A study of vitamin D deficiency in newly diagnosed type ii diabetes mellitus patients at a tertiary health care centre

2020 ◽  
Vol 16 (1) ◽  
pp. 14-17
Author(s):  
Chandrayya Achanna Kante ◽  
2021 ◽  
pp. 42-45
Author(s):  
Atul Debbarma ◽  
Papiya Deb ◽  
Shyamal Roy

Background: There has been a marked variance in the prevalence of Vitamin D deciency in India. Limited evidence is available regarding the correlation of Vitamin D with thyroid hormones in patients with Type II Diabetes mellitus (T2DM). Aims AND Objectives: To study the correlation of Vitamin D with thyroid hormones in patients with Type II Diabetes mellitus at tertiary health care in Tripura. Materials And Methods: Hundred patients with T2DM diagnosed as per American Diabetes Association (ADA) were studied in acrosssectional study which was conducted in the Department of Medicine at AGMC&GBP Hospital from January 2019 – June 2020. Blood tests were performed to estimate serum vitamin D level and thyroid prole and correlation was obtained with glycemic parameters. Results: T2DM was more prevalent in the age group of 60-70 years with mean age being 55.28 years. Majority had (52%) hypothyroidism, 38% had had vitamin D deciency and 13% had vitamin D insufciency. Majority of the Vitamin D decient patients TSH > 5 µIU/mL (31%). Linear regression analysis showed that inverse relationship between TSH and Vitamin D, HbA1c and Vitamin D. An equation of Vitamin D level estimation was derived as Vitamin D level = 28.48 – 0.81 * HbA1c level. Conclusion: Prevalence of vitamin d deciency is more prevalent among hypothyroid diabetics and the severity of the Vitamin D deciency correlated with hypothyroid status.


Author(s):  
Talib Mearza ◽  
Wesam Abou Amer ◽  
Maryam Al Jaber

Type II diabetes is caused by insulin resistance resulting in high blood sugar levels. Although the typical symptoms of diabetes are described as polyuria, polydipsia and fatigue as many as 60% of newly diagnosed patients with type II diabetes are asymptomatic. Here authors present a case of a 39-year-old male patient who presented with localized pruritus affecting the medial aspects of his forearms and upper legs as the sole symptom of newly diagnosed type II diabetes mellitus. The itch symptom markedly improved on significantly reducing his dietary intake of sugars and with the use of metformin. Authors hope to alert clinicians to consider the possibility of underlying diabetes in such presentations to enable swift diagnosis and consequent treatment. It is unusual to find patients presenting with localized itch without any corresponding cutaneous manifestations as a presentation of type II diabetes.


2021 ◽  
pp. 42-43
Author(s):  
Neena Damle

During the last few years India have maximum increase of Type II diabetes mellitus . The prevalence of type 2 diabetes mellitus is 2.4% in rural population and 11.6% in urban population[1] . In this study total 10 Subjects of newly diagnosed type II Diabetes Mellitus, who fullled below criteria were selected from D.Y. Patil Ayurvedic Hospital Nerul Navi Mumbai OPD No.1. a) HbA1c level more than 6.5% b) Fasting blood Sugar level (FBS) more than 126 mg/dL (7 mmol/L) c) 2-hour Post Prandial Blood Sugar level (PPBS) more than 200 mg/dL (11.1 mmol/L). All 10 subjects treated with Nisha Amalaki Churna 3gms BD one hour before breakfast and before dinner with warm water for three months. Data of subjective parameters and physical examination of subjects was recorded in CRF during three visits 30 days apart. For Statistical Analysis Wilcoxon matched-pairs signed-ranks test was used to assess Subjective parameters and Paired t-Test was used to compare Fasting Blood Sugar level, two hour post prandial blood sugar levels and HbA1C levels BT and AT. The study showed signicant results in most of the subjective parameters at the level of signicance (P<0.05). Nisha Amalaki Churna reduced Fasting blood sugar levels and post Prandial blood sugar levels signicantly at level of signicance p<0.01. Nisha Amalaki Churna also reduced HbA1C levels signicantly at level of signicance p<0.01.The Ayurvedic mixture Nisha Amalaki Churna was signicantly effective in newly diagnosed Type II Diabetes Mellitus subjects.


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