scholarly journals PREVALENCE OF DIABETES MELLITUS WITH PULMONARY TUBERCULOSIS IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA 2016

2022 ◽  
Vol 32 (1) ◽  
pp. 18
Author(s):  
Heronimus Hansen Kaware ◽  
Deby Kusumaningrum ◽  
Arief Bakhtiar

Highlight:1. The signs and symptoms of patients with pulmonary tuberculosis and those of diabetes mellitus were similar.2. Male, aged 51-75 years old, and working in private sector are characteristics of most of the diabetic patients with pulmonary tuberculosis.Abstract:Background: Diabetes Mellitus is a type of disorder where the patients’ blood sugar is above average. Diabetes Mellitus can cause an abundance of comorbidities, from viral infection until metabolic abnormalities. The increased risk of infections is mostly because diabetes mellitus changes how the body works. The changes range from changes in mechanical barriers (humoral immunity) and cellular changes (cellular immunity), the changes of the humoral immunity that can increase the chance of protracting pulmonary tuberculosis. Objective: The purpose of this study was to describe the characteristics of diabetes mellitus in pulmonary tuberculosis in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia from January to December 2016. Materials and Methods: The research method used was an observational study using a cross-sectional design conducted in Central Medical Record for hospitalized patients, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The diabetes mellitus patients’ data collected from the medical records of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016 were 1,410 and 11 of them were also diagnosed with pulmonary tuberculosis. The final data taken were from 67 out of 115 patients due to the incomplete medical record. Results: According to the data, the most of the diabetic patients with pulmonary tuberculosis were male, age of 51-75 years old, and worked in private sector. Conclusion: There was a significantly higher number of diabetes mellitus with pulmonary tuberculosis patients in older age, males, and private-sector workers. Diabetic patients with pulmonary t

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Nasya Aisah Latif ◽  
Yulia Sofiatin ◽  
Maya Kusumawati ◽  
Rully Marsis Amirullah Roesli

Background: Diabetic patients have low sensitivity towards sweet taste, thus consuming more sugar. A young adult with family history of diabetes mellitus (FHD) who lives with diabetic parents may have an increased risk of overconsumption of sugar due to a similar dietary pattern, leading to diabetes. This study aimed to explore the difference in the sweet taste threshold (STT) between students with and without a family history of diabetes mellitus. Methods: This cross-sectional study was conducted in October –November 2018 on Class 2018 medical students living in a student dormitory who were divided into those with family history of diabetes (FHD) and those without it (non-FHD). Family history of diabetes and other known diseases were self-reported. The three-Ascending Forced Choice method was used to determine the sweet recognition threshold. Mann-Whitney analysis was used to compare the sweet taste thresholds between the two groups. Result: A total of 183 subjects participated in this study. The non-FHD group had a higher rank of sweet taste threshold than subjects in the FHD group (94.21 vs 81.16), albeit insignificant (p=0.192). Interestingly, the modes of best estimation threshold (BET) for non-FHD group was than the FHD group (0.067 M vs 0.043 M). Conclusion: The BET for students without family history of diabetes is higher than those with family history of diabetes. It is imperative that low sugar consumption campaign should also aim young people without FHD.


Biomedicine ◽  
2021 ◽  
Vol 41 (3) ◽  
pp. 576-579
Author(s):  
K. Sumathi ◽  
Gayathri Dilliraj ◽  
Sridevi Chaganti ◽  
Shenbaga Lalitha

Introduction and Aim:Diabetes mellitus, especially type II DM is one among the most prevalent metabolic diseases in the global scale. One of the commonest complications of diabetes mellitus is vestibulopathy affecting the inner ear. Malondialdehyde (MDA) obtained from lipid peroxidation of poly unsaturated fatty acids (PUFA) is an important compound that generally serves as one of the key markers for oxidative stress. The aim of the study is to prove the significance of MDA in Vestibulopathy in Type-2 i.e.,non-insulin dependent diabetes mellitus.   Methodology: A cross-sectional study of 100 diabetic patients of age group between 35 years and 50 years were tested for vestibular function by electronystagmography(Commonly used test to determine and evaluate vestibular system). Based on the biothermal caloric stimulation the Clausen butterfly chart was generated and thus the code is ascertained. Serum levels of Malon-di-aldehyde were assayed by TBARS method (Thiobarbituric acid Reactive substances).   Results: The study proved, that there was a 4 times increased risk of developing vestibulopathy with increasing duration of diabetes. It also proved that there was an increased risk of developing vestibulopathy in diabetic patients, having MDA > 2?mol/L.   Conclusion: Thereby the study confirmed the clinical significance of periodic screening of MDA levels, in diabetic patients, particularly those with uncontrolled/poor glycemic control & with longer duration of diabetes. Estimation of their serum MDAlevels and vestibular function by the electronystagmography test, is advised in order to prevent the occurrence of diabetic vestibulopathy at the earliest and also to prevent the worsening of any such, other complications associated with the disease.  


2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Rif'atunnailah Mat Isa ◽  
Sanisah Saidi ◽  
Adzura Salam ◽  
Sumaiyah @ Thandar Soe Jamaluddin

Introduction: Individuals with Diabetes Mellitus (DM) are at increased risk for developing diabetic ocular complications. This study was carried out to determine factors influencing eye screening among Diabetes Mellitus patients. The descriptive findings of participants’ sociodemographic data will be discussed. Materials and method: A cross-sectional survey was conducted at the few selective Primary Health Centers and endocrine clinics, Hospital Tengku Ampuan Afzan (HTAA) in Kuantan, Pahang. A total number of 170 diabetic patients were recruited for the purpose of this study. Questionnaire for this survey was adapted and modified from Knowledge, Attitude and Practice (KAP 2008) with the overall Cronbach Alpha score was 0.5. Descriptive statistics was referred to evaluate the data. Results: Participants’ mean age was 55.5 years old (SD ± 11.22), with age range between 20 years and 79 years old. From 170 participants, 51 male (30%) and 119 female (70%) were involved in this study. Majority of 139 participants (81.8%) were Malay. For educational level, 74 participants (43.5%) have the secondary education, only 12 participants (7.1%) have tertiary education and the rest of 43 participants (25.3%) have no formal education. The majority of participants (71.2%) have the monthly income less than RM 1000 and only 7 (4.1%) have monthly income of RM 4000 and above. Almost all patients (168 participants or 98.8%) have type 2 Diabetes Mellitus (DM). The majority of 65 patients (38.2%) were first diagnosed to have diabetes between 1 to 5 years duration, and only 10 patients (5.9%) diagnosed to have diabetes of 15 years and above. Most of the participants (109 or 64.1%) have a family history of DM. As for current treatment, the majority of them are taking oral medication 136 (80.0%). Conclusion: The main background characteristics of DM patients in current study were female, Malay, low household income and family trait with DM.


2018 ◽  
Vol 7 (2) ◽  
pp. 91-99
Author(s):  
Elis Marina Marchioro ◽  
Janice Daiane Brutti ◽  
Rúbia Garcia Deon ◽  
Fábia Benetti

O Diabetes Mellitus (DM) é um grupo heterogêneo de distúrbios metabólicos que tem em comum a hiperglicemia. No Brasil, onde as cidades das regiões Sul e Sudeste são consideradas de maior desenvolvimento econômico, o número de indivíduos que apresentam DM é maior. O objetivo dessa pesquisa foi analisar os pacientes diabéticos atendidos no Ambulatório de Especialidades em Nutrição da URI - Campus de Frederico Westphalen/RS no ano de 2016. Trata-se de um estudo transversal, quantitativo e descritivo. A partir dos prontuários dos pacientes com DM, foram coletados dados pessoais e socioeconômicos, história clínica, hábitos alimentares e medidas antropométricas. Foi identificado que 10% dos pacientes apresentavam como diagnóstico o DM. Desta amostra, a maioria é do sexo masculino, com média de idade 37,5±16,7 anos. Referente ao Índice de Massa Corporal pode ser observado uma alta frequência de sobrepeso nos pacientes do sexo masculino (55%), diferentemente do sexo feminino, onde a eutrofia e obesidade I tiveram maior relevância, ambos com 37,5%. Para fatores de risco, destacou-se uma elevada frequência de pacientes com sobrepeso e obesidade, afetando em torno de 74% dos pacientes com DM. Já análise do Recordatório Alimentar 24 horas, o consumo de carboidratos apresentou média de 57,6±10,26% e proteína 18,68±9,55% e são similares os recomendados pela Sociedade Brasileira de Diabetes. Pelo exposto podemos reafirmar a necessidade e importância do acompanhamento nutricional aos pacientes diabéticos, como uma estratégia não farmacológica necessária que beneficiará o paciente no controle da glicemia e no retardo da progressão de comorbidades associadas ao DM.Palavras-chave: Diabetes Mellitus. Assistência ao Paciente. Avaliação nutricional. ANALYSIS OF DIABETIC PATIENTS TAKEN IN THE AMBULATORY OF NUTRITION SPECIALTIES OF URI- CAMPOS DE FREDERICO WESTPHALEN- RS ABSTRACT: Diabetes Mellitus (DM) is classified by a heterogeneous group of metabolic disorders that have in common hyperglycemia. More specifically, in Brazil, where the cities of the South and Southeast are considered to be the most economically developed, the number of individuals with DM is higher. In this context, the objective of the present study was to analyze the diabetic patients attended at the Nutrition Specialties Clinic of the URI - Campus of Frederico Westphalen/RS in the year 2016. This is a cross-sectional, quantitative and descriptive study. The study was based on the data collection of patients' records with DM, personal and socioeconomic data were collected, as well as clinical history, eating habits and anthropometric measurements. As a result, it was identified that 10% of the patients presented DM as their diagnosis. From this sample, the prevalence of patients is male, with a mean age of 37.5 ± 16.7 years. Regarding the Body Mass Index, a high frequency of overweight was observed in male patients (55%), differently from the female sex, where eutrophy and obesity I were more relevant, both with 37.5%. For risk factors, a high frequency of overweight and obese patients was observed, affecting around 74% of patients with DM, followed by the rate of sedentary and alcoholic patients, in a lower proportion of patients with a diagnosis of Arterial Hypertension (26 %) And smokers with 16%. Already analysis of the Food Recall 24 hours we can verify that the consumption of carbohydrates, with an average of 57.6 ± 10.26% and protein 18.68 ± 9.55% are similar to those recommended by the Brazilian Society of Diabetes. Therefore, we can reaffirm the need and importance of nutritional monitoring for diabetic patients, as a necessary non-pharmacological strategy that will benefit the patient in glycemic control and delayed progression of comorbidities associated with DM.Keywords: Diabetes Mellitus. Patient Care. Nutrition assessment.


Author(s):  
Shruthi Bettegowda ◽  
Manojkumar B. Kalegowda ◽  
Srikanth Goud Mallam ◽  
Vinay H. Ramalingaiah

Background: Depression is associated with a 60% increased risk of Type 2 Diabetes mellitus and diabetes doubles the odds of depression. This study was undertaken to estimate the prevalence of depression and to assess the association between glycemic control and depression in diabetic patients.Methods: Total 130 type 2 diabetes mellitus patients were included in this cross-sectional hospital-based study. Study protocol included detailed clinical history, examination, administering of questionnaire-based scale and investigations. Fasting plasma glucose, post prandial plasma glucose, HbA1c, lipid profile, renal function test and electrolytes of these subjects were determined. Becks depression inventory (BDI) scale was used for diagnosis and grading the severity of depression among these patients.Results: Out of 130 diabetic patients, depression was present in 39.23% of the individuals, among which, 16.15% had mild depression, 10% had borderline depression, 7.69% had moderate depression, 3.07% had severe depression and 2.3% had extreme depression. Prevalence of depression in patients with glycated haemoglobin levels of ≤6.4 was found to be 29.16%, 6.5 to 7 was 33.76% and ≥7.1% was 62.07%.Conclusions: Depression was found to be more common in diabetic patients compared to general population. The prevalence of depression was more among patients with long duration of diabetes, female sex, Muslim religion, substance abuse, complications associated with diabetes and poor glycaemic control. More case control studies with larger sample size are needed to confirm this association.


Author(s):  
B. Surya ◽  
S. Loganathan ◽  
G. Ravivarman

Background: Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Psychiatric problems are common in diabetes mellitus and nearly 33% suffer from mental disorders. According to the NHS people with diabetes are twice as likely to suffer with depression. The aim and objective of the study was to assess the psychological status in patients with diabetes mellitus.Methods: The sample of 100 participants was involved in the study. The patients with diabetes mellitus are included in the study but with known psychiatric disturbances were excluded from the study Standardized questionnaire was used for assessment. The collected data entered in MS-Excel and the analysis done using the SPSS.Results: Depression is the most common emotional disturbance among the female participants with diabetes while anxiety is common among the male subjects, prior with 58.2% and later with 54.5%. The emotional status of diabetic patient and their religion have a significant association with p-value 0.02.Conclusions: Emotional disturbances are common among the diabetic patients and the study revealed depression is common among the female participants where as anxiety is the common psychiatric problem among males.


2021 ◽  
Vol 1 (2) ◽  
pp. 50-58
Author(s):  
Richard K.D. Ephraim

Background: Diabetes mellitus is an important risk factor associated with tuberculosis (TB). This study investigated the prevalence and determinants of hyperglycemia among newly diagnosed pulmonary tuberculosis patients in the Agona Swedru Municipality. Method: A hospital-based cross-sectional study was conducted from December 2015 to April 2016. One hundred (100) newly diagnosed pulmonary tuberculosis patients at the Agona Swedru Municipal Hospital (ASMH) were enrolled for the study. Socio-demographic, clinical and anthropometric measurements were collected and fasting blood glucose (FBG) measured using standard protocols. Data was analyzed using Statistical Package for Social Sciences (SPSS) software version 20.0. Result: Of the 100 participants, 26% had hyperglycemia. The significant factors associated with increased risk of hyperglycemia among participants were history of diabetes mellitus (OR = 8.17, p= 0.004), severity of infection (OR = 23.64, p < 0.001) and duration of symptoms (OR= 2.63, p= 0.042). Conclusion: Hyperglycemia was common among newly diagnosed pulmonary tuberculosis patients. History of diabetes mellitus, severity of infection, and duration of symptoms were the determinants of hyperglycemia in pulmonary tuberculosis. Regular screening of hyperglycemia is essential in the management of tuberculosis. Finally, further studies should be conducted on glucose levels among pulmonary tuberculosis patients using higher sample size to increase the understanding of the subject.


Author(s):  
Dr Reshna V

Diabetes Mellitus (DM) is a long-term metabolic disorder that affects many organs in the body. Diabetes may be linked to a serious type of Coronavirus Disease in 2019 (COVID-19). COVID-19 will make people with diabetes three times more likely to become seriously ill or die. They discovered that advanced age, obesity, and other medical conditions linked to diabetes are also associated with increased risk. In the countries hardest hit by the pandemic, increased morbidity and mortality from COVID-19 in diabetic patients have been observed, and this link, as well as the best management of infected diabetic patients, deserve further investigation. Antidiabetic medications that can minimise inflammation while maintaining good glycemic control are ideal. Patients admitted to the hospital with extreme COVID-19 can need changes to their diabetes care, such as stopping current medications and starting insulin therapy.


Author(s):  
Singam Sivasankar Reddy ◽  
Syeda Rahath ◽  
Rakshitha H N ◽  
Godson K Lal ◽  
Swathy S ◽  
...  

The objective of the study was to evaluate the risk of diabetes mellitus in elderlywith age above 20 years in a hospital setting using Indian Diabetes risk score and to provide patient counselling regarding their life style modifications and health related quality of life among participants with high risk of developing diabetes.A total of 125 non diabetic patients were interviewed with a pre designed selfstructured questionnaire (IDRS). Participants were chosen voluntarily and a written consent was obtained before the administration of the questionnaire from individual patients. In our study we observed that out of 125 patients,males 26[59%]and 18[41%] females were at high risk, males 39[58.2%] and 28[41.8%] females were at moderate risk, males 5[35.7%] and 9[64.3%] females were at low risk of developing diabetes mellitus.


Author(s):  
Sujata Mandhwani ◽  
Sadaf Zia ◽  
Emad Salman Shaikh ◽  
Dante Duarte ◽  
Erum Tanveer

The adverse effects of excessive mobile phone (MP) use on children include deprivation from sleep, increased risk of lack of concentration, depression, anxiety and obesity. No such study has been conducted in children from Pakistan. Objectives: To assess the association of MP usage and musculoskeletal disorders in school going children. Methods: This was a cross sectional survey. Data were collected from different private schools of Karachi, Pakistan. Convenient non probability sampling technique was used. A sample size of 385 students was taken keeping a confidence interval of 95% with 5% margin of error. Results: A total of 385 subjects participated. It was also noticed that 75.6% (291) students have smart phone and 5.2% (20) have conventional phone and remaining 19.2% (74) have camera phone. It was noticed that the participants 306 (79.5%) said they slept for 1–2[Formula: see text]h daily and 30 (7.8%) had sleep for 3–4[Formula: see text]h daily. One hundred and four 104 (27%) had noticed pain in neck. Conclusion: The use of MP for any activity was associated with sleep deprivation and pain in wrist/hands followed by neck and upper back pain. The usage of MP should be limited to avoid the stress on musculoskeletal parts of the body.


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