scholarly journals Risk factors associated with poor glycemic control in patients with type two Diabetes mellitus in Zakho city

2021 ◽  
Vol 7 (3) ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Waist Circumference ◽  
Glycemic Control ◽  
High Performance ◽  
Poor Glycemic Control ◽  
Uncontrolled Diabetes ◽  
Two Factors ◽  
History Of ◽  
Diabetes Center

Diabetes Mellitus (DM) is a chronic condition caused by relative lack of insulin due to impaired insulin secretion or insulin resistance. The aim of this study was to investigate the prevalence of poor glycemic control in Zakho city and to explore the modifiable risk factors that may help controlling the disease. Materials and Methods We recruited patients with known history of diabetes receiving oral anti-diabetic medications. Those patients were registered in Zakho Diabetes center with regular visits. The measurement of anthropometric indices was conducted by trained personnel. Plasma glucose was determined using colorimetric enzymatic method with glucose oxidase. HbA1c concentrations were measured in whole blood samples using high performance liquid chromatography. Results In this study, 520 patients were recruited. The average age of the patients was 56.92±9.62. Among those, 190 were male. The blood sugar was controlled in 122 (23.4%) patients. We found a significant association between sex and HbA1C level (p=0.000; OR=0.4796; CI=0.3175-0.7243). In addition, waist circumference was significantly associated with HbA1C levels (p=0.018; OR=1.02; CI=1.0031-1.0373). Conclusions The vast majority of the patients had uncontrolled diabetes. We found that sex and waist circumference were risk factors for uncontrolled diabetes. Any diabetes controlling program should focus on those two factors.

scholarly journals Predictors of Erectile Dysfunction in Men with Type 2 Diabetes Mellitus Referred to a Tertiary Healthcare Centre

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Theophilus Ugwu ◽  
Ignatius Ezeani ◽  
Samuel Onung ◽  
Babatope Kolawole ◽  
Rosemary Ikem
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Erectile Dysfunction ◽  
Glycemic Control ◽  
Autonomic Neuropathy ◽  
Erectile Function ◽  
Poor Glycemic Control ◽  
Testosterone Deficiency ◽  
Tertiary Healthcare

Background. The frequency of erectile dysfunction (ED) complicating diabetes mellitus (DM) is reportedly high. However, its risk factors have not been well studied. Methods. This was a cross-sectional study of 160 male type 2 DM adults, aged 30–70 years, attending a tertiary healthcare clinic. Demographic and relevant clinical information was documented. Erectile function was assessed using an abridged version of the International Index of Erectile Function (IIEF-5). All subjects were evaluated for central obesity, glycemic control, peripheral arterial disease (PAD), autonomic neuropathy, dyslipidemia, and testosterone deficiency. Results. 152 (95%) patients with a mean age of 60.3 ± 8.8 years completed the study. 71.1% had varying degrees of ED, while 58.3% suffered from a moderate-to-severe form. Independent predictors of ED [presented as adjusted odds ratio (95% confidence interval)] were longer duration of DM, 1.14 (1.02–1.28), PAD, 3.87 (1.28–11.67), autonomic neuropathy, 3.51 (1.82–6.79), poor glycemic control, 7.12 (2.49–20.37), and testosterone deficiency, 6.63 (2.61–16.83). Conclusion. The prevalence of ED and its severe forms was high in this patient population. Poor glycemic control and testosterone deficiency were the strongest risk factors for ED, making it possibly a preventable condition.

scholarly journals I drank too much and now I can’t walk: a case of alcohol-induced dysautonomia

2021 ◽  
Vol 2021 (8) ◽  
Author(s):  
Richard Assaker ◽  
Georges El Hasbani ◽  
Arturo Alvarez Antezana ◽  
Jose Vargas Gamarra ◽  
Jose Amaya-Suarez ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Nervous System ◽  
Orthostatic Hypotension ◽  
Autonomic Function ◽  
Neurological Diseases ◽  
Underlying Liver Disease ◽  
Uncontrolled Diabetes ◽  
History Of

ABSTRACT Dysautonomia is a dysfunction of the autonomic nervous system, which mediates both sympathetic and parasympathetic functions of the human body. Alcohol has been established to affect the autonomic function through liver injury and accumulation of vasodilators. Alcohol can induce peripheral neurological diseases as well. This case report describes a patient who had a chronic history of alcoholism and uncontrolled diabetes mellitus presenting for orthostatic hypotension and peripheral neuropathy without underlying liver disease or other endocrinopathies. Although diabetes mellitus was controlled pharmacologically and risk factors for orthostatic hypotension were managed conservatively, his symptoms did not improve which indicated an alcohol-related autonomic dysfunction, shedding light on one of long-term complications of alcoholism.

CORRELATION BETWEEN LIPID PROFILE AND HbA1C IN GOOD AND POOR GLYCEMIC CONTROL TYPE 2 DIABETES MELLITUS PATIENTS AT A TERTIARY CARE HOSPITAL.

2021 ◽  
pp. 84-85
Author(s):  
Vinitha. S ◽  
Veena Juliette. A
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Poor Glycemic Control ◽  
Control Groups ◽  
Good Glycemic Control ◽  
Positive Correlation ◽  
History Of

Type 2 diabetes mellitus (T2DM) is a globally acknowledged health issue with its effect on human health, living standards, economy and health system. HbA C levels are routinely measured to monitor glycemic control. HbA C level 1 1 <7% is considered good glycemic control and HbA C level> 7% is considered poor glycemic control. Previous studies have reported that HbA C 1 1 level can be utilized as a possible biomarker for predicting dyslipidemia and consequent cardiovascular disease in diabetes mellitus patients. The aim of this study is to nd the association of lipid prole with HbA C in good glycemic control and poor glycemic control T2DM. This is a cross 1 sectional study conducted on 100 patients attending OPD with established diagnosis of T2DM of both sexes with no history of cardiovascular, renal or thyroid disease or history of lipid lowering drug intake. They were analysed for fasting (FBS) and postprandial (PBS) blood sugar, lipid prole and HbA C. Patients were classied into poor and good glycemic control groups based on their HbA C values. This study showed strong 1 1 positive correlation between FBS and HbA C. Lipid levels were higher in poor glycemic control groups with total cholesterol and low density 1 lipoprotein cholesterol showing signicant positive correlation with HbA C .Total triglycerides and HDL do not show any signicant correlation 1 with HbA C.

scholarly journals Risk factors for type 2 diabetes mellitus: An urban perspective

2019 ◽  
Vol 71 ◽  
pp. 16-21
Author(s):  
Reshma Patil ◽  
Jayashree Gothankar
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Family History ◽  
Waist Circumference ◽  
Cross Sectional Study ◽  
Lifestyle Changes ◽  
Chi Square ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
History Of

Background: Diabetes mellitus is rising to an alarming epidemic level; hence, strategies formulated based on the risk factors can be helpful to curb the rising trend of the same. Objective: The objective of the study was to assess the prevalence of diagnosed cases of diabetes mellitus and correlate it with various risk factors and sociodemographic variables. Methods: A cross-sectional study was carried out in randomly selected wards under the field practice area of Urban Health Training Center of Private Medical College, Pune, Maharashtra. A total of 425 subjects aged 20 years and above residing in the study area were screened for diabetes mellitus. Risk factors such as age, waist circumference, waist-to-hip ratio (WHR), family history of diabetes, and physical activities were recorded. The statistical analysis of the data was performed using Chi-square test. Results: The prevalence of diagnosed cases of diabetes mellitus found in this study was 9.88%. There was a significant increase in the prevalence of diabetes as age increases (age 20–34 years: 1.66%, 35–49 years: 7.53%, ≥50 years: 15.66%, and P < 0.05). Furthermore, male gender, obesity, waist circumference, WHR, and diabetes mellitus were found to be statistically significant. Conclusions: Risk factors such as rising age, family history of diabetes mellitus, lack of physical activity, and central obesity were the most common factors found in diagnosed cases of diabetes mellitus. Therefore, lifestyle changes and awareness regarding risk factors is needed to make control over the diabetes.

scholarly journals Factors Associated with Long-Term Control of Type 2 Diabetes Mellitus

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Mohammed Badedi ◽  
Yahiya Solan ◽  
Hussain Darraj ◽  
Abdullah Sabai ◽  
Mohamed Mahfouz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Care Center ◽  
Poor Glycemic Control ◽  
Health Care Center ◽  
Factors Associated

Aims.This study assessed factors associated with glycemic control among Saudi patients with Type 2 diabetes mellitus (T2DM).Methods.We conducted an analytical cross-sectional study, which included a random sample of 288 patients with T2DM proportional to the diabetes population of each primary health care center in Jazan city, Kingdom of Saudi Arabia.Results.More than two-thirds (74%) of patients had poor glycemic control. Lack of education, polypharmacy, and duration of diabetes ≥ 7 years were significantly associated with higher glycated hemoglobin (HbA1c). Moreover, patients who were smoker or divorced were significantly more likely to have higher HbA1c. The patients who did not comply with diet or take their medications as prescribed had poor glycemic control. The study found lower HbA1c levels among patients who received family support or had close relationship with their physicians. Similarly, knowledgeable patients towards diabetes or those with greater confidence in ability to manage self-care behaviors had a lower HbA1c. In contrast, risk factors such as depression or stress were significantly correlated with poorer glycemic control.Conclusion.The majority of T2DM patients had poor glycemic control. The study identified several factors associated with glycemic control. Effective and tailored interventions are needed to mitigate exposure to these risk factors. This would improve glycemic control and reduce the risks inherent to diabetes complications.

scholarly journals Tuberculosis and Diabetes Mellitus: A Case Series of 100 Patients

1970 ◽  
Vol 7 (2) ◽  
pp. 34-38 ◽  
Author(s):  
J Kishan ◽  
K Garg
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Case Series ◽  
Lower Lobe ◽  
Poor Control ◽  
Medical College ◽  
Uncontrolled Diabetes ◽  
History Of ◽  
Control Of Diabetes ◽  
Atypical Presentations

Introduction: Tuberculosis and Diabetes mellitus are two public health problems which not only often coexist but have serious implications on each other. DM has an impact on symptomatology, radiological presentation, diagnosis and management of TB. TB has a significant impact on DM, causing unmasking of DM and poor control because of stress or because of drug treatment for TB. Present study attempts to assess this coexistence with regard to the age predisposition, sex preponderance, duration and glycemic control of diabetes and the radiological presentations. Materials and Methods: 100 patients presenting to the Department of Tuberculosis and Chest Diseases, Government Medical College, Patiala, who were suffering from both Tuberculosis and Diabetes Mellitus, were studied. Various parameters considered included age, sex, history of diabetes with regard to the duration and the glycemic control and the radiological presentations. Results: It was found that majority were males (61/100). The age group most commonly involved was the 40-60year group (76/100). Majority had their Diabetes diagnosed before the diagnosis of Tuberculosis (57/100), 23 had diagnosis after TB diagnosis, and 20 simultaneously with TB diagnosis. Out of these 57 diagnosed diabetics, 11 patients had controlled diabetes whereas 46 (87.1%) had uncontrolled diabetes. 32 patients had the typical radiological lesions while 68 had atypical presentations with either lower lobe involvement, multi lobe involvement, cavitations or shadows fanning out from the hilum. Conclusion: TB and DM often coexist together and adversely effect each other. Both need to be managed properly in order to achieve favorable treatment outcome. Key Words: TB; DM DOI: 10.3126/saarctb.v7i2.4404SAARC J. TUBER. LUNG DIS. HIV/AIDS 2010 VII(2) 34-38

Poor Glycemic Control Induces Hypertension in Diabetes Mellitus

Hypertension ◽  
1996 ◽  
Vol 27 (3) ◽  
pp. 735-739 ◽  
Author(s):  
Michael W. Brands ◽  
Timothy E. Hopkins
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Poor Glycemic Control

scholarly journals When Uncontrolled Diabetes Mellitus and Severe COVID-19 Converge: The Perfect Storm for Mucormycosis

2021 ◽  
Vol 7 (4) ◽  
pp. 298
Author(s):  
Teny M. John ◽  
Ceena N. Jacob ◽  
Dimitrios P. Kontoyiannis
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Clinical Features ◽  
The Other ◽  
Diabetic Patients ◽  
Epidemiological Factors ◽  
Uncontrolled Diabetes ◽  
Diagnostic Certainty ◽  
Patients With Diabetes ◽  
Perfect Storm

Mucormycosis (MCR) has been increasingly described in patients with coronavirus disease 2019 (COVID-19) but the epidemiological factors, presentation, diagnostic certainty, and outcome of such patients are not well described. We review the published COVID-19-associated mucormycosis (CAMCR) cases (total 41) to identify risk factors, clinical features, and outcomes. CAMCR was typically seen in patients with diabetes mellitus (DM) (94%) especially the ones with poorly controlled DM (67%) and severe or critical COVID-19 (95%). Its presentation was typical of MCR seen in diabetic patients (mostly rhino-orbital and rhino-orbital-cerebral presentation). In sharp contrast to reported COVID-associated aspergillosis (CAPA) cases, nearly all CAMCR infections were proven (93%). Treating physicians should have a high suspicion for CAMCR in patients with uncontrolled diabetes mellitus and severe COVID-19 presenting with rhino-orbital or rhino-cerebral syndromes. CAMR is the convergence of two storms, one of DM and the other of COVID-19.

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