Foot Ulceration and Lower Limb Amputation in Type 2 Diabetic Patients in Dutch Primary Health Care

Diabetes Care ◽  
2002 ◽  
Vol 25 (3) ◽  
pp. 570-574 ◽  
Author(s):  
I. S. Muller ◽  
W. J.C. de Grauw ◽  
W. H.E.M. van Gerwen ◽  
M. L. Bartelink ◽  
H. J.M. van den Hoogen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Lower Limb ◽  
Limb Amputation ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Foot Ulceration ◽  
Primary Health ◽  
Type 2 Diabetic

scholarly journals Symptoms of depression and anxiety among a Sample of Type 2 diabetic patients at Primary Health Care in Erbil city

2019 ◽  
Vol 23 (10) ◽  
pp. 5
Author(s):  
Bnar Sardar Yaseen ◽  
Ali Shakir Dauod
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hemoglobin A1c ◽  
Glycated Hemoglobin ◽  
Diabetic Patients ◽  
Depression And Anxiety ◽  
Type 2 Diabetic Patients ◽  
Primary Health ◽  
Type 2 Diabetic

Background and Objectives: Diabetes mellitus (DM) is exceedingly widespread disease with the highest prevalence in the Middle East countries. Co-existing psychological symptoms affect glycemic control and considered as an important problem in achieving target. The objective of this study was to determine the percentage of depressive and anxiety symptoms among diabetes patients. Methods: This cross-sectional study was conducted among a sample of 300 adult patients with type 2 diabetes who attended Primary Health Care centers in Erbil City during the period from the 1st of July 2016 to the end of 28th of June 2017. The Patient Health Questionnaire (PHQ9) and Diagnostic and Statistical Manual of Mental Disorders DSM-5 questionnaires has been used as diagnostic tools for depression and anxiety. The glycemic control measured using glycated hemoglobin A1C. Results: The mean age  SD of the sample was 54.79  9.16 years, ranging from 40 to 75 years, the median was 54 years and considerable proportion (44.7%) were of low socio-economic status (SES). Only one quarter of the patients are highly adherent to the treatment. 52.3% of the patients were complaining from anxiety whether mild (28%), moderate (23.3%) or severe (1%). Regarding depression, 58.7% had had depression of different severity. No significant association was detected between anxiety and depression with diabetes control as assessed by glycated hemoglobin A1C (p = 0.932) and (p = 0.220) respectively. The prevalence of depression among those who follow a healthy diet (53.6%) and who practice physical activity (41.4%) was significantly less (p = 0.024). Conclusion: The study revealed that large percentage of type 2 diabetic patients suffered from anxiety and or depressive symptoms, a results should alert all physicians working in primary health centers to consider these symptoms since they have a direct impact in improving treatment   http://dx.doi.org/10.25130/tjps.23.2018.162

scholarly journals Choroidal Thickness and Urinary Albumin Excretion in Type 2 Diabetic Patients without Retinopathy

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Cláudia Oliveira-Ferreira ◽  
Mariana Leuzinger-Dias ◽  
João Tavares-Ferreira ◽  
F. Falcão-Reis ◽  
Amândio Rocha-Sousa
Keyword(s):  
Health Care ◽  
Diabetic Retinopathy ◽  
Choroidal Thickness ◽  
Urinary Albumin ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Primary Health ◽  
Type 2 Diabetic ◽  
Sd Oct

The role of retinal vasculature’s dysfunction in the physiopathology of Diabetic Retinopathy (DR) has been extensively described. Recently, the existence of a diabetic choroidal vasculopathy has been proposed. The purpose of this study was to compare choroidal thickness (CT) in nondiabetic patients and in type 2 diabetic patients without retinopathy, using EDI SD-OCT. Additionally, considering the diabetic patient group, compare CT in patients with and without microalbuminuria. This retrospective study selected patients sent from primary health-care centers as part of the national screening of diabetic retinopathy. Inclusion criteria were diagnosis of type 2 diabetes mellitus, absence of diabetic retinopathy, and a 24 hours urinary albumin measurement in the last 3 months at the primary health-care center. Nondiabetic patients were selected from a database in the ophthalmology department, and only healthy patients were included. At the screening visit, all patients performed a complete ophthalmologic examination by the same examiner. All eyes were examined with SD- OCT, and all scans were performed in the EDI mode. Measurements were made at three points: subfoveal, 1500 μm temporally and nasally to the foveal center. We included 110 eyes of 110 diabetic patients without diabetic retinopathy and 30 eyes of 30 healthy controls. Mean subfoveal CT was greater in diabetic patients without retinopathy (with normoalbuminuria or microalbuminuria) when compared with nondiabetic patients (p<0.05). In diabetic patients without retinopathy, the subfoveal and temporal choroid was thicker among patients with microalbuminuria when compared with those of normoalbuminuric patients (p<0.05). The subfoveal and temporal choroid was thicker among diabetic patients with microalbuminuria compared with nondiabetic patients. (p<0.05). This study suggests that choroidal changes are present in type 2 diabetic patients even before the clinical development of retinopathy.

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