Alcoholic consumption: is it benefit for the poor control diabetes mellitus patients?

2006 ◽  
Vol 72 (3) ◽  
pp. 328
Author(s):  
Viroj Wiwanitkit
Keyword(s):  
Diabetes Mellitus ◽  
Poor Control ◽  
The Poor ◽  
Control Diabetes

Dissociation of cortisol and adrenal androgen secretion in poorly controlled insulin-dependent diabetes mellitus

1992 ◽  
Vol 127 (2) ◽  
pp. 115-117 ◽  
Author(s):  
RM Couch
Keyword(s):  
Diabetes Mellitus ◽  
Good Control ◽  
Insulin Dependent Diabetes Mellitus ◽  
Dehydroepiandrosterone Sulfate ◽  
Insulin Dependent Diabetes ◽  
Dependent Diabetes Mellitus ◽  
Poor Control ◽  
Adrenal Androgen ◽  
Insulin Dependent ◽  
Androgen Secretion

In acute illness, cortisol secretion increases whereas that of the adrenal androgens, dehydroepiandrosterone and dehydroepiandrosterone sulfate declines. The present study examined if a similar dissociation of cortisol and adrenal androgen secretion occurs in poorly controlled diabetes mellitus. Serum concentrations of cortisol, dehydroepiandrosterone and dehydroepiandrosterone sulfate obtained at 08.00 were compared in 13 post-pubertal diabetics (mean age 18.0 years) in good control (HbA1C<8.0%) and 10 post-pubertal diabetics (mean age 17.0 years) in poor control (HbA1C> 10.0%). Those in poor control had significantly higher serum cortisol (597±94 nmol/l vs 479±208, p < 0.05), lower dehydroepiandrosterone (13.1±5.5 nmol/l vs 25.3±16.9, p<0.025) and lower dehydroepiandrosterone sulfate (4.5±2.4 μmol/l vs 7.0±3.7, p<0.025). The ratios of dehydroepiandrosterone and dehydroepiandrosterone sulfate to cortisol were also significantly lower in those with poor control. It is concluded that poor control of insulin-dependent diabetes mellitus results in a dissociation of cortisol and adrenal androgen secretion.

scholarly journals Experiences and guidelines for footcare practices of patients witli diabetes mellitus

Curationis ◽  
2003 ◽  
Vol 26 (1) ◽  
Author(s):  
P. Matwa ◽  
M. M. Chabeli ◽  
M. Muller ◽  
N. S. Levitt
Keyword(s):  
Diabetes Mellitus ◽  
Lower Limb ◽  
Rural Areas ◽  
Self Management ◽  
Diabetic Patients ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
The Poor ◽  
Patients With Diabetes ◽  
Poor Infrastructure

The former Transkei is a predominantly rural region of the Eastern Cape Province. The poor infrastructure in this area results in inaccessibility of the available health services. The majority is ill equipped to deliver optimum diabetes care. There is an increase of lower limb amputations and lack of knowledge among patients with diabetes mellitus in the former Transkei. These complications can be prevented by patient education on self-management and appropriate footcare procedures. This qualitative study was conducted to explore and describe the experiences and footcare practices of diabetic patients who live in the rural areas of Transkei.

scholarly journals Frequency of Hepatitis C infection in diabetes mellitus

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Masroor A Qazi ◽  
Fayyaz M ◽  
Hyuddin Ch G Muhyuddin ◽  
Aftab Jamil ◽  
Malik A H ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Hepatitis C ◽  
Insulin Therapy ◽  
Blood Donors ◽  
Hypoglycemic Agents ◽  
Diabetic Patients ◽  
Type I ◽  
Diabetic Mellitus ◽  
Hepatitis C Infection ◽  
Poor Control

Place and duration of study: The study was conducted at diabetic clinic B.V. Hospital/Q.A.M.C Bahawalpur from December 1st, 2004 to March 15th, 2005. Background: Diabetes mellitus and hepatitis C infections are common and emerging problems of the society. Either diabetes mellitus is common in chronic hepatitis C patients as reported initially by Ellison and co-workers or hepatitis C infection is more frequent in diabetes mellitus. We want to study the frequency of hepatitis c infection in diabetes mellitus. Objectives: To study the frequency of hepatitis C infection in diabetic patients and to note any risk factors of diabetic patients predisposing to hepatitis C infection. Designs: A cross-sectionalObservational-descriptive analytic study. Subjects and Methods: A total of 250 consecutive diabetic patients of either sex were compared with 6574 blood donors for hepatitis c infection .They were evaluated for hepatitis C infection by using Enzyme Linked Immunosorbant Assay (ELISA-3) which is an anti-HCV anti body test. On basis of this test, the patients were divided into two groups, anti-HCV +ve and anti-HCV -ye. Different variables of these patients were studied and compared in these two groups Variables studied were as follows:- Age, Sex, BMI, Mode of therapy area of their residence(rural or urban) Duration of diabetes mellitus, Blood pressure, Nephropathy and Control of diabetes mellitus. Results: Among a total of 250 patients, 120 (48%) were male and 130 (52%) were female. Two hundred and forty-four (97.6%) patients were of type-II DM and 06 (2.4%) patients were of type-I DM. 22 (8.8%) patients were on insulin therapy while 228 (91.2%) were on oral hypoglycemic agents. Anti-HCV test was positive in 69 (27.6%) diabetic patients as compared to blood donors 41 (0.62%). In anti-HCV positive group, longer duration of diabetic mellitus (15yrs 15.94%), poor control of diabetic mellitus(87%), insulin therapy(17.39%) hypertension(91.3%) and nephropathy(94.2%) were the significant vari ables while BMI, age, sex and whether they were belonging to either rural or urban area were not significant in both the groups. Conclusion: Hepatitis C infection is common in diabetic patients as compared to control group (27.6% vs 0.62%). Out of diabetic patients HCV infection is more common with longer duration of diabetic mellitus, poor control of diabetic mellitus, hypertension, nephropathy and insulin therapy.

scholarly journals Direct medical costs of type 2 diabetes mellitus in the Philippines: findings from two hospital databases and physician surveys

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049737
Author(s):  
Cecilia Jimeno ◽  
Rosa Allyn Sy ◽  
Pepito De La Pena ◽  
Chritopher Cipriano ◽  
Rima Tan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medical Cost ◽  
Outpatient Care ◽  
Good Control ◽  
The Philippines ◽  
Poor Control ◽  
Control Range

ObjectiveTo estimate the annual direct medical cost of type 2 diabetes mellitus (T2DM) in hospitals and outpatient care clinics from a healthcare payer perspective in the Philippines.Design and participants(1) A review of electronic hospital records of people with T2DM in two tertiary hospitals—Ospital ng Makati (OsMak) and National Kidney and Transplant Institute (NKTI) and (2) a cross-sectional survey with 50 physicians providing outpatient care for people with T2DM.SettingPrimary, secondary and tertiary healthcare facilities in Metro Manila.Outcome measuresCost of managing T2DM and its related complications in US dollars (USD) in 2016.ResultsA total of 1023 and 1378 people were identified in OsMak and NKTI, with a complication rate of 66% and 74%, respectively. In both institutions, the average annual cost per person was higher if individuals were diagnosed with any complication (NKTI: US$3226 vs US$2242 and OsMak: US$621 vs US$127). Poor diabetes control was estimated to incur higher per person cost than good control in both public outpatient care (poor control, range: US$727 to US$2463 vs good control, range: US$614 to US$1520) and private outpatient care (poor control, range: US$848 to US$2507 vs good control, range: US$807 to US$1603).ConclusionThe results highlight the high direct medical cost resulting from poor diabetes control and the opportunity for cost reduction by improving control and preventing its complications.

scholarly journals A woman with severe lupus nephritis and difficult to control diabetes mellitus

2011 ◽  
Vol 63 (4) ◽  
pp. 623-629 ◽  
Author(s):  
Irina Buhaescu ◽  
Soo Rhee ◽  
Michael R. York ◽  
Marie McDonnell ◽  
Peter A. Merkel
Keyword(s):  
Diabetes Mellitus ◽  
Lupus Nephritis ◽  
Severe Lupus Nephritis ◽  
Control Diabetes

Psychosocial Aspects of Diabetes Mellitus*

1983 ◽  
Vol 28 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Gary M. Rodin
Keyword(s):  
Diabetes Mellitus ◽  
Life Stress ◽  
Sense Of Self ◽  
Well Being ◽  
Self Esteem ◽  
Treatment Modalities ◽  
Poor Control ◽  
Emotional Factors ◽  
Self Sufficiency ◽  
Control Of Diabetes

The significance of emotional factors in diabetes mellitus is reviewed in the light of recent changes in treatment. Newer evidence has not supported the concept of a specific diabetic personality. However, lowered self-esteem and feelings of depression have been found to be common in diabetics and particularly in those with poor control of their illness. Illnesses such as diabetes may be associated with feelings of defectiveness and helplessness about regulating bodily functions and achieving a sense of self-sufficiency. Poor control of diabetes in children appears to be associated with pathological interactions in their families. Also, the course of the illness in most patients is correlated with measures of life stress. Newer treatment modalities offer the possibility for improved metabolic control and perhaps for increased psychological well-being.

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