scholarly journals DIABETES MELLITUS;

2008 ◽  
Vol 15 (02) ◽  
pp. 240-246
Author(s):  
HAFIZ MUHAMMAD YAR ◽  
MUHAMMAD ANWAR ◽  
KHALID SHABBIR ◽  
Rashid Ali

. Objective: To determine the frequency of diabetes mellitus and to assess the level of awarenessabout diabetes amongst persons attending a free health camp in cultural festival of Rahim Yar Khan. Study Design:Cross sectional observational study. Place and duration of study: Three days free health camp arranged in a culturalfestival in Rahim Yar Khan. Results: Over all frequency of type II diabetes was 19.38% and the frequency of diabetesincreased both in men and women with increasing age (p<0.001). Newly diagnosed subjects were 6.77% and thesedo not know that they were suffering from diabetes. 18.92% subjects were having glucose intolerance and 61.70%subjects were having random blood glucose level within normal limits. Diabetes was correctly defined by 57% subjectsand this was significantly associated with educational level, suffering from the disease and presence of diseaseamongst family members. 14.62% gave history of presence of disease in their families. As compared to females, maleswere more suffering from disease and these were consuming more foods and snacks than females (p<.0.01).Conclusion: High frequency of diabetes mellitus was observed amongst the study population. This may be due tohealth consciousness and higher level of educational status in the subjects who participated. Emphasis on healtheducation and preventive strategies are needed to increase public awareness and early detection of high risk groupsand risk factors of this common disease in our country. The lifestyle behaviors and environmental factors are strongmodifiers of diabetes The life style changes and interventions in early age may prove to be more effective thaninterventions done at a later stage.

2018 ◽  
Vol 5 (5) ◽  
pp. 1143
Author(s):  
P. K. Bariha ◽  
K. M. Tudu ◽  
Shiny Thomas Kujur

Background: The microvascular and macrovascular complications in diabetes mellitus resulting in microalbuminuria and diabetic neuropathy in common in developing country like India. The aim of the study has been undertaken to emphasis upon the association of microalbuminuria with neuropathy.Methods: The study was undertaken among 124 Type-II diabetes patients in the Department of Medicine, VIMSAR, Burla, Odisha between October 2015 to September 2017. Detail history, clinical examination, BMI, laboratory investigation like FBS, PPBS, HbA1C, nerve conduction study was done, and data were analysed and compiled.Results: Out of 124 patients the mean age of male patients in the study was 49.75 years and that of female patients was 50.36 years. The mean age of the study population was 50.18 years. The mean BMI in patients with and without microalbuminuria was 23.95±2.04kg/m2 and 21.57±2.89kg/m2 respectively. The mean HbA1C value in patients with and without microalbuminuria was 9.96±3.380 and 8.75±3.25 respectively.Conclusions: Microalbuminuria is significantly associated with presence of neuropathy. The most common type of neuropathy observed in this study was distal symmetrical sensory motor neuropathy. Hence, microalbuminuria has an important role as a biochemical marker for risk factor evaluation of microvascular complications in type 2 diabetes mellitus.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Kalpana Sharma ◽  
Govinda Dhungana ◽  
Shailendra Adhikari ◽  
Archana Bista Pandey ◽  
Muna Sharma

The prevalence of depression and anxiety disorders is common among people with diabetes mellitus. Coexistence of diabetes and depression/anxiety increases the risk of diabetes complications and reduces the overall quality of life. Hence, this study aimed to assess the depression and anxiety among patients with type 2 diabetes mellitus in Chitwan. Descriptive survey was carried out among 296 purposively selected clinically diagnosed type 2 diabetes patients admitted in the Chitwan Medical College Teaching Hospital from 15th June 2018 to 17th September 2019. Patients were interviewed using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorders-7 (GAD-7). Data were analyzed using descriptive and inferential statistics. Of 296 diabetic patients, 48.6% were 60 years and above, 59.5% female and 61.5% literate; their common occupation was agriculture (38.2%) followed by household work (26.4%). Nearly two-thirds (62.8%) of diabetes patients had other chronic comorbid conditions. Depression and anxiety were observed among 57.8% and 49.7% of diabetes patients, respectively. While observing the severity, 27.4%, 19.6%, 8.4%, and 2.4% of patients had mild, moderate, moderately severe, and severe depression, respectively. Likewise, 24.7%, 20.3%, and 4.7% of patients had mild, moderate, and severe anxiety, respectively. Current living status, educational status, medicine adherence, satisfaction toward current treatment, and history of mental illness in the family were found to be significant factors associated with the anxiety of patients with diabetes. Further, educational status, smoking habit, satisfaction towards current treatment, and history of diabetes in family were the factors associated with depression. Prevalence of depression and anxiety is high among admitted patients with diabetes mellitus, and many factors are associated with it. Hence, regular screening services are essential along with diabetes management plan for timely identification and treatment of the vulnerable groups in the healthcare centers.


Author(s):  
A.P. Mitha ◽  
J.H. Wong ◽  
S.J. du Plessis

A 51-year-old gentleman of Chinese descent presented for neurological evaluation following a two-year history of cervical neck pain associated with left arm numbness. His symptoms were initially stable, but had progressed over the past six months to include weakness of his entire left arm and leg and symptoms of bladder urgency. Two weeks prior to presentation, he suffered repeated falls due to worsening gait difficulties. The past medical history was significant for type II diabetes mellitus.


1997 ◽  
Vol 43 (5) ◽  
pp. 47-50
Author(s):  
M. M. Ginzburg ◽  
G. S. Kozupitsa

Obesity is now the most common disease in the population of economically developed countries, where up to 25% of residents have a body weight that is more than 15% higher than normal [8]. An increase in the incidence rate of about 10% over 10 years is observed [33]. The causal relationship between obesity and arterial hypertension, coronary heart disease, and type II diabetes mellitus is well known [6, 10]. At the same time, the current state of the problem of prevention, therapy and control of relapse of obesity is far from perfect. And this is primarily due to the fact that we do not fully know the pathogenesis of this disease.


Ophthalmology ◽  
1997 ◽  
Vol 104 (3) ◽  
pp. 473-478 ◽  
Author(s):  
Taiichi Hikichi ◽  
Naoki Fujio ◽  
Jun Akiba ◽  
Yoshinao Azuma ◽  
Masatoshi Takahashi ◽  
...  

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Deepanshu Jain ◽  
Ankit Chhoda ◽  
Jorge Uribe

Insulin is a debatable risk factor for colon adenoma (Ad) among type II diabetes mellitus (DM II) patients. Obesity is an important confounding variable. The study involved chart review of DM II patients undergoing screening colonoscopy. Study population was divided into obese [body mass index (BMI)≥30] and nonobese (BMI&lt;30) groups which were further divided into insulin and non-insulin subgroup. Colonoscopy and pathology reports were used to calculate Ad detection rate (ADR) and AAd detection rate (AADR). A total of 538 subjects satisfied the inclusion and exclusion criteria. The study population composed of 52.8% obese and 47.2% non-obese subjects. Obese group had 28.9% insulin and 71.1% non-insulin subjects. Non-obese group composed of 29.9% insulin and 70.1% non-insulin subjects. ADR for non-obese insulin and non-insulin subgroup was 31.6% and 37.1% respectively. AADR for non-obese insulin and non-insulin subgroup was 13.2% and 11.2% respectively. ADR for obese insulin and non-insulin subgroup was 41.5% and 34.2% respectively. AADR for obese insulin and non-insulin subgroup was 15.9% and 16.3% respectively. Insulin exposure lacked statistically significant association with ADR or AADR among obese and non-obese DM II subjects.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Vahidi ◽  
Samaneh Asgari ◽  
Maryam Tohidi ◽  
Fereidoun Azizi ◽  
Farzad Hadaegh

Abstract Background Gestational diabetes mellitus (GDM) and macrosomia are associated with several adverse outcomes including diabetes mellitus and cardiovascular diseases, however, the relationship between GDM/macrosomia with incident chronic kidney disease (CKD) is a matter of debate. The purpose of this study was to examine the association between the history of macrosomia with or without GDM and incident maternal CKD. Methods The study population includes 2669 women aged 18–50 years without known diabetes mellitus and CKD from participants of the Tehran Lipid and Glucose Study. The study population was categorized into 3 groups; group 1: GDM/macrosomia and without diabetes mellitus (n = 204), group 2: newly diagnosed incident diabetes mellitus (NDM) in the presence or abcence of GDM/Macrosomia (n = 113), and, group 3: the reference group including women without prior history of GDM/macrosomia and free of NDM (n = 2352). CKD was defined as an estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m2. Multivariable Cox proportional hazard regression adjusted for baseline values of age, body mass index, waist circumference, parity numbers, smoking, educational level, gestational hypertension, eGFR, systolic and diastolic blood pressures (SBP and DBP, respectively), anti-hypertensive medication, and family history of diabetes mellitus was applied for data analyses. Results During a median follow-up of 11.9 years, 613 incident CKD cases were identified. The multivariable hazard ratio (HR) and 95% confidence interval (CI) on GDM/macrosomia group was [1.32 (1.02–1.72)]; the risk was more prominent among non-hypertensive women [1.41 (1.07–1.85); P for interaction: 0.046]. Moreover, the history of macrosomia alone also showed a significant risk [1.36 (1.04–1.78)]; however, history of GDM alone did not have a significant risk [0.92 (0.34–2.46)]. Age, current smoking, eGFR, and SBP remained as independent risk factors for incident CKD. Conclusions A history of GDM/macrosomia or macrosomia alone, independent of subsequent diabetes mellitus was associated with significant risk for incident maternal CKD. Pregnancy may provide a unique situation to identify high-risk women at risk for CKD that could benefit from regular monitoring of kidney function and providing risk modifying strategies.


2020 ◽  
Vol 8 (9) ◽  
pp. 4358-4362
Author(s):  
Lokhande Abhijeet Sahebrao ◽  
Joshi Dnyanesh Sudhakarrao ◽  
Gawai Abhijeet Ashokrao

Junk food and lavish lifestyle is a status statement of today era which is responsible for various type of diseases. Diabetes Mellitus is one of the predominant diseases causing this lifestyle. Diabetes Mellitus re-sembling with Madhumeha which is one type of Vataj Prameha explained by Acharya Charaka. The ayurvedic protocol of management is very beneficial for prophylaxis and treatment of Madhumeha (Dia-betes Mellitus). Madhumeha can be treated more accurately according to the Ayurvedic method of treat-ment only if its Nidan Panchaka (Etiopathogenesis) is well established. Aim: To study Nidana Panchaka of contemporary Madhumeha patient vis. a. vis. type II diabetes mellitus. Material & Method: In this study, already diagnosed 30 patients of diabetes mellitus type II were selected and the history of those patients was taken according to standard case proforma. Present study is Analyti-cal, Retrospective, Observational, and Cross-sectional type. Observation: An analyzed data indicated that lavish lifestyle, unhealthy food, and junk food are also the reasons behind disease along with Hetus (Etiological factor) mentioned in the Samhitas (Ayurveda Litera-ture). Conclusion: It can be concluded that it is possible to establish the Nidan Panchak of Madhumeha vyadhi with the help of Ayurvedic basic principles.


2021 ◽  
Vol 15 (12) ◽  
pp. 3448-3449
Author(s):  
Umar Nasir ◽  
Ariffullah Khan ◽  
Haseeb Ahmad ◽  
Maryum Bibi ◽  
Maheen Anis ◽  
...  

Objective: To conclude the frequency of tooth wear in permanent dentition of adults suffering from diabetes mellitus. Study Design: Cross-Sectional study Place and Duration of Study: Dental OPD of Bacha Khan College of Dentistry from 1st January 2021 to 30th June 2021. Methodology: Three hundred known diabetic patients who gave positive history of diabetes mellitus were randomly selected. Knowledgeable consent was attained from all subjects. Patients were clinically examined for tooth wear: erosion, attrition, abfraction and abrasion. Results: There were 166 (55%) males and 134 (45%) female patients respectively. The prevalence of tooth wear among diabetic individuals was as high as 62%. Conclusion: Diabetes mellitus is common disease in adult population and it cruelly impacts the oral health of an individual. Tooth wear is common finding in diabetic patients due to xerostomia. When patient is diagnosed as diabetic, the dentist should instruct the patient about the importance of hygiene care and risk of tooth wear and should carry out screening for tooth surface loss as a part of their routine dental examination in diabetic patients. Key Words: Tooth wear, Diabetes mellitus, Xerostomia, Attrition, Abrasion, Abfraction, Erosion


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