761-P: Correlation of Periodontal Inflamed Surface Area with Glycemic Status in Patients with Controlled Type 2 Diabetes Mellitus and Uncontrolled Type 2 DM With and Without Microvascular Complications

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 761-P
Author(s):  
CHANDNI RADHAKRISHNAN ◽  
ROSAMMA JOSEPH VADAKKEKUTTICAL ◽  
KRISHNA ANIL ◽  
FAIROZ CHERIYALINGAL PARAMBATH
2020 ◽  
Vol 15 (1) ◽  
pp. 19-21
Author(s):  
Abdullah Al Mamun ◽  
Sheikh Shahidul Islam ◽  
Maj Ariful Haque ◽  
AKM Shafiqur Rahman

Introduction: The increasing prevalence of diabetes over the world has become an important public health issue. It is considered as an independent risk factor for cognitive impairment. The cognitive function of patients with type 2 diabetes mellitus is usually not assessed in routine checkup. Objectives: To evaluate the cognitive status and associated factors of type 2 diabetes mellitus patients. Materials and Methods: This cross-sectional study conducted in Combined Military Hospital, Dhaka from July 2014 to June 2015. A total of 191 type 2 diabetes mellitus patients were studied to find out the association between glycemic status and cognitive capacity among the patients. Cognitive capacity was assessed by using MMSE scale. Data were collected by face to face interview with a semi-structured questionnaire and checklist following systematic random sampling technique. Results: Out of 191 patients 85.3% of the patients had uncontrolled DM but 88% of the patients had normal level of cognitive capacity and only 12% having border line cognitive capacity. More male (16.0%) than female (7.1%) patients had border line cognitive capacity. Statistically significant (p<0.05) association was found with age group and glycemic status, aged group has more uncontrolled diabetes mellitus. Majority (39.4%) of elderly patients (61-80 years) had border line cognitive capacity while most (96.4%) of the younger patients (41-50 years) had normal cognitive capacity. Conclusion: In this study type 2 DM patients found with decline in cognitive capacity. So, patients with type 2 DM should be regularly assessed for their cognitive function. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 19-21


Author(s):  
Krishan Kumar Meena ◽  
Praveen Sharma ◽  
Swati Srivastava ◽  
Uma Kumari Meena

Introduction: Diabetes mellitus (DM) is common metabolic disorder leading to various complications including micro-vascular complication. Diabetes and thyroid dysfunction can result in abnormalities of one another, as both are strongly implicated in cellular metabolism.  Aim of study was to establish any association between hypothyroidism and micro-vascular complications in patients of type 2 DM. Material and Methods: This Hospital based Cross sectional analytical Study was included 80 Euthyroid and 80 hypothyroid patients of type 2 DM. These patients were subjected to fundus examination (for retinopathy), urine for spot albumin and creatinine ratio and routine microscopy (for nephropathy), clinical examination and NCV (for neuropathy). Results: Age of patients ranged from 30 – 80 years. Most patients had duration of Diabetes > 5 years. Diabetic retinopathy was found in 15% Euthyroid and 37.5% Hypothyroid diabetics (p=0.002). Neuropathy was more in Hypothyroid (35%) as compared to Euthyroid (12.5%) patients (p=0.003). Prevalence of Nephropathy was also significantly more (p=0.011) in Hypothyroids (60%) as compared to Euthyroid (38.75%). Conclusion: Significant association was found between hypothyroidism and micro vascular complications in type 2 Diabetes mellitus. Screening of diabetics for thyroid functions is essential to reduce morbidity. Keywords: Diabetes, thyroid, retinopathy, neuropathy, nephropathy


2020 ◽  
Vol 48 (12) ◽  
pp. 030006052096398
Author(s):  
Lin Hou ◽  
Yingzhou Shi ◽  
Sichao Wang ◽  
Qing Chen ◽  
Qiu Li ◽  
...  

Objectives To analyze the associations of serum uric acid (SUA) level with diabetic microvascular complications, including diabetic retinopathy (DR) and diabetic nephropathy (DN), in patients with type 2 diabetes mellitus (DM). Methods Three hundred eighty-nine inpatients with type 2 DM were included in this retrospective analysis. Nonmydriatic fundus cameras were used to identify DR. Urinary albumin creatinine ratio was used to identify DN. Patients were divided into four groups according to SUA quartiles. Results The prevalences of DR and albuminuria increased with increasing SUA level. Multivariate logistic regression analysis showed that, following adjustment for other risk factors, higher levels of SUA (Q3 and Q4) were associated with greater risk for DR, compared with the lower level (Q1) (odds ratio [OR]: 3.056, 95% confidence interval [CI]: 1.506–6.198; OR: 3.417, 95% CI: 1.635–7.139, respectively). Moreover, higher levels of SUA (Q2, Q3, and Q4) were associated with greater risk for albuminuria (OR: 2.418, 95% CI: 1.059–5.522; OR: 7.233, 95% CI: 3.145–16.635; and OR: 8.911, 95% CI: 3.755–21.147, respectively). Conclusions SUA level was independently associated with DR and albuminuria in patients with type 2 DM. Elevated SUA level might be predictive for the occurrence of DR and DN.


2020 ◽  
Vol 8 (3) ◽  
pp. 256
Author(s):  
Marisa Gita Putri ◽  
K. Heri Nugroho HS ◽  
Mateus Sakundarno Adi ◽  
Suhartono Suhartono ◽  
Bagoes Widjanarko

Background: Type 2 diabetes mellitus is a chronic disease that is still a global health problem. Uncontrolled diabetes mellitus (DM) can result in poor glycemic status, with factors that affect patients including long-term DM and medication compliance. Purpose: This study aimed to determine the risk factors of long-term DM and non-compliance with medication on the poor glycemic control status of patients with type 2 DM. Methods: This type of research used observational analysis with a case–control design. Samples were taken from patients with type 2 DM, with 40 cases and 40 controls. The criteria for sample inclusion were that the patients had a glycosylated hemoglobin level check, were willing to be research respondents, and could communicate well. The exclusion criterion was patients experiencing a drastic decline in health status during the study. The sampling technique used was consecutive sampling. This research was conducted at the Panti Wilasa Citarum Hospital in Semarang City from July to September 2019. The relationship and the risk of long-term DM and adherence to taking medication with glycemic status were tested using the chi-square test. Results: This study showed that a duration of DM >5 years (p = 0.01; Odss Ratio (OR) = 3.46; 95% confidence interval [CI] = 1.37 < OR < 8.69) and non-compliance with taking medication (p = 0.02; OR = 3.15; 95% CI = 1.25 < OR < 7.93) are risk factors for poor glycemic status. Conclusion: Duration of DM >5 years and non-compliance with taking medication are risk factors for poor glycemic status in patients with type 2 DM.


2021 ◽  
Vol 9 (36) ◽  
pp. 11300-11310
Author(s):  
Krishna Anil ◽  
Rosamma Joseph Vadakkekuttical ◽  
Chandni Radhakrishnan ◽  
Fairoz Cheriyalingal Parambath

2020 ◽  
Vol 52 (3) ◽  
pp. 125-130
Author(s):  
Jesika Merlin ◽  
Pusparini

In patients with type 2 diabetes mellitus (Type 2 DM), glycemic control plays an essential role in reducing macro- and microvascular complications. The earliest marker for diabetic nephropathy is the presence of albuminuria. Meanwhile, HbA1c has been recognized as a marker of glycemic control in the blood. This study aimed to identify the correlation between HbA1c and albuminuria in type 2 DM. This was a cross-sectional study involving 100 patients with type 2 DM aged 40–70 years visiting Dr. Soetomo Hospital, Surabaya, Indonesia. Secondary data from medical records of type 2 DM patients undergoing HbA1c and albuminuria examinations from January to December 2015 were used. The mean age of subjects was 55.4 ±8.7 years, with the majority (55%) being of female gender. The mean HbA1c concentration was 9.8±2.4%. Most subjects (83%) had an HbA1c level of ≥7 %. Albuminuria was found in the majority of the subjects (78%), where 33% of them had positive 1 albuminuria. The Spearman correlation test showed a positive strong significant correlation between HbA1c and albuminuria, with r=0.865 and p<0.001. Thus, it can be concluded that there is a significant correlation between HbA1c and albuminuria in type 2 DM.


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