scholarly journals PRE DIABETES IN YOUNG MEDICAL STUDENTS

2021 ◽  
Vol 21 (1) ◽  
pp. 39
Author(s):  
Muaaz Waseem ◽  
Faraz Ahmed Bokhari ◽  
Muhammad Aakif Jalal ◽  
Zainab Zahra ◽  
Mahnoor Khalid ◽  
...  

Abstract Introduction:  A study was conducted among students of a public medical college in Lahore, Pakistan to determine proportion of pre diabetic students (Blood sugar levels between 100 mg/dl - 125 mg/dl, accord-   Waseem M.1 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore   Bokhari F.A.2 Assistant Professor, Department of Physiology, Sheikh Khalifa Bin  Zayed Al-Nahyan Medical College, Lahore Jalal M.A.3 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore Zahra Z.4 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore Khalid M.5 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore Aman M.6 Fourth Year MBBS Student Sheikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore ing to American Diabetes Association) and its relation with body mass index, family history of Diabetes, die-tary habits, socioeconomic status and physical activity. Methods:  A cross sectional survey was conducted at Sheikh Zayed Medical Complex in February 2013 on medical students of either gender. Data was collected on a validated questionnaire. Fasting blood sugar lev-els of 65 students (enrolled after taking informed con-sent) were taken by trained co investigators through standardized glucose meter. Results:  A total of 65 medical students (43 males and 22 females) enrolled in this study. Their ages ranged from 18 to 23 years (mean age 20.56 ± 0.97 years). No student was found to be pre diabetic. Fasting blood sugar level in male participant with a family historyof diabetes was significantly higher (85 ± 6.228 vs. 79.857 ± 6.602, P = 0.016). Conclusion:  In this study, no student was found to be pre diabetic, though male participants with a family history of diabetes had higher fasting blood sugar levels. However, a larger study sample is required so that any significant finding may be shown, if it exists. Data on prevalence of pre-dia-betes in youth in South Asia is scarce. The high incidence of diabetes in developing countries un-derlines the need to explore prevalence of pre dia-betes in the younger population. Key Words:  Pre diabetes, Impaired Fasting Glucose (IFG).

1964 ◽  
Vol 2 (12) ◽  
pp. 48-48

Wide clinical use of oral diuretics has shown that they very occasionally raise the blood sugar; this effect has also been observed in experimental animals1–8. Oral diuretics are often given for the control of hypertension, and Freis9 has pointed out the difficulty of distinguishing in these cases between diabetes developing in association with hypertension and diabetes developing because of treatment with oral diuretics. The effect has followed the use of thiazide, phthalimidine or quinethazone derivatives given for some weeks or longer. The mechanism by which the diabetes is produced is still unknown. Apparently even thin patients with no family history of diabetes and a normal fasting blood sugar before therapy can be affected5. The condition is usually reversible but in some of Wolff's5 patients the change was permanent.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Vincent H. Kosanto ◽  
Nelly Mayulu ◽  
Shirley E.S. Kawengian

Abstract: Random blood sugar levels (GDS) on pregnant women is the result of blood tests of pregnant women in circumstances immediately taken from the blood capillaries and measured with a digital measuring tools. GDS category based on consensus of Perkeni 2011: not DM: (<90 mg / dL); Not Sure DM: (90-199 mg / dL); DM: (≥200 mg / dL). GDS levels are influenced by several factors which is a history of diabetes in the family. Family history of diabetes may come from parents or grandparents. This research is an analytic cross sectional (cross-sectional). Which is implemented in September to November 2016 in Bahu, Paniki bawah, Ranotana- Weru, Kombos and Tuminting Public Health Centre. The Data were collected through questionnaires and examinations for GDS levels, then the data is processed with SPSS applications. Respondents who had a history of diabetes in the family at 13.5% and who had no history of diabetes in the family is 86.5%. Respondents were not DM is 51.9%, which is uncertain DM is 48.0% and there were no DM. Conclusion: The results of this study concluded that there was significant relationship between family history of diabetes with DM status on pregnant women in Manado with p = 0.046 (p <α = 0.05).Keywords: random blood sugar levels, history of diabetes, pregnant women. Abstrak: Kadar gula darah sewaktu (GDS) ibu hamil adalah hasil pemeriksaan darah ibu hamil dalam keadaan sesaat yang diambil dari darah kapiler dan diukur dengan alat ukur digital. Kategori GDS berdasarkan Konsensus Perkeni 2011 adalah: bukan DM : (<90 mg/dL); Belum pasti DM : (90-199 mg/dL); DM : ( . Kadar GDS dipengaruhi oleh beberapa faktor salah satunya adalah riwayat DM dalam keluarga. Riwayat DM keluarga ini dapat berasal dari orang tua maupun kakek atau nenek. Penelitian ini bersifat analitik dengan pendekatan potong lintang (cross sectional). Yang dilaksanakan pada periode September sampai November 2016 di Puskesmas Bahu, Paniki bawah, Ranotana- Weru, Kombos dan Tuminting. Data yang dikumpulkan melalui kuisioner dan pemeriksaan kadar GDS, kemudian data diolah dengan aplikasi SPSS. Responden yang memiliki riwayat DM dalam keluarga 13,5% dan yang tidak memiliki riwayat DM dalam keluarga 86,5%. Responden yang bukan DM 51,9%, yang belum pasti DM 48,0% dan tidak terdapat yang DM. Simpulan: Hasil penelitian ini menyimpulkan bahwa terdapat hubungan yang bermakna antara riwayat DM keluarga dengan status DM pada ibu hamil di Kota Manado dengan p=0,046(p<α=0,05). Kata kunci: kadar gula darah sewaktu, riwayat DM, ibu hamil


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.


2021 ◽  
Vol 15 (7) ◽  
pp. 2062-2067
Author(s):  
Hafiz Muhammad Tauseef ◽  
Hafiz Muhammad Waqas Siddque ◽  
Muhammad Farhan Akhtar ◽  
Abu Hurera

Background: Currently, there is a growing concern towards epidemiological and clinical research on functional gastrointestinal disorders. Irritable Bowel Syndrome is defined as a functional gastrointestinal disorder characterized by abdominal discomfort, abdominal pain, and altered bowel movements. It is the most common gastrointestinal disorder. It can be diarrhea-predominant IBS, constipation-predominant IBS, and mixed type IBS. Objective: The objective of this study was to determine the frequency of IBS among medical students of Allama Iqbal Medical College and to determine conditions and lifestyle habits that may act as significant risk factors for developing IBS. Methods: A cross-sectional study was conducted for over 5 months. A sample of 323 individuals was studied whereas the sampled individuals were selected using a "stratified random sampling technique". The study was conducted by collecting data through an online questionnaire during the global COVID pandemic. The questionnaire consisted of three parts. The first section consisted of demographic information, the second section consisted of a standard questionnaire determining the risk factors of IBS i.e., personal food and lifestyle habits, and the last section was aimed at determining whether the person was a case of IBS or not using the widely accepted and used “Rome III Criteria” and determining the predominant pattern of IBS. Results: The frequency of IBS was found to be 15.5%. Analysis of collected data revealed that the predictors for IBS were stress and reduced hours of daily sleep. It was also observed that a positive family history of irritable bowel syndrome predisposed the development of IBS in a person. 30% of subjects with a positive family history of IBS had symptoms suggestive of IBS. Conclusion: The study concludes that there is a high incidence of IBS among medical students because they live under higher stress conditions, concerning their academics and professional duty than students and professionals from other educational fields. Keywords: Irritable bowel syndrome, abdominal pain, stress, food consumption.


2021 ◽  
Author(s):  
Abdulmenan Mohammed Abdulahi ◽  
Aragaw Eshetie Aguade ◽  
Hunachew Kibret Yohannis

Abstract Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by elevated levels of blood glucose. Despite the fact that most international association/organization gave attention toward diabetes control and prevention by healthy professional, still diabetes and its complication such as cardio vascular, blood vessels, eyes, kidneys and nerves become a major cause of premature death and disability across the world. The overall aim of this study is assessing fasting blood sugar variation over time and its determinant among diabetic patients. Methods: Data were obtained from Adama Hospital Medical College diabetic patients who have been active in the follow-up treatment from September 1, 2018 to August 30, 2019. The data consists of basic demographic and clinical characteristics of 312 DM patients were selected using simple random sampling techniques and of whom 177 were males and the rest 135 were females. The linear mixed effect model for longitudinal data analysis was used by taking the correlation between Fasting Blood Sugar (FBS) level of patients into account. Linear mixed model, random intercept and slope models were used for feting the data. Results: The results from the linear mixed model with unstructured co-variance structure showed that for one-month change in time decreases log FBS level by 0.0111267 mg/dl. While a unit increase in Body Mass Index (BMI) of a patient on treatment, the log FBS level was increased by 0.0434 mg/dl. Similarly, a unit increase in Diastolic Blood Pressure (DBP), the log FBS level was increased by 0.0004749 mg/dl. Being tertiary and secondary level of education decreases logFBS level by 0.0058844 and 0.0055161 respectively compared with patients with no education.Conclusion: Age, Educational status, Dietary type, Drug type, History of hypertension, BMI, DBP, Time, interaction effect of Age, history of hypertension, Dietary type, other comorbidity at baseline with time were the significant determinant for the change in mean FBS level of the diabetes patients over time. Based on the findings of our study and WHO recommendation, maintaining of healthy body weight, by taking healthy diet along with lower blood glucose level is essential to control blood sugar in body and to prevent long term complication.


2021 ◽  
Vol 10 (2) ◽  
pp. 86-92
Author(s):  
Noortaj Begum ◽  
Jakia Sultana Shila ◽  
Sabreena Mohtarin ◽  
Sharmin Sultana ◽  
Rukhsana Parvin ◽  
...  

Background: Overweight and obesity are recognized as “escalating epidemics” affecting both developed and developing countries. Of the factors contributing to obesity, stress seems to be particularly important as stressful condition leads to irregularity in diet, lack of exercise and addiction. Medical students are exposed to a lot of stress throughout their education. Hence, this study was undertaken to find out the prevalence of overweight and obesity among undergraduate medical students. Objectives: The present cross-sectional study was intended to find out the prevalence of overweight/obesity among medical students of Enam Medical College and its association with their sociodemographic and life-style pattern. Materials and Methods: This cross- sectional study was conducted among medical students in Enam Medical College, Savar, Dhaka from March to July 2017. A total of 283 1st and 2nd year MBBS students were included in the study. After getting permission from college authority and concerned Ethical Committee data were collected using a semi-structured questionnaire containing the variables of interest. Blood pressure and anthropometric measurements (weight and height) were noted. Data were analysed using SPSS (Statistical Package for Social Sciences) version 16.0. Results: In the present study, the prevalence of overweight and obesity was 21.2% and 6.0% respectively. Males were found more overweight or obese (70.1%) compared to females (29.9%) (p=0.041). No other sociodemographic variables were found associated with overweight or obesity. Family history of obesity was observed for evaluation of overweight/obesity among the respondents (p=0.018) although family history of hypertension and/or diabetes did not influence the overweight/ obesity. Systolic and diastolic blood pressures of the overweight/obese group were higher than their normal counterparts (p=0.003 and p=0.002). There was no association between BMI and behavioral variables such as exercise, sleep, entertainment and food behavior. Conclusion: More than one-quarter of the undergraduate medical students are overweight or obese and overweight or obesity are more predominant in males. Overweight and obese students generally have family history of overweight or obesity. Behavioural factors such as taking exercise, time spent on sleep and entertainment and food habit are not associated with BMI. J Enam Med Col 2020; 10(2): 86-92


2018 ◽  
Vol 11 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Godwell Nhidza ◽  
Kudzaishe Mutsaka ◽  
Garikai Malunga ◽  
Danai Tavonga Zhou

Introduction:According to the WHO, Gestational Diabetes Mellitus (GDM) means glucose intolerance with onset during pregnancy. Unfortunately, women affected by GDM could suffer from Type 2 diabetes (T2DM) later while babies born to mothers with GDM are at increased risk of being too large for gestational age. This cross-sectional study screened GDM in women attending Parirenyatwa Antenatal Clinic in urban Harare, Zimbabwe using 2006 WHO diagnostic criteria.Methodology:Urine samples were collected from all consenting pregnant women. If urinalysis indicated glycosuria and if a woman reported clinical symptoms of GDM, random blood sugar analysis was subsequently carried out. Those suspected of having GDM due to elevated glucose (n=17) were screened with glucose load challenge the following day, after collecting the sample for fasting blood sugar. Family history of diabetes was self-reported.Results:Women (N=150), between 24 – 28 weeks of gestation who consented were recruited. Participants had mean age 27.2(3.5) years and about half were gradiva 1. All participants reported no maternal history of T2DM, but reported other family history of T2DM. Out of the 150 recruited and 17 tested by OGTT, 10 (6.7%) tested positive for GDM.Conclusion:Prevalence of GDM is lower than two similar African studies but similar to one Indian study. Of note is the fact that variations in reported prevalence, in populations from different studies could be due to different diagnostic criteria used. Results need further enquiry on larger group of pregnant women using latest 2013 WHO criteria.


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