Hypoglycemia in non-diabetic patients: clinical features and causes

2018 ◽  
Author(s):  
Imen Sakka ◽  
Ibtissem Oueslati ◽  
Melika Chihaoui ◽  
Meriem Yazidi ◽  
Fatma Chaker ◽  
...  
Keyword(s):  
Clinical Features ◽  
Diabetic Patients

scholarly journals When Uncontrolled Diabetes Mellitus and Severe COVID-19 Converge: The Perfect Storm for Mucormycosis

2021 ◽  
Vol 7 (4) ◽  
pp. 298
Author(s):  
Teny M. John ◽  
Ceena N. Jacob ◽  
Dimitrios P. Kontoyiannis
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Clinical Features ◽  
The Other ◽  
Diabetic Patients ◽  
Epidemiological Factors ◽  
Uncontrolled Diabetes ◽  
Diagnostic Certainty ◽  
Patients With Diabetes ◽  
Perfect Storm

Mucormycosis (MCR) has been increasingly described in patients with coronavirus disease 2019 (COVID-19) but the epidemiological factors, presentation, diagnostic certainty, and outcome of such patients are not well described. We review the published COVID-19-associated mucormycosis (CAMCR) cases (total 41) to identify risk factors, clinical features, and outcomes. CAMCR was typically seen in patients with diabetes mellitus (DM) (94%) especially the ones with poorly controlled DM (67%) and severe or critical COVID-19 (95%). Its presentation was typical of MCR seen in diabetic patients (mostly rhino-orbital and rhino-orbital-cerebral presentation). In sharp contrast to reported COVID-associated aspergillosis (CAPA) cases, nearly all CAMCR infections were proven (93%). Treating physicians should have a high suspicion for CAMCR in patients with uncontrolled diabetes mellitus and severe COVID-19 presenting with rhino-orbital or rhino-cerebral syndromes. CAMR is the convergence of two storms, one of DM and the other of COVID-19.

Clinical features in insulin-treated diabetes with comorbid diabulimia, disordered eating behaviors and eating disorders

2016 ◽  
Vol 33 (S1) ◽  
pp. S81-S81
Author(s):  
V. Deiana ◽  
E. Diana ◽  
F. Pinna ◽  
M.G. Atzeni ◽  
F. Medda ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Disordered Eating ◽  
Clinical Features ◽  
Eating Behaviors ◽  
Blood Glucose Control ◽  
Diabetic Patients ◽  
Disordered Eating Behaviors ◽  
Dsm 5 ◽  
Combining Data ◽  
Diet Pills

Adherence to self-management and medication regimens is required to achieve blood glucose control in diabetic patients. Therefore, diabulimia, the deliberate insulin restriction/omission to lose weight, and other disordered eating behaviors (DEBs) or eating disorders (EDs), place these patients at risk of complications.We aimed to establish the frequency of diabulimia, DEBs and EDs among patients with type 1 and 2 diabetes (T1DM and T2DM) and their association with other clinical features.A total of 211 insulin-treated diabetic patients (13–55 years old) answered the Diabetes Eating Problem Survey-Revised (DEPS-R), a diabetes-specific screening tool for DEBs, and the Eating Disorders Inventory-3 (EDI-3). SCID-I modified according to DSM-5 criteria was used to diagnose EDs.At the DEPS-R, 20.8% of the sample scored above the cutoff, more frequently females (P = 0.005), patients with T1DM (P = 0.045), with a diagnosis of ED (P < 0.001), positive to the EDI-3 (P ≤ 0.001), with physical comorbidities (P = 0.003), with HbA1c > 7% (P = 0.020). Combining data from the interview with the results at the DEPS-R, 60.2% of the sample presented diabulimia. Dividing the sample by gender, we found that diabulimic females more frequently used diet pills (P = 0.006), had significantly higher HbA1c (P = 0.019) and STAI-Y1 scores (P = 0.004). Other DEBs comprised dietary restraint (51.8% of the sample), binge eating (42.2%), vomiting (6.2%), diet pills (7.1%) or laxatives (1.9%) or diuretics use (4.3%). Overall, 21.8% of the sample, mostly females (P < 0.001) met criteria for at least one DSM-5 diagnosis of ED.Diabetic patients, especially women, should be carefully monitored for the presence of diabulimia, BEDs and EDs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Relation between clinical features and gastric emptying time in diabetic patients

2015 ◽  
Vol 18 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Hamid Javadi ◽  
Hoda Bayani ◽  
Mehdi Mogharrabi ◽  
Ali Mahmoud Pashazadeh ◽  
Shahriar Semnani ◽  
...  
Keyword(s):  
Gastric Emptying ◽  
Clinical Features ◽  
Diabetic Patients ◽  
Gastric Emptying Time ◽  
Emptying Time

Differences in lipid profile control among diabetic patients at very high cardiovascular risk according to their clinical features

2016 ◽  
Vol 252 ◽  
pp. e133
Author(s):  
D. García Fuertes ◽  
E. Villanueva Fernández ◽  
M. Crespín Crespín ◽  
F.J. Castillo Bernal ◽  
I. Guerado Espinosa ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Lipid Profile ◽  
Clinical Features ◽  
Diabetic Patients ◽  
High Cardiovascular Risk ◽  
Profile Control ◽  
Very High

scholarly journals A comparative study of foot infections in diabetic and non-diabetic patients with reference to etiopathogenesis, clinical features and outcome

2020 ◽  
Vol 7 (5) ◽  
pp. 1496
Author(s):  
Venkata Reddy M. ◽  
Varun Deep K. ◽  
Inamdar P.
Keyword(s):  
Hospital Stay ◽  
Clinical Features ◽  
Diabetic Foot ◽  
Healing Process ◽  
Significant Proportion ◽  
Diabetic Patients ◽  
Group A ◽  
Wagner’S Grade ◽  
Group B ◽  
Prolonged Hospital

Background: Infections in the foot are more common with significant proportion of world’s population remaining bare foot, minor skin trauma is a frequent cause of local infection. The present study was conducted with an aim to study various foot infections and compare the findings in diabetic and non diabetic patients with reference to etiopathogenesis, clinical features, management, duration of hospital stay and outcome.Methods: The present study was conducted in Mamata General Hospital, Khammam, Telangana state from October 2016 to September 2018. A total of 50 cases were divided into 2 groups, Group A included 25 patients with diabetic foot infection and Group B included 25 patients with non diabetic foot infections.Results: In diabetics 6th decade and in non-diabetics 4th-6th decade was the most common age group presenting with foot infections. Cellulitis of the foot was the most common in both diabetics (40%) and non-diabetics (52%). Wagner’s grade 4 lesions were more common in diabetics (28%) than in non-diabetics (8%). The most common site of lesion in diabetics was dorsum (40%) and in non-diabetics was toes (40%). The incidence of neuropathy was significantly higher in diabetics (72%) than in non-diabetics (20%). Rate of amputation was high in diabetics (12%) compared to non-diabetics (8%). The average number days in a hospital stay in diabetics was 42.27 days and in non-diabetics it was 28.96 days.Conclusion: Diabetic patients have increased severity of infections, delayed healing process, need more active interventions. As compared to the non-diabetic patients, they do show high risk of amputations and prolonged hospital stay.

Epidemiology, clinical features, diagnosis and treatment of cerebral mucormycosis in diabetic patients: A systematic review of case reports and case series

Mycoses ◽  
2020 ◽  
Vol 63 (12) ◽  
pp. 1264-1282
Author(s):  
Zahra Chegini ◽  
Mojtaba Didehdar ◽  
Amin Khoshbayan ◽  
Shahin Rajaeih ◽  
Mohammadreza Salehi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Features ◽  
Case Reports ◽  
Case Series ◽  
Diagnosis And Treatment ◽  
Diabetic Patients

scholarly journals Influence of Microbiota on Diabetic Foot Wound in Comparison with Adjacent Normal Skin Based on the Clinical Features

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Ji-Ung Park ◽  
Bumjo Oh ◽  
Jung Pyo Lee ◽  
Min-Ha Choi ◽  
Min-Jung Lee ◽  
...  
Keyword(s):  
Clinical Features ◽  
Diabetic Foot ◽  
Normal Skin ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Diabetic Patients ◽  
Protein Digestion ◽  
Skin Microbiota ◽  
Host Cell Membrane ◽  
Lipopolysaccharide Biosynthesis

Diabetic foot ulcer (DFU) is a complication experienced by diabetic patients and does not heal well in an altered wound environment. Although diverse microbes in DFU were detected, little is known about their influences on diabetic foot wound (DFW) and the association with the skin microbiota in normal tissue from the same patients according to clinical features. We aimed to analyze the microbiota in normal skin and DFW tissue from the same subject and predict their roles based on clinical features. We analyzed the microbiota in normal skin and DFW tissue from the same subject and compared the associated members of microbiota with clinical parameters. The diversity of skin microbiota was higher than that of DFW tissues, along with compositional differences. In addition, different microbes were associated with clinical features. The proportions of Bacteroidetes, Prevotella, Peptoniphilus, Porphyromonas, and Dialister were higher in the severe groups than of the mild groups, whereas that of Firmicutes was lower in the severe groups. According to wound severity, the microbiota could be related to inflammation, damaging host cell membrane, and pathogenicity through lipopolysaccharide biosynthesis, cellular antigens, and protein digestion metabolism. The predicted DFW microbiota functions according to systemic diabetic status defined by ESRD and HbA1c, differed from those presented by wound severity. Results indicate that the microbiota in normal skin is related to the colonizing microbes in DFW tissue according to clinical features and the different microbes can play important roles in DFW prognosis. This information can be applied to prevent and manage DFW by modulating the microbiota.

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