scholarly journals A comparative evaluation of blood sugar and glycosylated hemoglobin in clinically manifested diabetic neuropathy

2018 ◽  
Vol 5 (4) ◽  
pp. 997
Author(s):  
Md. Mubasheer Ali ◽  
Ahmed Mohiuddin

Background: It is very well established that tight control of diabetes reduces if not prevents the risk of neuropathy.  The benefit of other mode of therapy like myo- inositol supplementation and aldose reductase inhibitors remain to be established. Objective of present study to compare blood sugar and glycosylated hemoglobin in clinically manifested diabetic neuropathy.Methods: Hospital based cross sectional study was carried out at Department of General Medicine, from August 2016 to October 2017 among 60 patients of diabetic neuropathy. These patients were subjected thorough evaluation as per the proforma.Results: As per the blood sugar levels, 15% were normal. As per glycosylated hemoglobin levels, only one patient was found to be normal. Thus, glycosylated hemoglobin showed evidence of poor control more frequently than blood sugar estimation in these patients. Patients with both retinopathy and neuropathy in this study had diabetes mellitus for periods 2 months to 20 years.  (Mean 8.2yrs).  Thus, it can be seen that glycosylated hemoglobin is a more sensitive indicator of poor control of diabetes mellitus than blood sugar. This difference is statistically significant (P <0.05).Conclusions: Thus, as an integral of diabetic control, glycosylated hemoglobin (HbA1C) estimation is superior to the conventional measures in assessment of control.

2021 ◽  
Vol 6 (3) ◽  
pp. 193-196
Author(s):  
Tobin Joseph ◽  
Saumya P Jose

Diabetes mellitus is one of the most common comorbid illnesses seen in adults and elderly individual. Its prevalence rate is increasing globally and in India. 7.1 % of the total population is affected with diabetes. The present study is a community based cross sectional study to investigate the relationship between alcohol consumption and diabetes incidence among young adults. 120 participants were recruited through purposive sampling. Fasting blood sugar and post prandial blood sugar level were taken to identify the diabetic profile. The data were collected and analyzed by using descriptive statistics and results showed that there is a strong association exit between these parameters. Keywords: Type 2 Diabetes Mellitus, Alcohol Consumption, Young Adult, Mangalore


2021 ◽  
Vol 2 (1) ◽  
pp. 134-139
Author(s):  
Cindy Fangesty ◽  
Wienaldi

A B S T R A C TDiabetes Mellitus (DM) is a group of metabolic diseases characterized byhyperglycemia. Various epidemiological studies have shown an increasing trend in theincidence and prevalence of diabetes mellitus in various parts of the world. Lifestylechanges lead to an increasing prevalence of the metabolic syndrome diabetes mellitus.This study aims to determine the description of blood sugar levels during class 2017students of the Faculty of Medicine, Prima Indonesia University. This type ofobservational analytic research with sampling techniques using non-methods Thisresearch is a descriptive study with a cross sectional study design. This research willbe carried out at the UNPRI campus building 1. The sample of this study is all medicalstudents of the 2017 Prima Indonesia University class totaling 99 people. Data werecollected using a questionnaire and analyzed by univariate. The results showed that themajority of the respondents were female, namely 66 people (66.7%), while only 33 malerespondents (33.3%) were male respondents. According to blood sugar levels, allrespondents had normal blood sugar levels (100%). Respondents are advised tomaintain a healthy diet and lifestyle so that their blood sugar levels remain stable andultimately avoid the risk of diabetes mellitus.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hasan Mahmud Reza ◽  
Towhid Hasan ◽  
Marjia Sultana ◽  
Md. Omar Faruque

Purpose Diabetes mellitus is becoming a growing concern worldwide. Hence, the purpose of this study is to assess the magnitude of poor glycemic control and to identify the determinants of poor glycemic control among diabetic patients attending a tertiary care hospital in Bangladesh. Design/methodology/approach This cross-sectional study was conducted among 732 diabetes patients seeking care at the outpatient department of Bangladesh Institute of Health Sciences Hospital, Dhaka, Bangladesh. Information, including glycemic status, was collected from patients’ medical records using a structured questionnaire. Findings About 87.6% of the patients were found to have poor glycemic control (glycosylated hemoglobin = 7%). Variables that were significant in bivariate analysis were put into a multivariate model where the factors associated with poor glycemic control were patients aged 41–60 years (odds ratio (OR)=2.26; 95% confidence interval (CI): 1.19–4.32, p = 0.013), suffering from diabetes for > 7 years (OR = 1.84; 95% CI: 1.12–2.99, p = 0.015), using insulin (OR = 2.34; 95% CI: 1.23–4.47; p = 0.010) or diet alone (OR = 0.20; 95% CI: 0.05–0.80, p = 0.023) as a type of diabetes treatment and proper use of medicine (OR = 0.37; 95% CI: 0.17–0.82, p = 0.015). Originality/value The high prevalence of poor glycemic control among diabetic patients is evident; therefore, strategic management and proper attention focusing on the predictors of poor glycemic control are necessary to reduce the long-term complications of diabetes.


2019 ◽  
Vol 4 (8) ◽  
pp. 474
Author(s):  
Litae Litae ◽  
Maria Magdalena Purba ◽  
Irene Febriani Febriani

Diabetes Mellitus (DM) is a medical disorder is a collection of symptoms caused by elevated levels of sugar or due to insulin resistance. DM is a non-communicable diseases. Riskesdas 2007 in Central Kalimantan diabetes prevalence of 0.9%, but were diagnosed by health personnel by 0.6%. While in the city of Palangkaraya. Prevalence of diabetes of 1.4%, but were diagnosed DM client just as much as 1.1%. This study aims to determine the relationship of the level of anxiety with increased blood sugar levels in diabetes mellitus clients in the region of Bukit Pukesmas Hindu city of Palangkaraya. Methods descriptive analytic cross sectional study design. The research sample as many as 65 people. The results showed that the DM Client Anxiety in Puskesmas Bukit Hindu city of Palangkaraya that her blood sugar levels <200 mg / dl was 23.1% mild anxiety and 24.6% were worried. Anxiety DM client that blood glucose levels> 200 mg / dl was 21.5% mild anxiety, and 30.8% were worried. Obtained a significant relationship between the level of anxiety with increased levels of sugar in clients with diabetes mellitus, where respondents blood sugar> 200 mg / dl with a moderate level of anxiety has peluag 5.787 times greater risk than the volunteers were mild anxiety level.


Author(s):  
Sadhna Sharma ◽  
Shaik Afsar Pasha ◽  
Mohammad Khawja Mohidden ◽  
E. Srikanth

Background: A wide range of commotions affecting the central and peripheral nervous systems, either directly or indirectly, may be observed in patients with diabetes mellitus. The spectrum of neurological complications among diabetes are quite varied.Methods: Authors conducted a Cross-sectional prospective observational study to study different neurological manifestations of diabetes mellitus. at NRI General Hospital, Chinakakani, Guntur District, Andhra Pradesh. The selected patients were studied in detail with history and physical examination. The investigations included Fasting Blood Sugar (FBS), Postprandial Blood Sugar (PPBS), Glycosylated Hemoglobin (HbA1C).Results: A total of 100 subjects were included in the final analysis. Majority of participants were aged between 46 to 65 years, and 55% of them were males. Only 13% of the participants had HBA1c value below 7.5 gm%. Out of 100 participants, 82% participants had diabetic peripheral neuropathy. A total of 6 subjects had cranial neuropathy, with 5% participants having 3rd nerve and one participant had 6th nerve. Involuntary movements (Chorea) was present in 4% of patients. Among the people with Seizures, 6% participants had Hyperglycemic, and 2% participants had Hypoglycemic seizures. Out of 100 participants, 7 participants had dysautonomia.Conclusions: Peripheral neuropathy was the most common neurological manifestation among the diabetic population. The other key neurological abnormalities include cranial nerve palsy, dysautonomia, seizures and Chorea. Clinicians need to be aware the entire spectrum of neurological abnormalities among patients with type 2 Diabetes.


2017 ◽  
Vol 1 (1) ◽  
pp. 39
Author(s):  
Musdalifah Syamsul ◽  
Nurul Fatwa Abidin

<p><em>Diabetes mellitus is one of the generative disease that increase every year. Most cases of diabetes mellitus in Indonesia is type 2, the prevalence 90-95% of all cases of diabetes. About 7% of South Sulawesi's population suffer from this disease. DM is a lifelong disease that requires good management, especially in terms of blood sugar control. The aim of study is to determine factors associated blood sugar level of patients DM type 2 in RSUD Kota Makassar.This study used cross sectional study approach and sample of 149 people. This research was conducted at Internal Polyclinic of RSUD Kota Makassar, data were collected using questionnaires and patient medical records file. The results of univariate analysis showed that most respondents got adequate family support (55.1%). Most people with type 2 diabetes melitus in RSUD Kota Makassar had good diet (51.5%). Blood sugar levels of respondents in this study which were still not well controlled (77.9%). Bivariate analysis with chi square test showed that family support was not related to blood sugar levels (p = 0.26) while diet was associated with blood sugar levels (p = 0,000, = 0.523). That blood sugar levels related with dietary, not family support. <strong>:</strong> It is desirable for health workers to optimize the counseling method for patients, especially in terms of motivating patients to control disease and family should be involved in the counseling activities</em><em>.</em><em></em></p><pre><strong><em> </em></strong></pre><pre><strong><br /></strong><em></em><strong><em></em></strong></pre>


2019 ◽  
Vol 6 (3) ◽  
pp. 901
Author(s):  
Vasanti A. Jeergal ◽  
Jayshree J. Upadhye

Background: Doctors know everything about cause, diagnosis, treatment and care to be taken for diabetes mellitus. This study was carried out to evaluate awareness, attitude and practices of diabetes in doctors.Methods: A cross sectional study was conducted among 100 male and 100 female doctors of various subjects who attended a conference at Mangaluru 25th to 27th October 2018.Results: Prevalence of diabetes mellitus was 12% in male doctors while it was 8% in female doctors. 11 (91.66%) male doctors and 8 (100%) female doctors were taking medicines for diabetes regularly, 8 (66.66%) male doctors and 7 (87.5%) female doctors were doing blood sugar regularly, 7 (58.33%) male doctors and 5 (62.5%) female doctors were doing diet control, 7 (58.33%) male doctors and 5 (62.5%) female doctors were doing exercise regularly, 9 (75%) male doctors and 8 (100%) female doctors were using footwear while 6 (50%) male doctors and 4 (50%) female doctors were taking proper dental care.Conclusions: In present study, doctors were aware of causes, diagnosis, treatment & care to be taken in diabetes. Still, routine check-up was not seen in 100%. After diagnosis, doctors were taking medicines quite regularly but regular follow up for diabetes & cardiovascular risk was seen in less numbers.


2019 ◽  
Vol 6 (3) ◽  
pp. 867
Author(s):  
Abdelmuhsin H. Eisa ◽  
Amir A. Bashir ◽  
Asim A. Osman ◽  
Ibrahim A. Ali ◽  
Kamal M. Awad ◽  
...  

Background: Diabetes mellitus and thyroid diseases are the most prevalent metabolic disorders in Sudan. The value of HbA1C reflects the glycemic status over the last 2-3 months. So, in this study, an insight for thyroid hormone regulation of glucose metabolism is investigated. Is to study the association between thyroid hormones levels, fasting blood sugar (FBS) and HbA1c in healthy adults.Methods: A cross sectional study was performed in a healthy Sudanese cohort in the period between September 2017 to November 2018, involving 610 healthy adult Sudanese aged 20 to 60 years. HbA1c, fasting blood sugar (FBS), T3, T4 and TSH were measured.Results: The study results demonstrated a significant association between the median concentration of T3 and T4 with plasma level of HbA1c. A significant linear correlation between serum concentration of T3 and fasting blood sugar (FBS) was observed. Inverse correlation was detected between serum TSH and HbA1c, FBS in study population.Conclusions: The present study concluded that FBS and HbA1c levels were increased with increasing of both T3 and T4. Based on this study all the thyroid patients’ especially hyperthyroid patients should have regular checkup of their glucose levels.


2021 ◽  
Vol 2 (2) ◽  
pp. 124-128
Author(s):  
Cindy Fangesty ◽  
Wienaldi

Diabetes Mellitus (DM) is a group of metabolic diseases characterized byhyperglycemia. Various epidemiological studies have shown an increasing trend in theincidence and prevalence of diabetes mellitus in various parts of the world. Lifestylechanges lead to an increasing prevalence of the metabolic syndrome diabetes mellitus.This study aims to determine the description of blood sugar levels during class 2017students of the Faculty of Medicine, Prima Indonesia University. This type ofobservational analytic research with sampling techniques using non-methods Thisresearch is a descriptive study with a cross sectional study design. This research willbe carried out at the UNPRI campus building 1. The sample of this study is all medicalstudents of the 2017 Prima Indonesia University class totaling 99 people. Data werecollected using a questionnaire and analyzed by univariate. The results showed that themajority of the respondents were female, namely 66 people (66.7%), while only 33 malerespondents (33.3%) were male respondents. According to blood sugar levels, allrespondents had normal blood sugar levels (100%). Respondents are advised tomaintain a healthy diet and lifestyle so that their blood sugar levels remain stable andultimately avoid the risk of diabetes mellitus.


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