P-222 Assessing value addition of glycated hemoglobin (HBA1C) test in periodic medical examination of employees in a petrochemical industry. (14th March 2023)

• Record Type: Journal Article
• Authors: Dave, Bhavin
• Is Part Of: Occupational and environmental medicine. Volume 80(2023)Supplement 1
• Page Start: A46
• Page End: A46
• Publication Date: 2023-03-14
• Subjects: Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; 616.980305
• DOI: 10.1136/OEM-2023-EPICOH.110
• Languages: English
• ISSNs: 1351-0711

Abstract

Abstract : Introduction: In India, Periodic Medical Examination (PME) is mandatory in certain industries with hazardous processes to protect and improve worker's health. This is not only helpful to detect early signs of work-related illness but also to recognize lifestyle disorders among workers. In Reliance Industries Limited (RIL), Diabetic and Prediabetic employees are targeted by various interventions of Diabetes Control Mission (DCM) aiming to control their blood glucose level. Inclusion of HBA1C test for all employees was started in PME at RIL, Vadodara Manufacturing Division (VMD) in 2020. The study is planned to assess the impact of DCM on prediabetic employees, benefit of inclusion of HBA1C test and cost incurred due to the same. Material and Methods: Total 780 employees were identified as prediabetes based on HBA1C in PME 21–22 at RIL VMD who underwent interventions like awareness sessions, counselling by dietician and doctors, health tips, fitness sessions, yoga, and meditation sessions etc. and were retested in PME 22–23. Comparative analysis of FBG and HBA1C data of all VMD employees who underwent PME between April 21 to Oct 22 was also done(n=3352). Unit cost for detecting one additional prediabetes employee using HBA1C was calculated. Results: Total 167/688 (24.3%) of follow-up employees were converted to Normal from Prediabetes status in year 2022–23. Out of 3352, 902 samples (26.9%) were found having FBG<100 but HBA1C was in prediabetic range. In the year 2021–22, 493 additional employees were identified as prediabetic, 434 of them came for follow up in 2022–23 and 121 (27.9%) were converted to Normal. Unit cost to detect one additional employee with prediabetes was INR 520 to INR 609 (USD 6.4 to USD 7.5). Conclusion: Addition of HBA1C test resulted in significantly greater number of individuals identified as prediabetes to be targeted for early lifestyle changes and more than one fourth of them converted to normal.