Hypertension control after an initial cardiac event among Medicare patients with diabetes mellitus: A multidisciplinary group practice observational study

Prevalence of periodontal diseases in patients with diabetes mellitus (An observational study at internal medicine polyclinic in Dr. Sardjito General Hospital). Diabetes Mellitus (DM) is a chronic disease with an increasing prevalence and causes complications. The most frequent complication found in the oral cavity of patients with diabetes mellitus is periodontal diseases is characterized by the loss of tissue attachment. There have been numerous studies on the association of DM with periodontal diseases but there has not been any data on the prevalence of periodontal diseases in diabetic group, especially in Yogyakarta and Central Java. Dr. Sardjito General Hospital is a referral hospital in DIY and Central Java, so this study is expected to provide a picture regarding the level of periodontal tissue health among people in Yogyakarta and Central Java. This research was an observational study, involving 36 patients with DM according to criteria of the subjects: suffering from type 2 diabetes, being cooperative and willing to sign an informed consent. The controlled variables: being 40 – 60 years of age, having good oral hygiene (OHI) according to Green and Vermillion, taking neither antibiotics nor anti-inammatory drugs in the last 3 months, not having a history of other systemic diseases. Oral hygiene exams were carried out, followed by examination using probe WHO to determine if there is CAL. The data were presented descriptively. The results showed that the prevalence of periodontal diseases in patients with DM at Internal Medicine Polyclinic in Dr. Sardjito General Hospital is 88.24% with a mean of CAL distance of 4.6 mm. The conclusion of this study is that the prevalence of periodontal diseases in patients with DM is high although the oral hygiene status is good. ABSTRAKDiabetes Mellitus (DM) adalah penyakit kronis menahun dengan prevalensi yang semakin meningkat dan menimbulkan komplikasi. Komplikasi yang paling sering terjadi di rongga mulut pasien DM adalah periodontitis yang ditandai dengan kehilangan perlekatan jaringan. Penelitian tentang hubungan DM dengan periodontitis banyak dilakukan namun belum ditemukan data mengenai prevalensi periodontitis pada kelompok DM khususnya di DIY dan Jawa Tengah. RSUP Dr. Sardjito merupakan rumah sakit rujukan DIY dan Jawa Tengah sehingga penelitian ini diharapkan dapat memberi gambaran mengenai tingkat kesehatan jaringan periodontal di masyarakat DIY dan Jawa Tengah. Jenis penelitian ini adalah observasional dengan melibatkan 36 orang pasien DM sesuai kriteria subjek yaitu menderita DM tipe II, kooperatif dan bersedia menandatangani informed consent. Variabel terkendali yaitu usia 40 – 60 tahun, kebersihan mulut (OHI) menurut Green and Vermillion dalam kriteria baik, tidak menggunakan antibiotik dan antiinamasi dalam 3 bulan terakhir dan tidak memiliki riwayat penyakit sistemik lain. Dilakukan pemeriksaan kebersihan mulut dilanjutkan dengan pemeriksaan menggunakan probe WHO untuk menentukan ada tidaknya CAL. Data disajikan secara deskriptif. Hasil penelitian menunjukkan bahwa prevalensi periodontitis pada pasien DM di Poli Klinik Penyakit Dalam RSUP Dr. Sardjito adalah 88,24% dengan rata-rata jarak CAL adalah 4,6 mm. Kesimpulan penelitian ini adalah prevalensi periodontitis pada pasien DM tinggi walaupun status kebersihan mulut tergolong dalam kriteria baik.

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Cone-beam computed tomography assessment of bone using grayscale values in patients with diabetes mellitus. A case–control observational study

Journal of Indian Society of Periodontology ◽

10.4103/jisp.jisp_719_18 ◽

2020 ◽

Vol 24 (6) ◽

pp. 560

Author(s):

Shalu Rai ◽

Deepankar Misra ◽

Akansha Misra

Keyword(s):

Diabetes Mellitus ◽

Computed Tomography ◽

Observational Study ◽

Cone Beam Computed Tomography ◽

Case Control ◽

Cone Beam ◽

Patients With Diabetes

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Quality of Sleep in Elderly Patients with Diabetes Mellitus from Turkey: A Cross-Sectional Observational Study

Experimental Aging Research ◽

10.1080/0361073x.2021.1989929 ◽

2021 ◽

pp. 1-14

Author(s):

Muharrem Bayrak ◽

Kenan Çadirci

Keyword(s):

Diabetes Mellitus ◽

Observational Study ◽

Elderly Patients ◽

Quality Of Sleep ◽

Cross Sectional ◽

Patients With Diabetes

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Strategies and Goals for Hypertension Control in Patients With Diabetes Mellitus

Hypertension ◽

10.1161/hypertensionaha.110.153999 ◽

2010 ◽

Vol 56 (1) ◽

pp. 24-25

Author(s):

Theodore A. Kotchen

Keyword(s):

Diabetes Mellitus ◽

Hypertension Control ◽

Patients With Diabetes

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Retrospective observational study on the incidence of oral complications in patients with diabetes mellitus

Romanian Journal of Stomatology ◽

10.37897/rjs.2018.1.1 ◽

2018 ◽

Vol 64 (1) ◽

pp. 5-9

Author(s):

Alberta Simona Tinu ◽

◽

Doina Lucia Ghergic ◽

Mirel Stoian ◽

Costin Coman ◽

...

Keyword(s):

Diabetes Mellitus ◽

Observational Study ◽

Retrospective Observational Study ◽

Oral Complications ◽

Patients With Diabetes

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Ten‐Year Clinical Outcomes of Biodegradable Versus Durable Polymer New‐Generation Drug‐Eluting Stent in Patients With Coronary Artery Disease With and Without Diabetes Mellitus

Journal of the American Heart Association ◽

10.1161/jaha.120.020165 ◽

2021 ◽

Author(s):

Tobias Lenz ◽

Tobias Koch ◽

Michael Joner ◽

Erion Xhepa ◽

Jens Wiebe ◽

...

Keyword(s):

Diabetes Mellitus ◽

Clinical Outcome ◽

Major Adverse Cardiac Event ◽

Cardiac Event ◽

Adverse Cardiac Event ◽

Drug Eluting Stents ◽

Patients With Diabetes ◽

Drug Eluting ◽

Event Rates ◽

New Generation

Background Extended long‐term follow‐up data of new‐generation drug‐eluting stents in patients with diabetes mellitus is scant. The aim of this study is to assess the 10‐year clinical outcome of new‐generation biodegradable polymer‐based sirolimus‐eluting stents (Yukon Choice PC) versus permanent polymer‐based everolimus‐eluting stents (XIENCE) in patients with and without diabetes mellitus. Methods and Results In a prespecified subgroup analysis, outcomes of patients with or without diabetes mellitus treated with drug‐eluting stents were compared. The primary end point of this analysis was major adverse cardiac event, the composite of death, myocardial infarction, or target lesion revascularization. The analysis includes a total of 1951 patients (560 patients with and 1391 patients without diabetes mellitus) randomized to treatment with Yukon Choice PC (n=1299) or Xience (n=652). Regarding the primary end point, at 10 years patients with diabetes mellitus showed significantly higher major adverse cardiac event rates than patients without diabetes mellitus ( P <0.001; hazard ratio [HR], 1.41; 95% CI, 1.22–1.63). There was no significant difference between patients treated with Yukon Choice PC versus Xience, neither in the subgroup of patients with ( P =0.91; HR, 1.01; 95% CI, 0.79–1.30) nor without diabetes mellitus ( P =0.50; HR, 0.94; 95% CI, 0.79–1.21). Rates of definite/probable stent thrombosis were 2.3% in patients with and 1.9% in patients without diabetes mellitus (HR, 1.27; 95% CI, 0.34–2.60; P =0.52), without significant differences between study devices. Conclusions The clinical outcome of patients with diabetes after percutaneous coronary intervention with different new‐generation drug‐eluting stents is considerably worse than that of patients without diabetes mellitus, with event rates constantly increasing out to 10 years. Registration URL: https://clinicaltrials.gov . Unique Identifier: NCT00598676.

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