Clinical Profile of Patients with Diabetes Mellitus Attending Tertiary Care Hospital

2018 ◽  
Vol 4 (4) ◽  
pp. 307-311
Author(s):  
Chethan Dev K ◽  
2016 ◽  
Vol 04 (02) ◽  
pp. 133-136 ◽  
Author(s):  
Amit Thour ◽  
Ramninder Nagra ◽  
Arunjeet Gosal ◽  
Tejasav Sehrawat ◽  
Subhash Das ◽  
...  

Abstract Background: Anxiety has been shown to be associated with poor outcomes in people with diabetes. However, there has been limited data, especially from India, which has specifically examined whether diabetes mellitus is associated with an increased likelihood of comorbid anxiety. Aim: The aim was to estimate the prevalence of anxiety in patients with diabetes and to determine the association of anxiety with age, sex, and other related parameters. Setting: Endocrine clinic, tertiary care hospital. Design: Cross-sectional. Materials and Methods: The study was cross-sectional carried out in endocrinology clinic of tertiary care hospital in North India. Cases were patients with type 2 diabetes mellitus above 30 years of age. Anxiety was assessed using the generalized anxiety disorders 7-item (GADs-7) scale. The relationship with a sociodemographic profile, duration of diabetes, hypertension, and microvascular complications was also analyzed. Results: Seventy-three subjects (42.5% females) with mean age 50.8 ± 9.2 years were evaluated. The prevalence of anxiety was 34%. Severe anxiety (GAD-7 score ≥15) was present in three (4%) subjects, moderate anxiety (GAD-7 score ≥10) was present in six (8%) subjects, and mild anxiety was present in 16 (22%) of subjects. Anxiety increased with fasting plasma glucose, hypertension, was more in women, but the differences were not statistically significant. Conclusions: Our study demonstrates a higher prevalence of anxiety in patients with type 2 diabetes. No factor was significantly associated with anxiety. Therefore, anxiety should be assessed in each and every patient, irrespective of other factors.


Author(s):  
Kahaf Khan ◽  
Ayaz Ali Unar ◽  
Khalida Unar ◽  
Faraz Qurban Rajper ◽  
Mirza Tasawar Baig

The objective of the study is to evaluate of drug resistance and treatment outcomes among tuberculosis patients with diabetes mellitus at tertiary care hospital of Sindh, Pakistan.  Tuberculosis (TB) is considered as very dangerous infectious disease caused by Mycobacterium tuberculosis orother tubercle bacilli pathogen affects the lungs and it can be spread from person to person through very minute droplet released by infected person via coughing or sneezing. Descriptive cross-sectional study was carried out at different Tuberculosis setting located at tertiary care hospital of Sindh, Pakistan for the period of 10 months. Tuberculosis OPD is considered as major health care facility for the TB, MDR-TB and XDR-TB patients for the local population and peripheries. Total 389 samples were collected through purposive sampling techniques. From the given data, there were 209 Males and 180 females, all participants belong to different areas, so 216 patients belong to rural areas, 121 study participants were house wives, 134 were employed and 41 were have their own business. From the clinical data, 229 participants shown positive response with TB smear test, whereas; 156 participants had positive results with TB culture test. 247 patients had previous history of Tuberculosis, 120 had developed drug resistance and 24 had developed multi-drug resistance (MDR). 312 patients were recently diagnosed with Diabetes mellitus and they had one year of duration of diabetes. Complication of tuberculosis developed among 113 patients and complication of diabetes developed among 194 participants. 39 people were using oral therapy for the management of diabetes and 341 participants had successfully completed their therapy and cured whereas 2 patients were died due to complication It was concluded from the current research that there were many chances for developing drug resistance and multi-drug resistance among the patients suffering from co-morbid including tuberculosis along with Diabetes mellitus. Proper counseling should be conducted, in order to reduce the complication of either type of disease.


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