Prevalence Study of Diabetes and Pre-diabetes in Relation to Food and Work Habit, Substance Use and Stress in Small Grade Urban North Indian Population

India is ill fated to be the 'Diabetic capital' by 2025 with the highest number and proportion of diabetics in its population. But unfortunately we have paucity of indigenous data as in all other spheres of related national and health data. Diabetes is increasing its pandemic stretches crossing all barriers of region, demographics, culture etc. This is a multisystem disease which inflicts the human body unlike other of the usual unifactorial or infective causes\courses. The disease is the modern day pandemic with etiologies running in large population and lifestyles. Few urban pockets and metropolitans have incomplete prevalence data in our country and it's essential to have a complete national picture of this disease. The present study was carried out in the Dept. of Medicine with Dept. of Physiology, SNMC, Agra as a part of ongoing 25 years prospective study of the population of urban Agra and the adjoining area in north India incorporating the various physiological and physical parameters with association of community workers and agencies. The prevalence of Diabetes in urban Agra came out to be 14.38%, slightly higher than the national average while the prevalence of IFG and IGT was 12.87 %&11.09 % respectively. Diabetes was also associated significantly with various other multisystem disorders and sociopsycho-physiological stressors.