scholarly journals Study of prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients attending rural health training centre of medical college in Bhopal, Madhya Pradesh, India

Author(s):  
Amod Borle ◽  
Neeraj Chhari ◽  
Girjesh Gupta ◽  
Vishal Bathma
Author(s):  
V. Aljin ◽  
R. Umadevi ◽  
V. M. Anantha Eashwar

Background: Diabetes mellitus (DM), a major threat to both developing and developed countries, which can be easily prevented by lifestyle modifications. Because of lack of awareness, the occurrence of diabetes and its complications is showing a steady increase. Empowering the patients with knowledge about diabetic self-care is expected to have better outcome of the disease. Thus this study was planned to assess the awareness and knowledge about diabetes among the patients with type 2 diabetes mellitus attending rural health care center. The objective of the study was to assess the awareness of diabetes among patients with type 2 diabetes mellitus attending a rural health and training centre (RHTC).Methods: A Cross sectional study was conducted to assess the awareness about diabetes among patients with type 2 diabetes, attending RHTC in Tamil Nadu. The study was conducted in outpatient clinic in RHTC, during the month of November and December 2017 and 258 patients with diabetes who gave written consent were included in the study. Data was collected using a pre-tested structured questionnaire through one-to-one interviews. Data entry and analysis was done using SPSS version 16.Results: It was found that, 63.1% of the participants had adequate knowledge regarding T2DM and family history of T2DM was one of the important determinant of having adequate knowledge regarding T2DM.Conclusions: Knowledge about diabetes is fair but still their practice on control of glycemic levels needs to be improved. This shows that there is a necessary to health educate the patients in order to prevent or postpone the complications of diabetes mellitus.  


Author(s):  
Mafooza Rashid ◽  
B. K. Gupta, Vinay Bharat ◽  
Abhishek Gupta ◽  
Zubair Rashid

Background: The aim of the study was to compare the hemoglobin levels among normal controls (patients) and patients of TypeII diabetes with HbA1c levels below 7 % & above 7 %.and secondly to identify the undetected cases of anemia in TypeII diabetes. Materials & Methods - 50 patients of type 2 diabetes mellitus with their glycosylated hemoglobin levels less than 7 %, 50 patients of type 2 diabetes mellitus with their glycosylated hemoglobin levels more than 7 % attending the Medicine outpatient department of Subharti Medical College and Hospital will be the subjects for the study.50 age and sex matched controls will be selected randomly from Subharti Medical College and Hospital. Informed written consent will be taken from all the subjects. The study will be conducted from January 2016 to January. Result - We studied 50 cases with HbA1C>7(poor control),50 cases with HbA1C 5.6 to7 (good control) and 50 controls with HbA1C ≤5.6, we observed in cases with HbA1C>7 (poorly control) ,the mean HbA1C is 9.9±2 and mean Hb is 9.8±1.3 as compared to cases with HbA1C 5.6 to 7(good control) where mean HbA1C is 6±0.4 and Hb is 13±0.5,this clearly indicates that in cases HbA1C is more Hb levels are low and when HbA1C is less Hb levels are higher. Conclusion - In the present study we found negative correlation between HbA1c & Hb levels. As the value of HbA1c increases, as in cases of HbA1c >7(poor diabetic control), we found low Hb levels as compared to the cases with HbA1c <7(5.6-7) (good control).


2017 ◽  
Vol 18 (2) ◽  
pp. 68-74
Author(s):  
Md Khairul Islam ◽  
Mostofa Kamal Chowdhury ◽  
HAM Nazmul Ahasan ◽  
Prodip Kumar Biswas

Background and Purpose: The development of type 2 diabetes mellitus (T2DM) is caused by a combination of genetic factors and lifestyle factors like obesity, lack of physical activity and stress. T2DM can develop in chronic liver disease (CLD) though its actual mechanism is not fully understood. In case of hepatitis B virus (HBV) related CLD, HBV infection has been directly related to development of abnormal glucose metabolism by pancreatic islets cell injury. Development of Insulin resistance in case of hepatitis C virus (HCV) is the key pathogenesis of development of type 2 diabetes. We aimed to study the magnitude of the problem of T2DM among the patients with various types of CLD and to find out the association of diabetes mellitus with the demographic and clinical characteristics of the patient admitted in Medicine ward in Dhaka Medical College Hospital.Methods: This was an observational cross sectional study of 60 patients admitted into department of Medicine, Dhaka Medical college hospital between June, 2013 to December, 2013. It included all patients ?18 years of age and admitted with CLD. A diagnosis of CLD was made clinically by any 2 stigmata of liver disease and biochemical, ultrasonographic, endoscopic evidence of esophageal varices ± liver biopsy.Results: Of the total 60 CLD patients, 40 (66.7%) suffered from chronic HBV infection, 11 (18.3%) chronic HCV infection and alcoholic liver disease 5 (8.3%), Autoimmune 1 (1.7%), Wilson disease 1 (1.7%) and unknown cause were 2 (3.3%). Among the study subjects 21.67% had overt Diabetes Mellitus and it was found to be highest among those with chronic hepatitis C (36.4%) and those with chronic hepatitis B (20%) alcohol (20%). Type 2 DM was significantly higher among the CLD patients aged more than 50 years or more.Conclusions: It can be concluded that the occurrence of diabetes and impaired glucose tolerance (IGT) could be a matter of great concern in CLD patients, indicating towards the need for regular monitoring of the glycemic status in these patients, which would have a definite role upon the treatment strategy.J MEDICINE July 2017; 18 (2) : 68-74


Author(s):  
Tamilarasan M. ◽  
Maniprabhu Selvaraju ◽  
Karthikeyan Kulothungan ◽  
Srirangathan T.

Background: Various studies from the urban population shows people are more susceptible to develop type 2 diabetes mellitus. Since the cause of diabetes is multifactorial it is necessary to screen the population to identify high-risk individuals. The objective of the study was to estimate the risk of developing type 2 Diabetes Mellitus (T2DM) using the Indian diabetes risk score (IDRS) and its determinants in the urban field practicing area of the medical college in Perambalur district.Methods: A cross-sectional study was conducted in an urban field practicing area of Dhanalakshmi Srinivasan Medical College and Hospital in Perambalur district. 400 participants of age more than 20 years enrolled in this study. IDRS risk score and data on other risk factors were obtained for every individual. Data entry was done in Excel and statistical analysis was done with SPSS version 16.Results: In our study, the proportion of male and female were almost equal. One-third of the participants 124 (31%) had a high risk of developing type 2 diabetes mellitus. Similarly, half of them 188 (47%) were at moderate risk and 88 (22%) had a low risk for diabetes. Statistically, a significant association was seen between high risk for T2DM and increased age, positive family history, Low socioeconomic status, living as a nuclear family, habits of smoking/Alcohol, and sedentary lifestyle.Conclusions: The risk of developing type 2 diabetes mellitus among the urban population is rising trends. For effective screening of the general population, IDRS can be used.


Author(s):  
Maryam Fatima ◽  
Zainab Ali ◽  
Zubia Zafar

Introduction: Type 2 diabetes mellitus (T2DM) is a group of metabolic diseases depicted by crippled insulin release by the pancreas and insulin resistance of body tissues.  Objectives: The main objective of the study is to analyse the prevalence of type 2 diabetes mellitus and pre-diabetes using HbA1c. Material and Methods: This cross sectional study was conducted in Islam Medical College Sialkot during 2020 to 2021. A special questionnaire concerning family history and health-related information was filled for all participants by direct interviews with the researchers. People previously diagnosed with diabetes or hemoglobinopathies were ruled out from the study. Blood samples were collected from all subjects using EDTA tubes and centrally analyzed for HbA1c. Results: The data was collected from 200 patients of both genders. In all, 200 participants were found to be currently diabetic, giving an overall prevalence of current condition to be 24.6% (95% CI 21.90 - 27.49) in the study population. History of disease was reported by 31.5% participants (P < 0.001). Conclusion: It is concluded that adjustments in platelet files are believed to be measurably connected with diabetes and its intricacies. The prevalence of type 2 diabetes and pre-diabetes is much higher than previously thought in Pakistan.


Author(s):  
Sampat Raj Nagar ◽  
Manish Jain

Background: Hypertension and diabetes have become important world-wide public-health challenges. Assessment of risk for Hypertension and Diabetes requires identifying an easy tool that can be used by health workers in screening programmes. To compare predictive value of WHtR against BMI in assessing risk of Hypertension and Diabetes. Methods: A case-control study was carried out at MB Hospital and Urban Health Training Centre (UHTC) attached to RNT Medical College, Udaipur, Rajasthan. Selected individuals were examined and interviewed using semi-structured questionnaire. Anthropometric measurements were carried out. Odds ratios were derived for quantitative analysis. Results: Observed proportion of BMI ≥ 25 kg /m2 was 60.4% in type 2 diabetes cases, whereas 39.6% in controls. Odds ratio was 2.383. Observed proportion of BMI ≥ 25 kg/ m2 was 66.7% in HTN cases, whereas 33.3% in controls with a Odds ratio of 3.484. An Odds ratio of 3.151, showed existence of strong association of WHtR above 0.5 with hypertension. Observed proportion of WHtR above 0.5 was 56.3% in type 2 diabetes cases, whereas 43.7% in controls and Odds ratio was 4.292. Conclusions: The OR of WHtR in diabetes (4.292) in compared to OR of BMI (2.303), shows the strength of association of WHtR as an alarming risk factor for diabetes than BMI; whereas an equivalent strength of association was observed for hypertension. Study favours the use of anthropometric measures especially WHtR for predicting type 2 diabetes mellitus and hypertension. 


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