scholarly journals Clinical profile of patients with diabetes: a hospital based cross sectional study

2021 ◽  
Vol 8 (10) ◽  
pp. 1571
Author(s):  
Abhishek Sabbani ◽  
Keerthana Medidhi

Background: Diabetes is a leading cause of morbidity and mortality. Early identification of complications and management of the same is important to prevent the morbidity and mortality. The objective of the study was to study the clinical profile of patients with diabetes.Methods: A hospital based cross sectional study was carried out among 25 diabetic individuals. Baseline demographic details, risk factors and complications were noted. Investigations like fasting blood sugar, lipid profile and blood pressure were carried out for all patients. Their treatment status was noted.Results: Majority (56%) belonged to age group of 40-59 years. Males were more (64%) than females (36%). Only 28% were normal weight. 52% admitted that they consumed alcohol. 72% were non-smokers and only 8% were tobacco chewers. Hypertension was the most common complication associated with diabetes in 64% of the cases. 4% each had coronary heart disease, stroke, and neuropathy. No one was found to have cataract. 12% had diabetic foot while 8% had kidney disease. Mean levels of total cholesterol was 164.76; mean level of triglyceride was 169.28; mean level of HDL was 45.08; mean level of LDL was 91.32; mean level of Fasting blood sugar was 186; mean Systolic blood pressure was 168.48 and mean Diastolic blood pressure was 114.4. Majority (76%) were on Oral hypoglycemic drugs only and only 4% were on insulin. 20% were on Oral hypoglycemic drugs + insulin.Conclusions: Males were affected more with diabetes. Hypertension was the most common complication. Significant number had developed serious complications and hence early screening for complications in all diabetes patients is required.

2021 ◽  
Vol 8 (11) ◽  
pp. 1724
Author(s):  
Keerthana Medidhi ◽  
Abhishek Sabbani

Background: Hypertension is a major risk factor for critical diseases like coronary heart disease, stroke, kidney disease etc. Hence adequate control of blood pressure is of utmost importance to prevent these complications. Objectives of the study was to study the clinical, laboratory and complication profile of patients with hypertensionMethods: A hospital based cross sectional study was carried out among 30 known cases of hypertension. Investigations/measurements like Blood pressure, body mass index, lipid profile, fasting blood sugar were done for all cases.Results: Majority belonged to age group of >60 years (56.7%). Males were more (70%) than females (30%). About 60% had hypertension for >5 years. Only 26.7% were normal weight and remaining were either overweight or obese. The 56.7% admitted that they consumed alcohol. The 76.7% were non-smokers and only 10% were tobacco chewers. The 63.3% had family history of hypertension. Diabetes was the most common co morbidity associated with hypertension in 16.7% of the cases. The 10% each had coronary heart disease, and kidney disease. Mean levels of total cholesterol was 163.93; mean level of triglyceride was 159.53; mean level of HDL was 44.4; mean level of LDL was 84.76; mean level of Fasting blood sugar was 110.66; mean Systolic blood pressure was 134.66 and mean diastolic blood pressure was 86. Majority i.e., 90% were taking treatment for hypertension regularly while only 10% were not taking it regularly Conclusions: Hypertensives were elderly and males were more affected with hypertension than females. Majority were hypertensives for more than five years. Diabetes was the most common co morbidity. Blood pressure was under control as majority were taking treatment regularly


Author(s):  
Pankaj Jain ◽  
Om Prakash Meena ◽  
Shivcharan Jelia

Background: Dengue, an endemic disease in most subtropical and tropical regions of the world and it causes severe epidemics in India. Dengue is one of the most common acute viral illness associated with considerable morbidity and mortality. The objective of this study was to study laboratory findings and clinical profile of patients with dengue fever at a tertiary care hospital of coaching city Kota.Methods: This study was cross sectional study. The patients were examined at one point of time and later they were never followed which is similar to the cross-sectional study design. A total of 100 patients of dengue fever who were NS1 Antigen or IgM dengue positive, admitted to department of medicine of government medical college, Kota included in the study. Through clinical examination and relevant laboratory investigations performed in all patients.Results: In the present study, there were 74 males and 26 females. The sex ratio was 2.8:1. Maximum number of males (50%) was in the age group of 15-25 Years. Among females the maximum (42.3%) were in the age group of 15-25 years. The most common presenting symptom was fever in all cases followed by headache in 96%. Among bleeding manifestation, Epistaxis, gum bleeding and melena (24%) were the common symptom. 47% patients showed hepatomegaly and 38% showed splenomegaly. 12% patients were anemic and 51% showed leucopenia while 93% showed thrombocytopenia.Conclusions: Males were commonly affected. Young age group of 15-25 was more commonly affected. Fever and headache were the most common presenting symptom. As dengue causes increased morbidity and mortality and requires prompt diagnosis and treatment for the proper management of these cases, this study helps physicians in early diagnosis of dengue by suspecting the features as of dengue and can prevent morbidity and mortality associated with dengue.


Author(s):  
Girish I. ◽  
Vijeth S. B. ◽  
Nandini H. V.

Background: Microalbuminuria is an earliest marker of overt diabetic nephropathy, hence monitoring microalbuminuria in patients with diabetes mellites helps to predict and prevent overt diabetic nephropathy. This cross-sectional study was done to find out the prevalence of microalbuminuria in 200 patients with diabetes mellitus attending medicine OPD of Basaweshwara medical college hospital (BMCH), Chitradurga.Methods: 200 patients with Diabetes mellitus visiting the medicine OPD of BMCH, Chitradurga were considered for the study. Patients history and physical examination findings like duration of diabetes, hypertension, smoking and BMI were considered. Relevant blood investigations like fasting blood sugar, glycated haemoglobin (HbA1c), serum cholesterol and creatinine were done. Microalbuminuria was assessed using dipstick kits in an early morning urine samples.Results: The prevalence of normoalbuminuria was 71% and microalbuminuria was 29%. The prevalence of microalbuminuria increased with the increase in duration of diabetes.Conclusions: Prevalence of microalbuminuria among the patients with diabetes depends upon risk factors like blood pressure control, duration of diabetes, fasting blood sugar and HbA1c. Early identification of high risk patients and the subsequent initiation of renal and cardiovascular protective agents helps to reduce the burden of diabetic kidney disease. 


2021 ◽  
Vol 71 (5) ◽  
pp. 1797-1800
Author(s):  
Muhammad Imran Ibrahim ◽  
Khalida Nasreen ◽  
Shaheen Kamal

Objective: To determine the association of body mass index, blood pressure and fasting blood sugar with the gender in the UN staff of Liberia. Study Design: Cross sectional study. Place and Duration of Study: Level-II Hospital Monrovia, Liberia, from May to Aug 2017. Methodology: This study was conducted in the United Nation staff of Liberia, at level-II Hospital, where, routine medical check was conducted and anthropometric measurements as well as blood pressure and fasting blood sugar values were noted. Body mass index, fasting blood sugar and blood pressure values were recorded and fasting blood sugar and blood pressure values were compared for its relationship with varying body mass index values. Result: Total 300 individuals were monitored, out of them 226 (75.3%) were males and 74 (24.7%) were females. Mean weight of males was found to be 81 ± 14.6 Kg and for females 72.5 ± 11.6 kg there was found statistically significant (p<0.001) in both male and female and There was no significant difference of gender with Fasting blood glucose (p=0.395), systolic blood pressure (p=0.281) and diastolic blood pressure (p=0.425). Conclusion: Significant association was seen between body mass index and blood pressure in both males and female as well as for fasting blood sugar in males. Hence, simple measurement of body mass index can be used as important health prognostic marker and thus can be used in regular routine medical assessment for maintaining and following healthy living.


Author(s):  
José João Mendes ◽  
João Viana ◽  
Filipe Cruz ◽  
Dinis Pereira ◽  
Sílvia Ferreira ◽  
...  

We aimed to investigate the association between blood pressure (BP) and tooth loss and the mediation effect of age. A cross-sectional study from a reference dental hospital was conducted from September 2017 to July 2020. Single measures of BP were taken via an automated sphygmomanometer device. Tooth loss was assessed through oral examination and confirmed radiographically. Severe tooth loss was defined as 10 or more teeth lost. Additional study covariates were collected via sociodemographic and medical questionnaires. A total of 10,576 patients were included. Hypertension was more prevalent in severe tooth loss patients than nonsevere tooth lost (56.1% vs. 39.3%, p < 0.001). The frequency of likely undiagnosed hypertension was 43.4%. The adjusted logistic model for sex, smoking habits and body mass index confirmed the association between continuous measures of high BP and continuous measures of tooth loss (odds ratio (OR) = 1.05, 95% CI: 1.03–1.06, p < 0.001). Age mediated 80.0% and 87.5% of the association between periodontitis with both systolic BP (p < 0.001) and diastolic BP (p < 0.001), respectively. Therefore, hypertension and tooth loss are associated, with a consistent mediation effect of age. Frequency of undiagnosed hypertension was elevated. Age, gender, active smoking, and BMI were independently associated with raised BP.


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