8_84 Apollo Sugar Clinic: Diabetes surveillance campaign Screening Population Based on Region Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar Healthcare outcomes delivery is what we assure This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Apollo Sugar Pan India Screening Diabetes care is the primary objective of the Apollo Sugar. It is the centre of Excellence for diabetes and endocrinology Apollo Sugar conducts screening camps across India with an aim to identify risk population and uncontrolled diabetes to reduce the risk of complications and have successfully completed >5000 diabetes awareness camps, nutrition drives, and media health talks with doctors. About 5 Lakh Indians were screened till now across India, and gained insights on diabetes prevalence, family history, risk individuals and uncontrolled diabetes. This population information will aid Apollo Sugar to focus on unmet needs in terms of timely diagnosis, interventions, and preventive measures to either prevent/control the diabetes and its associated co-morbidities. Disclaimer: Apollo Sugar holds the proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Pan India: Region wise distribution EAST Bhubaneshwar Kolkata   WEST Mumbai Pune Ahmedabad NORTH Delhi Indore Noida CENTRAL Gwalior Nashik Raipur SOUTH Hyderabad Chennai Bangalore Trichy Madurai Vizag Vijayawada tirupati Nellore Screening was conducted in 20 major and minor cities of India. All these cities are divided into 5 zones- North, South, East, West and Central Zones. 66% of the Diabetes surveillance campaign attendees were from South zone while only 4% of attendees were from Central zone. Disclaimer: Apollo Sugar holds the proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar

Region wise: Gender distribution In Central and Eastern India, male attendees of Diabetes campaign were higher (79%), while in western India, higher female attendees were reported (28%). Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Region wise: Age distribution Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar Individuals aged >40 years who attended the diabetes screening Campaigns were 2 times more in number as compared to the population aged ≤ 40 years. This distribution pattern is similar in all regions of India. Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Region wise: Random Blood Sugar Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar In East zone of India, individuals having RBS >200 is higher compared to other zones suggestive of high risk individuals. In central zone 76% are at RBS <140 indicating less risk of Diabetes . Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Region wise: Family history of Diabetes Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar Individuals from the western zone of India have highest population with positive family history of diabetes and may have high probability of diabetes risk. Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Region wise: Prevalence of Diabetes Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar Across the region the prevalence of diabetes is observed >20% of population, however, in Central India people were more inclined towards awareness of Diabetes, as evident by the tendency of Unknown diabetics to attend screening camps (79%) Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com

Region wise: Body Mass Index (Overweight and Obesity) 17% of people screened in the western zone were obese, as compared to 10% obese population in the eastern zone. More than 50% of all screened population from all zones of India had BMI between more than 25, indicative of over weight or obesity. Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar

Our Research publication at ESICON 2016 on Diabetes screening Campaign Prevalence and Predictors of hyperglycaemia across India: Apollo Sugar nation-wide Diabetes Surveillance Campaign Dr Usha Ayyagari, Dr Sanjiv Shah, Dr J Jayaprakash Sai, Dr Raja Selvarajan, Dr Sambit Das, Dr Vamsi K Kolukula, Dr Shashank R Joshi* Objective: To assess the prevalence of hyperglycaemia in patients with established diabetes mellitus (DM) across India as determined by a random capillary blood glucose test (CBG). Results: A total of 41,529 patients with DM were screened. Mean age of the subjects was 53.5 (SD 11.8) years, 78% were male. Mean CBG levels were found to be 199 (SD, 81). 49.6% (n=20,599) of patients were found to have hyperglycaemia (CBG>180 mg/dL). Women gender (OR 0.908 (0.866-0.952)) (p<0.01), younger age (OR 0.994 (0.992-0.996)) (p<0.01), family history of diabetes (OR 1.645 (1.546-1.751)) (p<0.01), increasing duration of diabetes (OR 1.285 (1.232-1.341)) (p<0.01) predicted hyperglycaemia. BMI (OR 0.999 (0.985-1.014)) (p 0.915) and hypertension (OR 1.300 (0.977- 1.730)) (p 0.072) did not have a significant relationship with hyperglycaemia. Conclusion: The study confirms that there is a high prevalence of hyperglycaemia in patients with established DM, highlighting the challenges of delivering efficient diabetic care across India. Family history, duration of diabetes are the key predictors that physicians should consider while managing diabetes in the community. Predictors of Hyperglycaemia Diabetes Female Gender OR:0.908 Young Age OR: 0.994 Family History OR: 1.645 Duration of disease OR: 1.285

Thank you. Reach us on 18001031010 Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar Apollo Sugar holds the Proprietary right for the content presented. Data or Insights can neither be published nor reproduced without permission from Apollo Sugar This mail is proprietary of Apollo Sugar Clinics Limited (ASCL) and is solely intended for the use of the addressee(s) only. It may contain privileged or confidential information and should not be circulated or used for any purpose other than for what it is intended. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you are notified that; you are strictly prohibited from using, copying, altering, or disclosing the contents of this message. ASCL accepts no responsibility for loss or damage arising from the use of the information; transmitted by this email including damage from virus. For any clarifications please contact ask@apollosugar.com