Hand Infections in the Diabetic Patient

1997 ◽  
Vol 22 (1) ◽  
pp. 133-134 ◽  
Author(s):  
M. S. PINZUR ◽  
M. BEDNAR ◽  
F. WEAVER ◽  
A. WILLIAMS
Keyword(s):  
Diabetes Mellitus ◽  
Soft Tissues ◽  
Veterans Affairs ◽  
University Hospital ◽  
Diabetic Patients ◽  
Secondary Diagnosis ◽  
Department Of Veterans Affairs ◽  
Parenteral Antibiotic ◽  
Hospital Department ◽  
Hand Infection

Between 1984 and 1994, 23 diabetic patients were admitted to a university hospital/Department of Veterans Affairs (DVA) Medical Centre with a primary or secondary diagnosis of hand infection. We also identified 726 patients admitted to all DVA Medical Centres during the years 1989 through 1994 with co-diagnoses of diabetes mellitus and hand infection. Contrary to previously published literature, most diabetic hand infections are non-specific, confined to the soft tissues, and respond to broad spectrum parenteral antibiotic therapy. When surgery is necessary, most patients do not require amputation.

scholarly journals TYPE 2 DIABETES MELLITUS;

2013 ◽  
Vol 20 (02) ◽  
pp. 237-243
Author(s):  
GHULAM HUSSAIN BALOCH ◽  
ABDUL QADIR DALL ◽  
ATIF SITWAT HAYAT ◽  
Syed Zulfiquar Ali Shah ◽  
Bikha Ram Devrajani
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
University Hospital ◽  
Diabetic Patients ◽  
Haemoglobin A1c ◽  
Type 2 Diabetic Patients ◽  
History Of ◽  
Upper Molar

Objective: To determine the frequency and pattern of dental carries in patients with type 2 diabetes mellitus. Design: Crosssectional descriptive study. Patients and methods: Patients with history of type 2 diabetes mellitus for ≥ 02 years duration with ≥ 35 years ofage and of either gender with dental pain visit at medical and dental outpatient department (OPD) of Liaquat University Hospital Hyderabad.The detail history was taken and the blood samples were taken for haemoglobin A1c (HbA1c) to assess the glycemic status. The existenceof dental carries and its pattern was diagnosed through dental examination by consultant dentist had clinical experience ≥05 years. The datawas collected on pre-designed proforma, entered and analyzed in SPSS version 11.00. Results: A total of 137 type 2 diabetic patients wereselected for this study, out of these 82 were males and 55 females. The dental carries was found in 98 (71.5%) patients. Out of these ninetyeight, 53 (54.08%) were males and 45 (45.92%) were female. Upper molar teeth involvement was present in 46 patients and lower molarteeth were involved in 52 patients. Dentine carries was seen in 35 patients, enamel carries in 19, white spot carries in 20 patients, pulpitis in16 patients, and pulp capping in 8 patients. Involvement of individual teeth was also assessed, the upper molar involvement was present in32 patients, premolar involvement was present in 11, incisor involvement in 03 patients. The lower molars were involved in 28 patients,lower pre molar in 21 and lower incisors in 03 patients. Dental carries was present in 43 (43.9%) patients in patients whose duration ofdiabetes was between 5-10 years, whereas those patients having duration >10 years had 31.6% frequency of dental carries, whileregarding duration of <5 years only 24 (24.5%) patients had dental carries. Conclusions: The diabetic patients are more prone to acquiredental caries.

scholarly journals Dual Use of Department of Veterans Affairs and Medicare Benefits and Use of Test Strips in Veterans With Type 2 Diabetes Mellitus

2015 ◽  
Vol 175 (1) ◽  
pp. 26 ◽  
Author(s):  
Walid F. Gellad ◽  
Xinhua Zhao ◽  
Carolyn T. Thorpe ◽  
Maria K. Mor ◽  
Chester B. Good ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Dual Use ◽  
Test Strips

scholarly journals MICROALBUMINURIA;

2017 ◽  
Vol 24 (01) ◽  
pp. 126-131
Author(s):  
Muhammad Zakria ◽  
Muhammad Sarfraz ◽  
Touseef Ahmad
Keyword(s):  
Diabetes Mellitus ◽  
Ischemic Stroke ◽  
Early Morning ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Diabetic Patients ◽  
Creatinine Ratio ◽  
Cross Sectional ◽  
Stroke Study ◽  
Modifiable Factor

Objectives: To determine the frequency of microalbuminuria in patientswith acute ischemic stroke. Study Design: Cross-sectional study. Setting: Medical floor,Independent University Hospital, Marzipura, Faisalabad. Study Duration: Two years, from 1stOctober 2013 to 30th September 2015. Materials and Methods: 95 patients of ischemic stroke,with or without diabetes mellitus and hypertension were tested for early morning urine albuminto creatinine ratio, after excluding patients with raised serum creatinine, urinary tract infection,congestive heart failure and menstruation. A urinary albumin to creatinine ratio of 30 to300 μg/mg was considered as MA. Results: Out of a total of 95 patients, MA was present in 46(48.4%)and absent in 49(51.6%) patients. Out of 33 diabetic patients, MA was present in 18(54.5%)patients while out of 62 non-diabetics 28(45.2%) had MA. Out of 55 hypertensive patients,MA was present in 27(49.1%) while out of 40 non-hypertensives 18(45.0%) had MA. Among14 patients having both diabetes mellitus and hypertension, 8(57.1%) were having MA. Outof 20 patients without both diabetes and hypertension, 8(40.0%) had MA. Conclusion: Giventhe high frequency of microalbuminuria in patients with ischemic stroke, microalbuminuria is auseful modifiable factor in addition to conventional risk factors in identifying those at increasedrisk of ischemic stroke.

scholarly journals TYPE 2 DIABETES MELLITUS;

2014 ◽  
Vol 21 (06) ◽  
pp. 1174-1177
Author(s):  
Mukhtiar Hussain Jaffery ◽  
Nisar Ahmed Shah ◽  
Muhammad Sajid Abbas Jaffri ◽  
Athar Hussain Memon ◽  
Syed Zulfiquar Ali Shah
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Urban Areas ◽  
University Hospital ◽  
Diabetic Patients ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
The Mean

Objective: To determine the frequency of raised C-reactive protein (CRP) in patients with type 2 diabetes mellitus. Patients and methods: This cross sectional descriptive study of six months study was conducted at Liaquat University Hospital Hyderabad from March 2013 to August 2013. All diabetic patients of ≥35 years age of either gender for >01 year duration visited at OPD were evaluated for C-reactive protein and their glycemic status by hemoglobin A1c. The data was analyzed in SPSS and the frequency and percentage was calculated. Results: During six month study period, total 100 diabetic patients were evaluated for C-reactive protein. Majority of patients were from urban areas 75/100 (75%). The mean ±SD for age of patients with diabetes mellitus was 51.63±7.82. The mean age ±SD of patient with raised CRP was 53±7.21. The mean ±SD for HbA1c in patients with raised CRP is 9.55±1.73. The mean random blood sugar level in patients with raised CRP was 247.42 ± 6.62. The majority of subjects from 50-69 years of age group with female predominance (p = 0.01) while the CRP was raised in 70(70%) patients in relation to age (p=0.02) and gender (p=0.01) respectively. Both HbA1c and CRP was raised in 64.9% (p = 0.04) in patients with type 2 diabetes mellitus. The mean ±SD of CRP was 5.8±1.21 while for male and female individuals with raised CRP was 3.52±1.22 and 5.7±1.63 respectively. Conclusions: The raised CRP was observed in patients with type 2 diabetes mellitus

scholarly journals S100B Levels in Patients with Type 2 Diabetes Mellitus and Co-Occurring Depressive Symptoms

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Panagiota Katsanou ◽  
Nikolaos Tentolouris ◽  
Despoina Perrea ◽  
Spyridon Katsanos ◽  
Vasiliki Ntova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Depressive Symptoms ◽  
Linear Regression Analysis ◽  
Serum Levels ◽  
University Hospital ◽  
Diabetic Patients ◽  
Self Assessment

Depression is a comorbid condition in patients with Type 2 Diabetes mellitus (T2DM). S100B, a glia derived protein, is linked to depression and has been suggested as a biomarker for depression outcomes in several populations. However, to date there is no data about S100B levels and depression in patients with T2DM. Objective. We hypothesized that S100B serum levels are increased in patients with T2DM and recently diagnosed, drug-free depressive symptoms, and could be used for the diagnosis of depression in T2DM. Methods. Overall 52 patients (62 ± 12 years, female 66, 7%) with no history of depression deriving from the Diabetes out-patient clinic of our University Hospital underwent a one-to-one interview with a psychiatrist and filled a self-assessment (Zung) questionnaire. Serum S00B levels were compared between 30 (63±12 years, female 66, 7%) diabetic patients without depressive symptoms vs 22 patients (62 ±12 years, female 68, 2%) with T2DM and depressive symptoms. Results. There was no difference in serum levels of S100B between patients with T2DM without depressive symptoms vs diabetic patients suffering from depressive symptoms (2.1 (1.9-10.9) pg/ml vs 2.4 (1.9-14.8) pg/ml, p=0. 637+). Moreover, linear regression analysis did not show any association between lnS100B levels and depressive symptoms (β = 0.084, 95% CI 0.470-0.871, and p=0.552), Zung self-assessment score (β = 0.048, 95% CI -0.024-0.033, and p=0.738), and other patients’ characteristics. Conclusions. In patients with T2DM there is no correlation between S100B serum levels and newly detected mild depressive symptoms. The brain biochemistry pathways of depression in T2DM warrant further investigation in a larger scale population.

Prevalence and Distribution of Diabetes Mellitus in a Maximum Care Hospital: Urgent Need for HbA1c-Screening

2017 ◽  
Vol 126 (02) ◽  
pp. 123-129 ◽  
Author(s):  
Johannes Kufeldt ◽  
Marketa Kovarova ◽  
Michael Adolph ◽  
Harald Staiger ◽  
Michael Bamberg ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Hospital Stay ◽  
Diabetes Prevalence ◽  
University Hospital ◽  
Diabetic Patients ◽  
Diabetes Diagnosis ◽  
Care Hospital ◽  
Negative Consequences ◽  
Number Needed To Screen ◽  
The University

Abstract Objective Diabetes mellitus affects almost one in 10 individuals in Germany. So far, little is known about the diabetes prevalence in maximum care hospitals. We assessed the diabetes prevalence, proportion of undiagnosed cases, the effectiveness of diabetes screening in a university hospital, the consequences for hospital stay and acquired complications. Research Design and Methods Over a 4 week period we determined HbA1c from 3 733 adult patients which were hospitalized at the university hospital of Tuebingen and had an available blood sample. Diabetes diagnosis was defined as HbA1c≥6.5% and/or previously documented diabetes diagnosis, prediabetes was defined as HbA1c≥5.7% and <6.5% without history of previous diabetes. Results 23.68% of the patients had prediabetes and 22.15% had diabetes with a high variation between the specialised departments (range 5–43%). The rate of unknown diabetes was 3.7%, the number needed to screen was 17 in patients older than 50 years. Patients with diabetes had a prolonged hospital stay compared to the mean length of stay for their diagnosis related group (diabetes: 1.47±0.24 days; no diabetes: −0.18±0.13 days, p=0.0133). The prevalence of hospital acquired complications was higher in diabetic patients (diabetes: 197 of 630; no diabetes: 447 of 2 459, p<0.0001). Conclusions Every fourth patient in the university hospital had diabetes and every second had either prediabetes or diabetes. It is also worthwhile to screen for unknown diabetes in patients over the age of 50. The high prevalence and negative consequences of diabetes require screening and intensified specialized diabetes treatment in hospitals.

scholarly journals Teleconsultation for Pediatric Patients With Type 1 Diabetes Mellitus During the COVID-19 Pandemic: Experience of a University Hospital in Brazil.

2021 ◽  
Author(s):  
YASMIN EUGENIA SANTANA ◽  
Thais Milioni Luciano ◽  
Ana Carolina Maia Teodózio ◽  
Amanda Maria Barradas Monteiro de Santana ◽  
Letícia Rodrigues Ramos ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Diseases ◽  
Glycosylated Hemoglobin ◽  
Admission Rate ◽  
University Hospital ◽  
Diabetic Patients ◽  
Pediatric Endocrinology ◽  
Hospital Admission Rate ◽  
Control And Prevention ◽  
The Impact

Abstract Background: The SARS-CoV-2 pandemic expanded rapidly around the world in 2020 and health services needed to be reconfigured to meet the new demand and ensure the care of patients with chronic diseases, whether or not aggravated by this COVID-19 (disease caused by SARS-Cov-2). For patients with chronic diseases - such as diabetes mellitus - the teleconsultation stood out as a tool for clinical management in this period. This study aims to evaluate the impact of teleconsultation on glycemic control and prevention of acute complications related to diabetes mellitus in children and adolescents treated by the pediatric endocrinology team at Hospital das Clínicas, Ribeirão Preto Medical School, University of São Paulo (HC-FMRP -USP) during the COVID-19 pandemic in 2020. Method: Descriptive study of data from pediatric diabetic patients who received teleconsultation via messages in the months of April to September 2020. Results: Regarding the patients evaluated (N = 143), there were 3.4 teleconsultations per patient in the studied period; requiring adjustment of insulin doses in 84.6% of cases. The hospital admission rate was 17.5% due to diabetic decompensation and / or the opening of diabetes mellitus. The dosage of glycosylated hemoglobin showed a worsening in 46% of the sample and an improvement in 37%. Conclusion: The teleconsultation was effective in ensuring health care for patients with DM1 during the COVID-19 pandemic.

scholarly journals Frequency and pattern of dyslipidemia in diabetes mellitus type 2.

2021 ◽  
Vol 28 (06) ◽  
pp. 828-832
Author(s):  
Akhtar Ali ◽  
Rabeel Nawaz ◽  
Faiza Dildar Ghuman ◽  
Syed Muhammad Hasan ◽  
Sadia Iqbal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Mellitus Type 2 ◽  
Elevated Serum ◽  
Diabetes Mellitus Type ◽  
University Hospital ◽  
Diabetic Patients ◽  
Serum Triglycerides ◽  
Cross Sectional ◽  
Detailed Medical History

Objective: This study was designed to evaluate the frequency and pattern of dyslipidemia in patients of diabetes mellitus type 2. Study Design: Cross Sectional Observational study. Setting: Medicine Department and National Institute of Diabetes and Endocrinology OPD of Dow University Hospital OJHA Campus Karachi Sindh. Period: March 2018 to September 2018. Material & Methods: 142 diabetes mellitus type 2 patients aged between 35-60 years, selected by non-probability consecutive sampling method. Detailed medical history and blood sample for fasting lipid profile was obtained from each diabetic patient. Result: Out of 142 diabetic patients investigated for dyslipidemia, 72 (50.7%) were male and 70 (49.3%) were female with a mean age of 47.49±6.40 (35-60) years. Dyslipidemia was detected in 114 (80.3%) patients; with most common abnormality was elevated serum triglycerides (54.9%), followed by decreased serum HDL cholesterol (50.7%), elevated serum VLDL cholesterol (50.0%), elevated serum cholesterol (38.7%) and elevated serum LDL cholesterol (16.9%). Conclusion: It was concluded that diabetes mellitus type 2 is directly correlated with higher incidence of dyslipidemia.

scholarly journals Acceptability and factors associated with dietary consumption in diabetic patients of a public university hospital

2020 ◽  
Vol 15 ◽  
pp. e51595
Author(s):  
Ana Eloísa Machado Rigo ◽  
Virgílio José Strasburg ◽  
Jéferson Ferraz Goularte ◽  
Mariana Escobar ◽  
Ana Maria Keller Jochims
Keyword(s):  
Diabetes Mellitus ◽  
Odds Ratio ◽  
Public University ◽  
University Hospital ◽  
Diabetic Patients ◽  
Factors Associated ◽  
Dietary Consumption ◽  
Per Capita

A dietoterapia é essencial para pacientes hospitalizados. O objetivo deste estudo foi avaliar a aceitabilidade das refeições do almoço de pacientes que receberam a dietética para Diabetes Mellitus (DM) e verificar aspectos que podem interferir nesse consumo, como as estações do ano. Estudo quantitativo descritivo que avaliou o consumo da refeição almoço dos pacientes que receberam dietética DM em um período de verão e outro de inverno no ano de 2019. Os dados foram verificados em frequências absolutas, porcentagens, médias, e o teste estatístico foi o de regressão logística com a correlação de dados a um nível de significância de 95% (p <0,05) usando o software SPSS® 18.0. Foram selecionadas duas unidades de internação, com amostra de 49 indivíduos (63,3% do sexo masculino). Das 115 refeições servidas, 55,7% foram parcialmente consumidas ou não consumidas. O desperdício de pratos nas refeições do almoço apresentou média per capita de 64,15 g (consumo de 310,89g) no verão e de 135,99g (consumo de 248,12g) no inverno. O padrão do cardápio foi semelhante nas duas estações. Encontrou-se p <0,05 em relação à temporada na associação do odds ratio univariável. Pesquisas dessa natureza são importantes para auxiliar no prognóstico do paciente. 

Sign in / Sign up

Export Citation Format

Share Document