain structure typical for
AD. Based on clinical symptoms and data collected from laboratory and instrumental examination she
was diagnosed with T3D, and received intranasal insulin therapy and had good results after 6 months of
treatment.
Conclusion: According to the case it is possible to treat T3D with intranasal insulin therapy.

Keywords: Type 3 diabetes, Alzheimer’s Disease, Dementia, T3D

OS56: PREVALENCE AND DETERMINANTS OF ANEMIA AMONG
SCHOOL GOING CHILDREN (6-17 YEARS) IN THE STATE OF

TAMIL NADU, INDIA: APPLICATION OF TWO-LEVEL LOGISTIC
REGRESSION MODEL.

Sharon Mathew P R, Anil C. Mathew, Krishna S Nair, Kamakshi Priya K, Ramesh S

Keywords: Anemia, school going children, prevalence, hookworm infection, Tamil Nadu.
ABSTRACT

Background: Anemia is one of the major public health problems in India despite implementing preventive
measures. Objectives: The objective of the study was to find the prevalence and determinants of anemia
among school going children (6-17 years) in Tamil Nadu. Materials and Methods: We used the data from
the fourth round of District Level Household Survey (DLHS-4) for Tamil Nadu pertaining to the year 2012-
13. Our analysis included 23997 children. Descriptive statistics, Random intercept and empty models of
two-level logistic regression analysis were used. Results: The overall prevalence of anemia was found
to be 41.4% (95% CI: 40.77%-42.02%). We observed a district level variation on anemia (District level
variance = 0.1, p<0.001) and the intra class correlation coefficient (ICC) was 0.0295. The prevalence of
anemia was more in coastal districts as compared to non-coastal districts (43.85% vs. 40.18%, p<0.001).
Variables that are found to have significant association with anemia on multilevel analysis were younger
age (Adjusted Odds Ratio (AOR) = 1.343, 95% CI: 1.270-1.420), female children (AOR =1.462, 95% CI:
1.387-1.541), more than eight family members in the household (AOR = 1.120, 95% CI: 1.008-1.245),
rural residence (AOR = 1.103, 95% CI: 1.038-1.172) and lower standard of living (AOR = 1.203, 95% CI:
1.084-1.334). Conclusion: Half of school going children were anemic in the state. Geospatial distribution
of anemia varied significantly. Governments and regional health centres should take adequate measures
to avert the consequences of anemia in school going children considering these factors.

CONFERENCE SOUVENIR 81