The status of diabetes control in Asia-a cross-sectional survey of 24 317 patients with diabetes mellitus in 1998

2002 ◽  
Vol 19 (12) ◽  
pp. 978-985 ◽  
Author(s):  
L.-M. Chuang ◽  
S. T. Tsai ◽  
B. Y. Huang ◽  
T. Y. Tai
2010 ◽  
Vol 16 (2) ◽  
pp. 4 ◽  
Author(s):  
Bawo Onesirosan James ◽  
Joyce Ohiole Omoaregba ◽  
George Eze ◽  
Olufemi Morakinyo

<p><strong>Objectives.</strong> Depression is associated with diabetes mellitus and affects treatment goals negatively. We aimed to determine the prevalence of depression and identify its socio-demographic or clinical correlates among patients with diabetes mellitus attending an out-patient clinic in Nigeria.</p><p><strong>Methods.</strong> Two hundred consecutively recruited diabetes patients (index group) were compared with a similar number of apparently healthy controls in a cross-sectional survey. In both groups, in addition to obtaining socio-demographic details, depression was diagnosed using the Schedule for the Clinical Assessment in Neuropsychiatry (SCAN), while the Beck Depression Inventory (BDI) was used to assess depression symptom severity. <strong></strong></p><p><strong>Results.</strong> Sixty (30%) diabetes patients met a SCAN diagnosis for clinical depression, compared with 19 (9.5%) in the control group. Having a smaller income and more children were significantly correlated with higher depression symptoms on the BDI.</p><p><strong>Conclusion.</strong> Depression is highly co-morbid with diabetes mellitus. The care of individuals with diabetes mellitus should include the screening and possible treatment for depression in order to achieve and sustain treatment goals.</p>


2012 ◽  
Vol 19 (02) ◽  
pp. 259-263
Author(s):  
RAHEEL IFTIKHAR ◽  
MUHAMMAD ADNAN MANZAR ◽  
Fatima SAEED

Objectives: Determine frequency of hypertension in type 2 diabetics. Determine pattern of hypertension in type 2 diabetics.Study design: Cross sectional survey. Setting: The study was conducted in the out patient department of Combined Military Hospital, Lahore.Duration of study: Study was carried out over a period of 01 year from July 2010 to July 2011. Material and methods: Total 700 cases wererecruited in this study. Blood pressure of all the patients was recorded in a sitting position with a mercurial sphygmomanometer 4–6 hours apart.It was interpreted as prehypertension, stage 1 and stage 2 according to operational definitions. Results: Out of total 700 patients, 490 (70.0%)were hypertensive .Pattern of hypertension showed 100 (20.4%) pre-hypertension, 160 (32.6%) stage-I and 230 (47.0%) stage-II .Majority ofthe patients i.e. 245 (50.0%) were between 41-50 years and minimum 9 patients (1.8%) were 20-30 years old with mean age of 55.9±3.7 .Out of700 patients, 350 (50.0%) were male while remaining 350 (50.0%) were females. Married patients were 400 (57.1%) and unmarried 300(42.9%). Conclusions: Patients with diabetes mellitus have increased risk of developing hypertension than normal population.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043997
Author(s):  
Charilaos Lygidakis ◽  
Jean Paul Uwizihiwe ◽  
Michela Bia ◽  
Francois Uwinkindi ◽  
Per Kallestrup ◽  
...  

ObjectivesTo report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.DesignCross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.SettingOutpatient clinics for non-communicable diseases of nine hospitals across Rwanda.ParticipantsBetween January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were those aged 21–80 years and with a diagnosis of diabetes mellitus for at least 6 months. Illiterate patients, those with severe hearing or visual impairments, those with severe mental health conditions, terminally ill, and those pregnant or in the postpartum period were excludedPrimary and secondary outcome measuresDisease-specific quality of life was measured with the Kinyarwanda version of the Diabetes-39 (D-39) questionnaire. A glycated haemoglobin (HbA1c) test was performed on all patients. Sociodemographic and clinical data were collected, including medical history, disease-related complications and comorbidities.ResultsThe worst affected dimensions of the D-39 were ‘anxiety and worry’ (mean=51.63, SD=25.51), ‘sexual functioning’ (mean=44.58, SD=37.02), and ‘energy and mobility’ (mean=42.71, SD=20.69). Duration of the disease and HbA1c values were not correlated with any of the D-39 dimensions. A moderating effect was identified between use of insulin and achieving a target HbA1c of 7% in the ‘diabetes control’ scale. The most frequent comorbidity was hypertension (49.0% of participants), which had a greater negative effect on the ‘diabetes control’ and ‘social burden’ scales in women. Higher education was a predictor of less impact on the ‘social burden’ and ‘energy and mobility’ scales.ConclusionsSeveral variables were identified as predictors for the five dimensions of quality of life that were studied, providing opportunities for tailored preventive programmes. Further prospective studies are needed to determine causal relationships.Trial registration numberNCT03376607.


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