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Background: Advancement in medical sciences with socioeconomic improvement across the country have led to increased life expectancy among Indians, which has resulted in increased old age dependency ratio. Indian health care delivery system is more deviant towards productive age groups and has side lined the veterans who constitute about 7-8% of our population. Morbidities among elderly are largely preventable and treatable if detected at early stages. Sleep disturbances, cognitive impairment and functional limitation are commonly neglected by elderly and often overlooked, whereas these conditions can severely impair the living status and quality of life among elderly. Methods: This cross sectional study was conducted in the Urban field practice area of Department of Community Medicine, JSS Medical College, Mysore for a period of three months. Details regarding Sociodemographic characteristics, sleep disturbance using STOP-BANG tool, Functional status using IADL Scale and cognitive impairment using MINICOG tool were collected in a pretested structured survey schedule by interview technique. Results: Among 102 of Geriatric subjects included in the present study, majority were in the age group 60-69 years- 72 (70.6%) and least 7 (6.9%) were 80 and above. 48 (49.1%) were males and 54 (52.9%) were females. Majority 43 (42.1%) were having Intermediate risk of sleep apnoea and 27 (26.4%) were having high risk. 44 (43.2%) were found to have subclinical cognitive impairments. Functional status scores will significantly lower among subjects with sleep and cognitive disturbances compared to their normal counterparts. Conclusions: There is a higher burden of sleep apnea, cognitive impairment among elderly which have significant influence on their functional status. Thus there is a need for evolving a strategy to include these screening procedures in the regular health check-up among elderly.

Background: Diabetes mellitus is a multisystem disorder associated with number of complications. If patients are to contribute to the effective control of diabetes, awareness and practices can assist in reducing the incidence of its complications.Methods: A cross-sectional study of 200 type II diabetic patients at JSS Hospital, Mysuru was conducted, assessment of health seeking behaviour using semi structured questionnaire was done. Quality of life was assessed using WHO QOL-BREF Questionnaire.Results: Among 200 study participants 53.5% belongs to age group 41-60, 57.5% were males, 44.5% were having family history of diabetes, 68.5% were on oral hypoglycemic agents. 163 (81.5%) were anxious when they were diagnosed as diabetics, 123 (61.5%) were influenced by themselves to go for investigations, 68 (34%)were influenced by Doctors, 131 (65.5%) had no money as the barrier to attend hospital for check-up, 186 (93%) visit hospital once in less than 3 months, 180 (90%) of them believed oral drugs are the treatment for diabetes, 188 (94%) prefer Allopathic medicine. Association between initial response on diagnosis and interval for regular monitoring with Quality of life of diabetic patients was statically significant (p≤0.05).Conclusions: Health seeking behaviour is an important determinant of controlled glycaemic status and Quality of life of people living with diabetes.

Background: Type II diabetes is a major public health problem in India. The epidemiological shift of the disease towards younger and middle aged individuals has resulted in longer duration of life with diabetes among the patients. Diabetes being a lifestyle disease, requiring robust behavioural and social adjustments influences the quality of life of an individual to a largest extent.Methods: A cross-sectional study conducted among 200 type II diabetic patients attending JSS Hospital, Mysuru for a period of one year. Information regarding socio-demographic characteristics like gender, education, occupation was collected in a pretested proforma by interview technique. Assessment of Quality of life was done using the WHO BREF questionnaire. Glycemic status of subjects was assessed using glycosylated haemoglobin (HbA1C) levels. The Data entry and Statistical analysis were done using Microsoft Excel and SPSS 22version. Descriptive statistics like mean and standard deviation of QOL calculated and analysed with Sociodemographic variables, inferential statistics like Chi-square and Man-Whitney U test was done.Results: Among 200 study participants majority, 53.5% belonged to age group of 41-60 years, 57.5% were males, 67.5% belonged to lower socio economic class according to BG Prasad classification, 85% were married, 51% were Obese, 44.5% were having family history of diabetes, 48% were having Hypertension, 68.5% were on oral hypoglycemic, 10.5% were on Insulin, 20.5% were on both oral hypoglycaemic and Insulin. Overall Quality of Life was poor in 114 (57%), 114 (57%) had Poor Physical QoL score, 109 (54.5%) had poor psychological QoL score, 108 (54%) had poor social QoL score and 113 (56.5%) had poor environmental QoL score and 87 (43.5%). Median score of overall score of QoL was less in uncontrolled diabetes when compared to controlled diabetes status, this difference was statistically significance (P value- 0.04).Conclusions: Patients with type 2 diabetes have a substantially lower quality of life. QOL was poorer in subjects with uncontrolled glycemic status compared those with good diabetic control.