Prevalence of complications of diabetes among patients with diabetes mellitus attending a tertiary care centre in Tamil Nadu

Background: Diabetes will be the 7th leading cause of death by the year 2030 as per the World Health Organization. In adults the prevalence of diabetes globally has risen from 4.7% in 1980 to 8.5% in 2014. Level of awareness depends on socioeconomic class, literacy of the patients, training received by them, source of information on diabetes. Knowledge, attitude, and practices about diabetes mellitus and its complications are important to reduce the prevalence and morbidity associated with diabetes mellitus and its complications.Methods: The cross sectional study was conducted among 201 patients with diabetes visiting. Outpatient department of Sree Mookambika Institute of Medical Sciences, Kulasekharam, Tamil Nadu during a period from January 2017 to June 2018 using a pre-tested, semi structured questionnaire.Results: Among 201 patients with diabetes included in the study, 69.0% had one or more of the complications of diabetes. Factors significantly associated with high rate of complications were the female gender (p<0.001), obesity, rural residential area, high blood pressure (p<0.001), familial history of diabetes (p<0.001), duration of the disease above 5 years (p< 0.001) and high HbA1c level (p<0.001).Conclusions: This study revealed that type 2 diabetic patients followed up in the OPD of SMIMS showed a high rate of chronic complications which often occurred in age more than 50 years. Socio-demographic and biological factors were significantly associated with the high rate of complications of diabetes.

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Awareness of Complications in Diabetic Patients - Study in a Tertiary Care Centre in Kerala

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/605 ◽

2021 ◽

Vol 8 (37) ◽

pp. 3334-3338

Author(s):

Satish Kumar

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Tertiary Care ◽

Diabetic Patients ◽

Tertiary Care Centre ◽

Type 2 Diabetic Patients ◽

Complications Of Diabetes ◽

Type 2 Diabetic

BACKGROUND Type 2 diabetes mellitus is common in the Indian population and awareness regarding the disease and its complications is low among the patients with diabetes. There is lack of studies regarding awareness of complications of diabetes among type 2 diabetic patients. The purpose of this study was to assess the awareness of diabetic complications among type 2 diabetic patients. METHODS This is an institutional based observational study. The sample comprised of 150 adult patients with type 2 diabetes mellitus who underwent treatment in the Department of Medicine, Medical College Kottayam and the patient’s age ranged from 18 - 77 years. RESULTS Majority of patients were in the age group 38 to 57 and the sample comprised of 56 % males and 44 % female patients. Out of 150 patients involved in the study, 120 patients (80 %) were aware of the complications of diabetes mellitus. Among the male patients, 70 (83.33 %) and among females, 50 (75.75 %) were aware of the complications in diabetes. In the study sample, 92 (61.33 %) were aware of the foot problems, 120 patients (80 %) were aware of renal complications, 91 patients were aware regarding eye problems of diabetes, 38 (25.33 %) regarding development of hypertension, 62 (41.33 %) regarding heart attack, 42 (28 %) patients were aware regarding development of stroke and 78 patients (52 %) had awareness regarding occurrence of recurrent infections. CONCLUSIONS Awareness regarding diabetes and its complications is fairly good among the diabetic patients in Kerala. Awareness regarding all complications of diabetes was higher among males than females. Providing awareness to type 2 diabetic patients by various educational programs may be of further help to prevent complications and to decrease the mortality and morbidity in type 2 diabetes patients. KEYWORDS Awareness, Diabetes

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Prevalence of hypothyroidism in patients with type 2 diabetes mellitus attending a tertiary care hospital in a rural area of Bihar, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20184437 ◽

2018 ◽

Vol 6 (11) ◽

pp. 3721

Author(s):

Abhishek Kamendu ◽

Ahmad Nadeem Aslami

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Tertiary Care ◽

Overt Hypothyroidism ◽

Diabetic Patients ◽

Care Hospital ◽

Tertiary Care Centre ◽

Type 2 Diabetic Patients

Background: Diabetes has become a major health challenge all over the world. Previous studies have found that diabetes and thyroid disorders mutually influence each other and both disorders tend to coexist. The aim of this study was to find out prevalence of hypothyroidism and its associated factors in type 2 diabetes mellitus patients.Methods: Consecutive 200 patients with type 2 diabetes mellitus attending outpatient department of medicine in a tertiary care centre in Sasaram, Bihar were evaluated clinically and biochemically. Subclinical hypothyroid and overt hypothyroidism was diagnosed as per standard definitions. The results obtained were statistically analysed by using chi square test and finding odds ratio.Results: Out of 200 patients, 75.5% were euthyroid while 24.5% were hypothyroid. Out of 49 hypothyroid patients, subclinical hypothyroid (SC-Hypo) was present in 41 patients and overt hypothyroid (C-Hypo) was present in only 8 patients. The prevalence of hypothyroidism was found more in males, age ≥60 years, patients with HbA1c value ≥7%, patients with diabetes duration less than 5 years and in hypertensive patients.Conclusions: Thyroid dysfunction screening should be done in all type 2 diabetic patients periodically and appropriate individualized treatments in addition to thyroid function test should be given to diabetes mellitus patients with subclinical hypothyroidism as well.

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COMPARATIVE HEMATOLOGICAL STUDY OF TYPE 2 DIABETIC AND NON-DIABETIC PATIENTS IN ERODE DISTRICT, TAMIL NADU

10.36106/ijar/4813855 ◽

2021 ◽

pp. 29-30

Author(s):

Murugesan Thinakaran ◽

Thangadurai Chitra

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Tamil Nadu ◽

Haematological Parameters ◽

Diabetic Patients ◽

Type 2 Diabetic Patients ◽

Hematological Indices ◽

Patients With Diabetes ◽

Type 2 Diabetic

Background And Objectives: Previous studies have shown that hematological alterations are a common nding in patients with diabetes. To aim of our study was to explore the hematological indices in type 2 diabetic patients compared with non-diabetic individual. Establish the role of haematological parameters as an early prevention strategy. Materialand Method: Two hundred and forty-six subjects were recruited for this study, one hundred and fourteen with type 2 diabetes and One hundred and thirty-two non-diabetes, were evaluated for haematological parameters using hematologic analyzer. All the information's about the disease was collected with the knowledge of the patients form the concern hospital and laboratory. Results And Conclusions: Results were compared with the same measurements in 132 subjects without diabetes mellitus. The haematological prole associated with Type2 diabetic patients signicantly reduced Hb, RBCs, PCV and MCV than Non diabetes. Increased MCHC and WBCs were noted in Type2 diabetes. Our ndings suggest the need of screening for routine hematological tests in type 2 diabetes mellitus

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Study of effect of normal occlusion and malocclusion on periodontal condition of diabetes mellitus patients in dental OPD (Orthodontics) at tertiary care centre, Patna, Bihar, India: A case-control study

IP Indian Journal of Orthodontics and Dentofacial Research ◽

10.18231/j.ijodr.2021.023 ◽

2021 ◽

Vol 7 (2) ◽

pp. 128-136

Author(s):

Sanjay Kumar ◽

Ved Prakash ◽

Vibha Rani ◽

Arshad Ahmad ◽

AK Sharma

Keyword(s):

Diabetes Mellitus ◽

Prevalence Rate ◽

Periodontal Diseases ◽

Tertiary Care ◽

Case Control ◽

Diabetic Patients ◽

Tertiary Care Centre ◽

Normal Occlusion ◽

Patients With Diabetes ◽

Microsoft Office

: Diabetes mellitus is a metabolic disorder in which there is an abnormal elevation of blood glucose level. The periodontitis is recognized as the sixth complication of diabetes. The role of malocclusion in accelerating plague deposition is well known however in normal occlusion with well aligned teeth is less documented. So, the objectives of the study are to study the prevalence of periodontitis in diabetic patients with malocclusion and in normal occlusion and to study the effect of various determinants of diabetes mellitus if at all exists. : It is case-control observational study. Two hundred (200) patients were included in the study from the dental OPD (Orthodontics) of Dept. of Dentistry, and from the Dept. of Endocrinology, Indira Gandhi institute of medical sciences, Patna, Bihar, India. The statistical analysis was done Microsoft office excel. The results were analysed in frequencies and percentages to estimate the prevalence of malocclusion and occlusion in patients with diabetes mellitus and their effects on periodontium of the teeth. The prevalence rate of severe destructive periodontal diseases (SDPD) in malocclusion group was 81.72% than in normal occlusion group with less prevalence rate of 55.21%. The prevalence of severe destructive periodontal diseases in the uncontrolled diabetes mellitus in malocclusion group was more than in normal occlusion group, with maximum periodontium destruction observed during first between 1-5 years of detection of diabetes.

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Study of thyroid dysfunction in type 2 diabetes mellitus

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20204972 ◽

2020 ◽

Vol 7 (12) ◽

pp. 1815

Author(s):

Mausam Jain ◽

Pramod R. Jha ◽

Gaurang Patel

Keyword(s):

Diabetes Mellitus ◽

Glycaemic Control ◽

Thyroid Dysfunction ◽

Tertiary Care ◽

Type Ii Diabetes Mellitus ◽

Diabetic Patients ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Long Duration

Background: Aim was to study prevalence of thyroid dysfunction in type II diabetes mellitus (T2DM) patients.Methods: The present study was a cross sectional observational study, which focused on cases of diabetes mellitus. Study was conducted in Departments of Medicine, SBKS MI & RC, a tertiary care centre for a period of 6 months. All the patients of T2DM were included. Total of 263 patients were enrolled which involved indoor, outpatient and diabetic clinic attending patients. A detailed history taking, clinical examination and relevant investigations (Hb%, Total count, platelet count, serum creatinine, FBS, PP2BS, HbA1C, S.TSH, F.T3 and F.T4). Appropriate statistical analytics were used and important correlations and conclusions were drawn.Results: A study of thyroid dysfunction (TD) in T2DM patients which included 263 diabetic patients, out of them 67 had thyroid dysfunction. Out of these 67 patients 43 were female and 24 were male. This suggests that female was more prone to thyroid dysfunction than males. Out of 67 TD patients, 42 were above the age of 50 year. So, as the age increases the prevalence of TD also increases thyroid dysfunction also depends on the glycaemic control of the patients. Out of 67 patients 22 patients had>8.0 HbA1C level. In our study we found that as the glycaemic control became poorer the prevalence of TD increase in hypothyroid but not in hyperthyroidism.Conclusions: Following conclusions were drawn from this study TD is more common in female than male, more after the age of 50 year, in T2DM patients. Hypothyroidism is more common with poor glycaemic control and long duration of T2DM patients. But for hyperthyroidism data which we evaluated was not significant and further conclusion bigger study is needed.

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DYSLIPIDEMIA – TYPE2 DIABETES AND NON DIABETES POPULATION IN AND AROUND ERODE DISTRICT, TAMILNADU

10.36106/ijar/4900437 ◽

2021 ◽

pp. 8-9

Author(s):

Murugesan Thinakaran ◽

Thangadurai Chitra

Keyword(s):

Diabetes Mellitus ◽

Cardiovascular Complications ◽

Diabetic Patients ◽

Type 2 Diabetic Patients ◽

Lipid Status ◽

Type2 Diabetes ◽

Patients With Diabetes ◽

Tertiary Hospitals ◽

Low Hdl

Background and objects: Patients with diabetes mellitus are at high risk of cardiovascular events because of abnormal lipid status. Dyslipidemia is common in diabetes mellitus and is associated with cardiovascular complications. Early diagnosis and treatment is the main cornerstone in the prevention of its multiple complications. The aim of the study was to determine the prevalence of abnormal lipid prole levels. Materials and Method: The study population was made up of Eighty-ve (85) already diagnosed type 2 diabetic patients and Ninety-two (92) with an age range of 28 to 70 years, who come from routine health, follow up at various tertiary hospitals in Erode. The samples were analyzed using the chemical analyzer COBAS INTEGRA 400. Results and Conclusion: Dyslipidemia was found in 63.52% in type2 diabetes patients and 43.47% in non-diabetic patients. High TG, high LDL-C, high TC and low HDL-C exhibited an increasing trend in the proportion of patients with dyslipidemia. The following risk factors namely female sex, age above 50- years, BMI (overweight and obese), poor glycemic control, central obesity and physical inactivity were associated with diabetic dyslipidemia. This study presents some interesting and novel ndings which may be very important in the care and management of patients with type-2 diabetes.

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Sentinel visits in emergency department patients with diabetes mellitus as a warning sign for hyperglycemic emergencies

CJEM ◽

10.1017/cem.2017.338 ◽

2017 ◽

Vol 20 (2) ◽

pp. 230-237 ◽

Cited By ~ 4

Author(s):

Justin W. Yan ◽

Katherine M. Gushulak ◽

Melanie P. Columbus ◽

Alexandra L. Hamelin ◽

George A. Wells ◽

...

Keyword(s):

Diabetes Mellitus ◽

Emergency Department ◽

Blood Glucose ◽

Tertiary Care ◽

Patient Characteristics ◽

Warning Sign ◽

Diabetic Patients ◽

Discharge Instructions ◽

Patients With Diabetes ◽

Hyperosmolar Hyperglycemic State

ABSTRACTObjectivesPatients with poorly controlled diabetes mellitus may have a sentinel emergency department (ED) visit for a precipitating condition prior to presenting for a hyperglycemic emergency, such as diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). This study’s objective was to describe the epidemiology and outcomes of patients with a sentinel ED visit prior to their hyperglycemic emergency visit.MethodsThis was a 1-year health records review of patients≥18 years old presenting to one of four tertiary care EDs with a discharge diagnosis of hyperglycemia, DKA, or HHS. Trained research personnel collected data on patient characteristics, management, disposition, and determined whether patients came to the ED within the 14 days prior to their hyperglycemia visit. Descriptive statistics were used to summarize the data.ResultsOf 833 visits for hyperglycemia, 142 (17.0%; 95% CI: 14.5% to 19.6%) had a sentinel ED presentation within the preceding 14 days. Mean (SD) age was 50.5 (19.0) years and 54.4% were male; 104 (73.2%) were discharged from this initial visit, and 98/104 (94.2%) were discharged either without their glucose checked or with an elevated blood glucose (>11.0 mmol/L). Of the sentinel visits, 93 (65.5%) were for hyperglycemia and 22 (15.5%) for infection. Upon returning to the ED, 61/142 (43.0%) were admitted for severe hyperglycemia, DKA, or HHS.ConclusionIn this unique ED-based study, diabetic patients with a sentinel ED visit often returned and required subsequent admission for hyperglycemia. Clinicians should be vigilant in checking blood glucose and provide clear discharge instructions for follow-up and glucose management to prevent further hyperglycemic emergencies from occurring.

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Cutaneous manifestations of diabetes mellitus: a clinical study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20183157 ◽

2018 ◽

Vol 4 (3) ◽

pp. 352

Author(s):

Nancy Bhardwaj ◽

Samarjit Roy ◽

Rashmi Jindal ◽

Sohaib Ahmad

Keyword(s):

Diabetes Mellitus ◽

Bacterial Infections ◽

Fungal Infections ◽

Tertiary Care ◽

Diabetic Control ◽

Diabetic Patients ◽

Tertiary Care Centre ◽

Cutaneous Manifestations ◽

Female Ratio ◽

Cutaneous Infections

Background: Diabetes mellitus is a leading cause of morbidity with adverse effects on various systems including skin. Cutaneous manifestations seen in diabetes aid in its diagnosis and some of them may also correlate with diabetic control, duration and other complications. This study was undertaken to estimate burden of skin disorders among diabetics in a tertiary care centre of Uttarakhand.Methods: The study was conducted at Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India, over a period of one year from January 2016 to December 2016. Three hundred and seventy seven patients irrespective of age and sex were included in the study and those with gestational diabetes were excluded. Patients were examined for mucocutaneous manifestations and evaluated. Structured case reporting form was used to generate data.Results: Out of 377 patients studies, 114 (30.2%) were in the age group of 51-60 years. Male to female ratio was 1.44:1. Mucocutaneous manifestations were present in 278/377 (73.7%) patients. Common cutaneous manifestations were cutaneous infections [fungal infections (n=106/377; 28.1%), bacterial infections (n=33/377; 8.8%)], pruritus (n=47/377; 12.5%), xerosis (n=39/377; 10.3%), diabetic dermopathy (n=36/377; 9.5%) and diabetic ulcers (n=24/377; 6.4%). Uncommon manifestations were necrobiosis lipoidica diabeticorum, alopecia areata, scleredema diabeticorum and granuloma annulare. Cutaneous reactions due to treatment of diabetes were noted in 4 (1%) patients.Conclusions: As prevalence of cutaneous manifestations is high in diabetic patients, knowledge of these will help in a timely and comprehensive management of both diabetes and dermatoses.

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Psycho-sexual Disorders in Clinic Diabetes mellitus Patients of a Teaching Hospital of Eastern Nepal

Journal of Diabetes and Endocrine Association of Nepal ◽

10.3126/jdean.v4i2.34591 ◽

2020 ◽

Vol 4 (2) ◽

pp. 19-23

Author(s):

Dhana Ratna Shakya ◽

R Maskey ◽

P Karki ◽

SK Sharma

Keyword(s):

Diabetes Mellitus ◽

Erectile Dysfunction ◽

Sexual Dysfunction ◽

Teaching Hospital ◽

Sexual Experience ◽

Tertiary Care ◽

Sexual Disorders ◽

Diabetic Patients ◽

Diabetes Clinic ◽

Patients With Diabetes

Background: Diabetes mellitus, a chronic disease, is frequently associated with sexual dysfunctions. Identification and management of these dysfunctions are important for overall wellbeing of the patient, though usually neglected. We lack data on this regard from Nepal. Objective: To estimate prevalence of psycho-sexual disorders (with emphasis on erectile dysfunction) in the patients with diabetes mellitus visiting ‘Diabetes clinic’ of a tertiary care teaching hospital in eastern Nepal. Method: It is a hospital-clinic based prevalence study. This study analyzed consecutive diabetes mellitus clinic patients’ response to self response questionnaires ‘Arizona Sexual Experience Scale’ (ASEX) for over all sexual dysfunction and ‘5- Item Version of the International Index of Erectile Dysfunction’ (IIEF-5) for erectile dysfunction. ‘Diabetes mellitus’ diagnosis was made based on the ADA guidelines 2010. Results: Among 100 male clinic diabetes patients, majorities were married, above age 50 years and all diagnosed as type 2 diabetes mellitus. Out of total, 48% had sexual dysfunction by the ASEX and many subjects had erectile dysfunction by the IIEF-5. Conclusion: Psychosexual dysfunctions, mainly erectile dysfunction are common among diabetic patients. Hence, assessment should include attention to sexual problems as well during management of diabetes mellitus.

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Assessment of knowledge, attitude and practice about diabetes among diabetic patients of tertiary care centre in central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183596 ◽

2018 ◽

Vol 5 (9) ◽

pp. 4065

Author(s):

Vivek Nagar ◽

Pankaj Prasad ◽

Arun Mitra ◽

Saket Kale ◽

Kriti Yadav ◽

...

Keyword(s):

Diabetes Mellitus ◽

Communicable Disease ◽

Tertiary Care ◽

Diabetic Patients ◽

Care Hospital ◽

Global Public Health ◽

Tertiary Care Centre ◽

Family History Of Diabetes ◽

Poor Knowledge ◽

Level Of Knowledge

Background: Diabetes mellitus (DM) is one of the major fast growing non-communicable disease (NCD) and causes threats to global public health. Prior to initiating an educational program or interventions for diabetic patients, their current level of knowledge (K), attitude (A), and practice (P) should be evaluated. The purpose of this study was thus to determined current diabetes-related knowledge, attitude, and practices (KAP) of adults with Diabetes mellitus..Methods: Current study was cross sectional study from August to December 2014 in medicine outpatient department of Tertiary care hospital of Bhopal. A semi‑structured interviewer administered questionnaire was used for data collection, and it consisted of four sections.Results: A total of 150 study participants were enrolled for the study. Among them, 58% were male and 425 were female diabetic patients. Around 16% of the participants having good level of knowledge, 34.6% of participants have poor knowledge and 49.3% having moderate knowledge. Out of the total participant 43.3% have positive attitude and only 34% patients had positive practice.Conclusions: In our study most of the patients belong to moderate and poor knowledge score as well as negative practice and negative attitude that emphasizes the need for increasing diabetes awareness activities. The efforts should be more focussed on female patients, younger patients and those who have no family history of diabetes.

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