Plasma vasopressin in uncontrolled diabetes mellitus

Background: Elderly people with uncontrolled diabetes mellitus (DM) are at risk of falls, which can lead to injury and disability. Not much is known of informal caregivers’ awareness of falls in elderly patients with DM. Objective: This study aims to identify an association between caregiver’s awareness and falls in elderly patients with DM. Methods: A total of 136 pairs of DM patients and their respective family caregivers were recruited from a clinical service center at Chiang Mai University, Thailand. The questionnaire regarding the caregiver’s awareness of the risk of falls in elderly patients was given via a face-to-face interview. Each elderly patient was asked about their history of falls in the prior year, and the risk of falls was assessed by Time Up & Go (TUG) test. Logistic regression analysis was performed to determine association. Results: The mean age of the DM patients was 65.7 years. Sixty-two patients (45.6%) had fallen at least once in the prior year. The mean TUG test result was 12.67±1.83 second. Most caregivers demonstrated a high level of awareness regarding the risk of falls in elderly patients. The results of the multivariable analysis showed that three variables – balance problems, risk of falls assessed by TUG test, and scores of caregiver’s awareness of risk of falls – were significantly related to falls in the previous year among elderly patients with DM (p-value<0.05). Conclusion: The caregivers’ awareness of fall risk may influence fall occurrence among older adults with DM. An intervention program to improve awareness among informal caregivers should be considered for fall prevention in elderly people.

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

Journal of Fungi ◽

10.3390/jof7040298 ◽

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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Staphylococcal Sepsis with Multiple Abscesses, Urinary Tract Infection, and Bilateral Renal Vein Thrombosis in a Patient with Uncontrolled Diabetes Mellitus

Case Reports in Medicine ◽

10.1155/2012/357502 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Malik A. A. Khan ◽

Jonathan Michael Hunter ◽

Christopher Tan ◽

Mostafa Seleem ◽

Peter J. O. Stride

Keyword(s):

Diabetes Mellitus ◽

Staphylococcus Aureus ◽

Renal Vein ◽

Medical Condition ◽

Vascular Complications ◽

Renal Vein Thrombosis ◽

Intravenous Antibiotic ◽

Incision And Drainage ◽

Vein Thrombosis ◽

Uncontrolled Diabetes

We report a case of staphylococcal sepsis with vascular complications including peripheral emboli and renal vein thrombosis. Bilateral renal vein thrombosis has not been reported as a complication ofStaphylococcus aureus(SA) axillary abscess. Uncontrolled diabetes was the only detected predisposing medical condition. The patient was treated successfully with incision and drainage of soft-tissue abscesses and intravenous antibiotic for six weeks and with anticoagulation for renal vein thrombosis.

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Hysteroscopic Sterilization Outcomes in Uncontrolled Diabetes Mellitus Patients: A Retrospective Cohort Review

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2014.08.361 ◽

2014 ◽

Vol 21 (6) ◽

pp. S104-S105

Author(s):

H.O. Chapa ◽

G. Venegas

Keyword(s):

Diabetes Mellitus ◽

Retrospective Cohort ◽

Uncontrolled Diabetes

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Gas in the kidney: a case of emphysematous pyelonephritis in a patient with uncontrolled diabetes mellitus

BMJ Case Reports ◽

10.1136/bcr-2021-243891 ◽

2021 ◽

Vol 14 (7) ◽

pp. e243891

Author(s):

Abdul Wahab ◽

Muhammad Hashim Hayat ◽

Amman Yousaf ◽

Raseen Tariq

Keyword(s):

Diabetes Mellitus ◽

Emphysematous Pyelonephritis ◽

Uncontrolled Diabetes

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UNCONTROLLED DIABETES MELLITUS

Southern Medical Journal ◽

10.1097/00007611-198208000-00001 ◽

1982 ◽

Vol 75 (8) ◽

pp. 905

Author(s):

Samuel Eichold

Keyword(s):

Diabetes Mellitus ◽

Uncontrolled Diabetes

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Treatment of Rhinocerebral Mucormycosis by Combination of Endoscopic Sinus Debridement and Amphotericin B

American Journal of Rhinology ◽

10.1177/194589240101500508 ◽

2001 ◽

Vol 15 (5) ◽

pp. 327-331 ◽

Cited By ~ 26

Author(s):

Isam Alobid ◽

Manuel Bernal ◽

Carlos Calvo ◽

Isabel Vilaseca ◽

Juan Berenguer ◽

...

Keyword(s):

Diabetes Mellitus ◽

Computed Tomography ◽

Histopathological Examination ◽

Ct Scanning ◽

Definitive Diagnosis ◽

Immunocompromised Patients ◽

Imaging Procedures ◽

Rhinocerebral Mucormycosis ◽

Uncontrolled Diabetes ◽

Mucosal Necrosis

Rhinocerebral mucormycosis (RCM) is an aggressive fungal infection with a high mortality rate. It frequently develops in patients with uncontrolled diabetes mellitus or immunocompromised patients. RCM typically presents in a rapidly fulminant manner with headache, fever, mucosal necrosis, and ophthalmic symptoms. Although the definitive diagnosis is achieved by histopathological examination, computed tomography (CT) scanning and magnetic resonance (MR) are the best imaging procedures in early diagnosis to assess the extent of the disease.

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