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ICMR-INDIAB Study raises questions about the emerging threat to public health in North India, Especially in Jammu & Ladakh region

Data from the ICMR-India Diabetes (ICMR-INDIAB) project has revealed alarming new perspectives on the escalating diabetes epidemic in Ladakh, Jammu, and Kashmir. The study, conducted under the direction of the Indian Council of Medical Research (ICMR) in association with the Madras Diabetes Research Foundation (MDRF), reveals a concerning prevalence of diabetes, particularly in urban regions, which poses a significant threat to the region's healthcare system. The results of the study draw attention to an alarming trend with wider public health consequences over North India.

Described as a "landmark" by Union Minister of State Dr. Jitendra Singh, the ICMR-INDIAB study presents a dismal picture of the diabetes load in the Jammu region. "The data obtained through the IC MR-INDIAB study in Jammu will help to estimate the health burden due to diabetes, prediabetes, and metabolic NCDs, assess the level of diabetes control among individuals with self-reported diabetes, and help in shifting the focus to the prevention and control of diabetes and other NCDs in the union territory of Jammu," Dr. Singh said. He emphasised the urgency of the issue, particularly in urban areas where the diabetes prevalence, a startling 26.5% compared to 14.5% in rural areas, has escalated. This urban-rural distinction emphasises the importance of targeted treatments.

With about 1,520 participants in Jammu alone, this study stands out for its extensive breadth and painstaking data collection. Dr. V. Mohan, Chairman of MDRF and National Coordinator of the ICMR-INDIAB project, underlined the relevance of the results. Among the biggest epidemiological studies on diabetes ever conducted worldwide is this one. For health researchers and legislators, our 1,21,077 participant screening across India provides a rich dataset.

The results are alarming not only in terms of the present diabetes prevalence but also in terms of the considerable number of persons at risk. About 10.8% of Jamaica's population is prediabetic, meaning that, absent control, the diabetes epidemic could get worse. Moreover, forty percent of diabetics remained undiagnosed, which calls for questions regarding the efficiency of present screening and diagnosis campaigns. These results, according to Dr. Rajiv Kumar Gupta of the Government Medical College in Jammu, represent the first thorough evaluation of cardio-metabolic hazards in the area.

Non-communicable diseases (NCDs) such as diabetes do not just affect Jammu. Based on a 2016 Lancet report, national trends reveal a clear rise in diabetes cases—particularly in northern regions like Punjab and Delhi. Diabetes numbers in India jumped from 26 million to 65 million between 1990 and 2016. States with high degrees of economic transition are most likely to show this exponential spike since lifestyle choices, including bad eating habits and more sedentary behaviours, add to the risk. With 41.7% of people in Jammu classified as obese, obesity, one of the main risk factors for diabetes, is a major cause of worry.

The ICMR-INDIAB data further validates the global assessment that India’s diabetes epidemic is increasingly hitting rural areas. Although diabetes was more common in cities historically, as Dr. Mohan writes, "The results of the study show that the diabetes epidemic has now spread to rural areas." This change poses a problem for rural healthcare facilities, which are sometimes underfunded and unprepared to handle chronic diseases like diabetes.

One cannot stress the public health hazard diabetes presents. Particularly in underdeveloped areas, the burden of long-term problems such as cardiovascular illnesses, kidney failure, and blindness associated with diabetes could significantly strain healthcare systems. The ICMR-INDIAB results highlight the urgent need for multifarious treatments, including mass screening, lifestyle adjustments, and policy-level measures meant to prevent and regulate diabetes.

As things stand, North India—especially regions like Jammu—is seeing a diabetic epidemic. Policymakers, medical professionals, and community activists have to move quickly to stop this expanding threat to public health. Diabetes can become among the main causes of illness and death in the area without thorough care.


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