scholarly journals Evaluation of Effective Insulin Preparations for Glycemic control among Type II Diabetes patients in a Tertiary Care Hospital

Author(s):  
Dr Chinnusamy K ◽  
2019 ◽  
Vol 15 (5) ◽  
pp. 402-406
Author(s):  
Mubashra Butt ◽  
Adliah Mhd Ali ◽  
Mohd Makmor Bakry

Background: This study evaluated the association between self-reported adherence with concurrent and subsequent glycemic control amongst type 2 diabetes patients at a tertiary care hospital in Malaysia. Methods: Demographic and clinical variables were assessed at baseline, after three and six months in 73 type 2 diabetes patients. Regression analysis, using SPSS, evaluated the concurrent and longitudinal association of medication adherence and glycemic control. Potential confounders of variables were identified using bi-variate correlation analyses. Results: Concurrent Medication adherence and HbA1c association were significant after adjusting for ethnicity (P = 0.005). For longitudinal observation at 3 months, the association was significant after adjusting for ethnicity (P = 0.016); however, it became non-significant when baseline glycemic control was included in the model (P = 0.28). Conclusion: Easy to administer MALMAS significantly predicted concurrent glycemic control independent of potential confounders. This association persisted in longitudinal observation after 3 months when adjusted for confounders and became non-significant after adjusting for baseline glycemic control.


2021 ◽  
Vol 15 (7) ◽  
pp. 1676-1679
Author(s):  
Muhammad Mubashar Tahir ◽  
Aijaz Z Khan Chachar ◽  
Miqdad Haider ◽  
Afaq Shamim ◽  
Mohsin Asif ◽  
...  

Background: Among the common complications of diabetes, neuropathy has its place. About 50% of diabetics suffer from this complication. It is one of the most common cause of elevated morbidity mortality in diabetics. Duration of diabetes, its control and association with other micro vascular complications can result in an raised incidence of neuropathy in patients. Aim: To find frequency of peripheral neuropathy in newly diagnosed type 2 diabetes in a tertiary care hospital. Methods: Cross sectional study carried out in newly diagnosed patients with type II Diabetes Mellitus presented at department of Medicine, Fatima Memorial hospital, Lahore. 200 newly diagnosed type II diabetes patients who met the inclusion criteria were selected. Information was recorded on predesigned questionnaire regarding peripheral neuropathy and socio-demographic variables. Results: The mean age among peripheral neuropathy respondents was 47.05±6.37 years while it was 45.19±6.50 years among not having peripheral neuropathy. Peripheral neuropathy was seen in 42 (21%) respondents while in 158 (79%) there was no peripheral neuropathy. Gender among peripheral neuropathy showed that males were 36 and females were 06 in number; and among non-peripheral neuropathy group there were 135 males and 23 females. Most of the low income respondents were suffering from peripheral neuropathy as compared to other income groups. Post stratification regarding age and gender yields significant results within income groups while the later showed only male respondents were significant. Conclusion: This study reports that in type 2 diabetic patients diagnosed less than one year back, there is an increased prevalence of peripheral neuropathy. Male respondents were more in number than females but both had shown almost having same occurrence of peripheral neuropathy. Keywords: Peripheral Neuropathy, Type II Diabetes, Neuropathy


2015 ◽  
Vol 20 (10) ◽  
pp. 1278-1283
Author(s):  
Dr. Shabnam Naveed ◽  
Prof. Syed Masroor Ahmed ◽  
Dr. Zeeshan Ali ◽  
Romana Awan ◽  
Humaira Zakir ◽  
...  

Author(s):  
Dhivya K ◽  
Yogarajan K ◽  
Shanmugarajan T S

ABSTRACTObjective: Periodontitis, a chronic inflammatory disease characterized by destruction of the periodontal ligament and alveolar bone is the sixthcomplication of diabetes mellitus. Periodontal treatment that reduces gingival inflammation aids in the control of hyperglycemia. Therefore, thepresent study was designed to determine the effect of treating chronic periodontitis with oral antibiotics azithromycin and metronidazole on the levelof serum glycated hemoglobin in type-II diabetic patients.Methods: This prospective observational study was carried out in the dental department of a tertiary care hospital for 9 months. Clinical andbiochemistry reports of 90 patients were collected in designed case report forms. All statistical analyses were performed using IBM Statistical Packagefor Social Sciences 17 and Graph Pad Prism 7.0.Results: Significant reduction in all the clinical and dental parameters was comparatively higher in patients who received azithromycin than inpatients who received metronidazole and scaling and root planning alone.Conclusion: Periodontal therapy with oral azithromycin can be employed as a supportive strategy for the management of diabetes mellitus.Henceforth, prevention and control of periodontal disease along with antibiotics must be considered an integral part of glycemic control. However,due to the lesser sample size in this study, further investigations are required to confirm the effect of periodontal therapy on systemic diseases.Keywords: Periodontitis, Azithromycin, Metronidazole, Glycemic control, Diabetes mellitus.


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