scholarly journals Prevalence of Type 2 Diabetes Mellitus among People Attending Medical Camp in a Community Hospital

2020 ◽  
Vol 58 (225) ◽  
Author(s):  
Anu Kushwaha ◽  
Anuj Raj Kadel

Introduction: Diabetes is a health problem on the rise in developing countries like Nepal. Oftenin the suburban and rural areas, patients are diagnosed in the late stages with complications. Theaim of this study is to find out the prevalence of diabetes type 2 in a community hospital of Nepal. Methods: This is a descriptive cross-sectional study done in a community hospital from January toMarch of 2019 after ethical clearance (Registration number: 150320192) from the institutional reviewcommittee of Kathmandu Medical College. Convenient sampling technique was used. Glucometerusing glucose sticks is used to measure random blood sugar level and relevant questions were askedin a short interview. The data were analyzed using the Statistical Package for the Social Sciences 20version. Results: Out of a total of 114 people, the prevalence of type 2 diabetes mellitus was 5 (4.38%). Amongthose 5 (4.385%) people with type 2 diabetes mellitus, 2 (1.75%) were female and 3 (2.63%) were male.The minimum age of the patient was 17 years and the maximum age was 92 years. Five out of 95patients with mild physical activity had random blood sugar more than 200 mg/dl and five out of46 alcoholic patients had random blood sugar levels more than 200 mg/dl. Only 1 out of 26 smokershad a random blood sugar level of more than 200 mg/dl. Conclusions: Prevalence of diabetes mellitus type 2 in our study population is quite high. Earlydetection of diabetes mellitus type 2 can be a good screening tool for early treatment and preventionof complications.  

Author(s):  
R. Siddarama ◽  
G. Thrinath ◽  
J. Bhagyasree ◽  
S. Afshaan Anjum ◽  
R. Anjanamma

Background: The aim of this study is to observe the prevalence of complications of diabetes mellitus (Type 2) among patients and to minimize their occurrence through patient education. The study helps to assess the clinical data of patients with diabetes mellitus (Type 2) along with the analysis of patterns, frequencies and predictive factors of microvascular, macrovascular complications and to educate and minimize the complications of diabetes mellitus among patients.Methods: Prospective and observational study was conducted among the type 2 diabetes mellitus patients at Sree Diabetes Clinic for a period of 6 months. The patients were interviewed using the patient data collection form which included demographic details, chief complaints and different diagnostic tools to detect type of complications. Both micro and macrovascular complications were evaluated.Results: A total of 150 type 2 diabetic cases were collected. Out of these 38(25.33%) patients were having BMI <25, and 112(74.67%) were having BMI ≥25 (overweight and obese). Out of 150 diabetic cases collected, a total of 131 diabetic complications were found. Out of these, 64(42.6%) were neuropathy, 3(2%) were nephropathy, 20(13.3%) were retinopathy and 17(11.3%) were having cardiovascular complications. Out of 112 patients with BMI ≥25, 60(54%) were found to have diabetic complications and out of 38 patients with BMI <25, 18(47%) were found to have diabetic complications. 90 out of 150 patients had a history of hypertension and 17 out of 150 patients had an abnormal lipid level.Conclusions: In this study, author found that obesity is a major risk factor for the development of diabetes mellitus and its complications.


2021 ◽  
Vol 71 (5) ◽  
pp. 1848-51
Author(s):  
Asma Tasneem ◽  
Samina Naeem ◽  
Nasir Uddin ◽  
Maria Farid ◽  
Shehneela Jabeen ◽  
...  

Objective: To find out the association of type 2 diabetes mellitus with ABO and Rh blood groups. Study Design: Cross sectional study. Place and Duration of Study: Department of Haematology, Combined Military Hospital Lahore, from Jul to Dec 2020. Methodology: A total 179 patients with type 2 diabetes mellitus and 50 healthy individuals were inducted into the study. Five (5ml) blood from the patients was taken via clean aseptic venipuncture in a tube containing EDTA. HbA1C was generated through automated analyzer Cobas c501 and blood grouping was carried out using tube method by an experienced technician. Results: A total of 179 (77.8%) individuals with diabetes mellitus type 2 and 50 (21.7%) healthy cases were inducted into the study as a control group. A statistically significant difference was observed with blood group B being the most prevalent among them (p=0.001). There was a greater frequency of Rh-negative blood group in patients having diabetes mellitus type 2 as compared to the control group. Conclusion: There is a strong association found between ABO and Rh blood group with diabetes mellitus type 2. Blood group B negative was the most common among the patients having diabetes mellitus type 2. Blood group O positive showed the least association.


Author(s):  
Beatriz Silva de Magalhães ◽  
Juliana Valéria De Melo ◽  
Fernanda De Sousa Marinho ◽  
Claúdia Regina Lopes Cardoso ◽  
Gil Fernando Da Costa Mendes de Salles

O Diabetes Mellitus tipo 2 (DM2), o tipo mais prevalente na população, pode interferir em hábitos e rotinas presentes na vida de um sujeito e consequentemente pode acarretar mudanças nos papéis ocupacionais. Avaliar e intervir nos papéis ocupacionais dos indivíduos é parte do domínio da Terapia Ocupacional. Objetivo: Analisar a produção acadêmica sobre o impacto nos papéis ocupacionais de pessoas com Diabetes Mellitus tipo 2. Metodologia: Trata-se de uma revisão bibliográfica integrativa da literatura, realizada na base de dados PUBMED. Foram criadas três categorias para análise: Entendendo o contexto do paciente com Diabetes Tipo 2; Diabetes Mellitus Tipo 2 e Papéis Ocupacionais; e Rede de suporte. Resultados: Selecionaram-se nove artigos para análise e, desses, um foi relacionado ao processo terapêutico ocupacional. Os demais referiam-se ao impacto nos papéis ocupacionais de maneira indireta. Não foram encontrados estudos que utilizassem a Lista de Identificação de Papéis Ocupacionais para verificar quais destes foram modificados após o diagnóstico. Discussão: Percebeu-se que o contexto do indivíduo com DM2 após o diagnóstico sofre mudanças que impactam nos hábitos e na rotina. Os papéis ocupacionais identificados foram: de maneira direta, Membro da Família e Trabalhador; e de forma indireta, Cuidador e Amigo. Considerações finais: Os papéis ocupacionais podem ser alterados em indivíduos com DM2. Nessa direção, espera-se que essa revisão motive novos estudos que façam uso da Lista de Identificação de Papéis Ocupacionais junto a indivíduos com DM2, para abordar de forma direta essa temática. AbstractDiabetes mellitus type 2 (DM2), the most prevalent type in the population, can interfere with habits and routines present in the life of a subject and consequently can lead to changes in the occupational roles. Assessing and intervening in the occupational roles of individuals is part of the field of Occupational Therapy. Objective: To analyze the academic production on the impact on the occupational roles of people with Type 2 Diabetes Mellitus. Methodology: This work is an integrative bibliographical review of the literature, carried out in the PUBMED database. Three categories were established for analysis: Understanding the context of the patient with Type 2 Diabetes; Type 2 Diabetes Mellitus and Occupational Roles; and Network Support. Results: Nine articles were selected for analysis, of which one was related to the occupational therapeutic process. The others referred to the impact on occupational roles indirectly. No studies were found that used the Role Checklist to verify which roles were modified after diagnosis. Discussion: It was noticed that the context of the individual with DM2 after the diagnosis undergoes changes that impact the habits and routine. The occupational roles identified were: directly, Family Member and Worker; and indirectly, Caregiver and Friend. Conclusion: The occupational roles can be altered in individuals with DM2. In this direction, it is expected that this review will motivate new studies that make use of the Role Checklist with individuals with DM2 to approach this issue in a direct way.Keywords: Role Performance; Diabetes Mellitus Type 2; Role Checklist; Occupational Roles; Occupational Therapy. ResumenLa Diabetes Mellitus tipo 2 (DM2), el tipo más prevalente en la población, puede interferir en hábitos y rutinas presentes en la vida de un sujeto y consecuentemente puede acarrear cambios en los papeles ocupacionales. Evaluar e intervenir en los papeles ocupacionales de los individuos es parte del dominio de la Terapia Ocupacional. Objetivo: Analizar la producción académica sobre el impacto en los papeles ocupacionales de personas con Diabetes Mellitus tipo 2. Metodología: Se trata de una revisión bibliográfica integrativa de la literatura, realizada en la base de datos PUBMED. Se crearon tres categorías para el análisis: Entendiendo el contexto del paciente con Diabetes Tipo 2; Diabetes Mellitus Tipo 2 y Papeles Ocupacionales; y Red de soporte. Resultados: Se seleccionaron nueve artículos para análisis y, de éstos, uno fue relacionado al proceso terapéutico ocupacional. Los demás se refirieron al impacto en los papeles ocupacionales de manera indirecta. No se encontraron estudios que utilizaran la Lista de Identificación de Papeles Ocupacionales para verificar cuáles de éstos fueron modificados después del diagnóstico. Discusión: Se percibió que el contexto del individuo con DM2 después del diagnóstico sufre cambios que impactan en los hábitos y en la rutina. Los papeles ocupacionales identificados fueron: directamente, Miembro de la Familia y Trabajador; y indirectamente, Cuidador y Amigo. Consideraciones finales: Los papeles ocupacionales pueden ser alterados en individuos con DM2. En esta dirección, se espera que esta revisión motive nuevos estudios que hagan uso de la Lista de Identificación de Papeles Ocupacionales junto a individuos con DM2, para abordar de forma directa esa temática.Palabras clave: Rendimiento de Papeles; Diabetes Mellitus tipo 2; Lista de identificación de papeles ocupacionales; Papeles ocupacionales; Terapia ocupacional. 


2013 ◽  
Vol 3 (3) ◽  
pp. 248-255
Author(s):  
Nageen Hussain ◽  
Mahwish Mahwish

BackgroundDiabetes mellitus is a metabolic ailment which is an outcome of defect in insulin secretion, insulin action, or both. The ACEgene systematizes Angiotensin Converting Enzyme (ACE) and is the most profoundly studied gene because of its crucial role in the renin-angiotensin system (RAS). The insertion/ deletion (I/D) of a 287bp long Alu repetitive sequence in intron 16 is responsible for three genotypes, DD and II homozygotes and ID heterozygotes.ACE levels differ in carriers with respect to their genotype; DD carriers have twice the levels of ACE than that found in II genotype individuals. The main purpose of this study is to investigate the association ofACE gene I/Dpolymorphism in Pakistani Type 2 Diabetes Mellitus (T2DM) patients primarily from Lahore.Methods:Hundred patients (T2DM) and fifty healthy controls were enrolled in this study. The ACE I/D polymorphism, located in intron 16, was analyzed by a triple primer method called nested-PCR and subsequently the results were analyzed by gel electrophoresis.Urine samples were also collected from patients suffering from diabetic nephropathy for the determination of beta-2 microglobulin.Results: The frequency of ACE genotypes DD, ID and II among the patients with type 2 diabetes mellitus was found to be 76%, 10%, 14% whereas in control subjects, 38% , 4% , 8% respectively. Other clinical parameters like blood sugar level and body mass index were also evaluated to find an association with genotype. The findings showed a non-significant association of ACE genotype with Blood Sugar Level (BSL) and Body Mass Index (BMI).Of the hundred T2DM patients enrolled in the study ten (10%) were of diabetic nephropathy. Beta-2-microglobulin was measured in the urine of these patients as well as healthy controls. A significant association between β2-microglobulin and T2DM was found by Fischer’s exact test. Serum creatinine values were noted and correlation was found. The results showed a positive correlation but non-significant between creatinine and beta-2-microglobulin.Conclusion:In the present study, no significant association was found between ACE gene I/D polymorphism and T2DM. Gender of the T2DM patients showed null effect on genotype.  Other clinical parameters like blood sugar level and body mass index also revealed a non-significant association with the ACE gene genotype.


Author(s):  
Mohd Junaid ◽  
Bhavna Singh ◽  
Sahana vats ◽  
Sanandan Thapliyal ◽  
Shalini Thapliyal

The disease Diabetes or Madhumeha is well documented in all perennial sources of Ayurvedic wisdom. The present study was done to evaluate the efficacy of Bimbi (Coccinia indica) in the patients of Diabetes mellitus type-2 through single blind study. Total 30 patients were selected and divided into two groups, 15 patients in each group i.e., A (Bimbi) & B (Barley). In this study it has been found that Madhumeha affects not only in elderly people but in adults too with slight female preponderance. The present study confirmed that after the treatment of 60 days, Bimbi (Coccinia indica) was found effective in treatment of Madhumeha and reduced majority of the symptoms of illness that including Prabootha mootrata (Excessive urination), Atitrushna (Excessive thirst), Avila mootrata (Turbid urine) and Dourbalya (Weakness). There was significant improvement in all the laboratory parameters in patients of Bimbi (Coccinia indica) treated group. The outcome showed that mean reduction in fasting blood sugar level was 19.86%, in PP blood sugar level was 24.52% and in HbA1c level was 8.4%.These outcomes suggest that the results of trial drug i.e., Coccinia indica (Bimbi) powder was highly significant at p-value <0.001. The drug Bimbi showed effectiveness in reducing FBS, PPBS and HbA1c, as results were highly significant. Barley powder used as placebo didn't showed reduction in FBS, PPBS and HbA1c.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Ni Wayan Desi Bintari ◽  
Putu Ayu Parwati

Type 2 Diabetes Mellitus (T2DM) is the more common type of diabetes results from the ineffective use of insulin. Improvement of the metabolic system in T2DM patients can be done through the regulation of gut microbiota balance. Gut microbial improvement can be modulated directly by probiotic food consumption. Soygurt is probiotic food with a low glycemic index (GI) and glycemic load (GL) value and rich in isoflavones, which has a potential effect in reducing diabetes risk. The aim of this study is to determine the effect of soygurt consumption in blood glucose levels and body weight of albino wistar rats (Rattus norvegitus). Reseach using a completely randomized design for experimental study. Subjects of this research are 30 male rats (R. norvegistus) aged 2-3 months with average body weight 150-200 gr. Diabetic rats were induced by using single intraperitoneal injection (175 mg/kg BW) alloxan monohydrate. Soygurt feeding given once daily using oral gavage feeding. The result showed that soygurt feeding in diabetic rats with three variations of treatment could significantly (p<0,05), lowering blood sugar level and improve body weight after 28 days of treatment. Treatment of 4ml/day soygurt has the highest effect in lowering blood sugar level and improving body weight, followed by treatment of 3ml/day and 2ml/day soygurt.


2021 ◽  
Vol 8 (3) ◽  
pp. 211-224
Author(s):  
Gilbert Sterling Octavius ◽  
Alvita Suci Edgina ◽  
Stefany Tanto ◽  
Werlison Tobing

Pendahuluan    : Terdapat peningkatan prevalensi pasien diabetes mellitus (DM) dan morbiditasnya, termasuk retinopati diabetik. Retinopati diabetik adalah penyebab paling sering dari kasus baru kebutaan di antara orang dewasa berusia 20-74 tahun yang akan mempengaruhi produktivitas kelompok usia ini jika dibiarkan atau tidak diobati. Tujuan : Mengevaluasi kemungkinan tingkat kalsifediol sebagai prediktor keparahan retinopati diabetik pada pasien dengan diabetes mellitus tipe 2. Metode : Kami mencari di PubMed, Kemajuan Oftalmologi, Laporan Ilmiah dan Ilmu Pengetahuan Langsung menggunakan istilah “25(OH)D3 Level”, “Diabetic Retinopathy”, “Prevalence of Diabetes Mellitus”, “Type 2 Diabetes Mellitus”, dan “Predictor” dalam berbagai kombinasi dan menemukan 7 studi yang digunakan dalam ulasan ini. Hasil                : Kami menemukan 4 literatur yang menyatakan bahwa ada hubungan positif antara level 25 (OH) D3 sebagai prediktor untuk keparahan retinopati diabetik sementara ada 3 literatur yang menyatakan sebaliknya. Enam literatur menggunakan desain cross sectional sedangkan satu dilakukan dengan menggunakan case control. Tingkat pemotongan 25(OH)D3 pada pasien dengan masing-masing 18,9-24,3 ng/ml, 17,4-21,7 ng/ml, dan 14,7-21,1 ng/ml. Kesimpulan      : Sementara penggunaan 25(OH)D3 sebagai prediktor tingkat keparahan retinopati diabetik masih tidak meyakinkan, hubungan proporsional terbalik terlihat antara kedua variabel.


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