scholarly journals The Choice of Method of Surgical Correction of Complicated Forms of Diabetes Type-2

Type 2 diabetes is a chronic disease. In terms of growth rates, such as disease, AIDS, tuberculosis, and malaria. Frightening diabetes in the young. According to some data, it’s estimated that there has been a 20% reduction in the rate of 20%. It is known that the most frequent complications of type 2 diabetes are: 2-4 times increased risk strokes, Coronary heart disease - 80% of patients with diabetes have suffered myocardial infarction, Diabetic nephropathy - the main cause of chronic renal failure diabetic retinopathy main cause of blindness, diabetic angioneuropathy - the main cause of amputation.

2020 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
Fennoun H ◽  
Haraj NE ◽  
El Aziz S ◽  
Bensbaa S ◽  
Chadli A

Introduction: Hyperuricemia is common Type 2 diabetes at very high cardiovascular risk. Objective: Evaluate the relationship between hyperuricemia and diabetes type 2, and determine its predictive factors in this population. Patients and Methods: Retrospective study cross including 190 patients with diabetes type 2 hospitalized Service of Endocrinology of CHU Ibn Rushd Casablanca from January 2015 to December 2017. Hyperuricemia was defined as a serum uric acid concentration> 70 mg/L (men) and> 60 mg/L (women). The variables studied were the anthropometric measurements), cardiovascular factors (tobacco, hypertension, dyslipidemia), and degenerative complications (retinopathy, neuropathy, kidney failure, ischemic heart disease). The analyzes were performed by SPSS software. Results: Hyperuricemia was found in 26.5% of patients with a female predominance (76%), an average age of 55.9 years, and an average age of 12.4ans diabetes. The glycemic control was found in 84.6% of cases with mean glycated hemoglobin 8.6%. Factors associated al hyperuricemia were the blood pressure in 86% (p <0.05), dyslipidemia in 76.3% of cases (p <0.001) with hypertriglyceridemia in 48.3% of cases (p <0.02), and a hypoHDLémie 28% (p <0.001). The age, obesity, smoking, and glycemic control were associated significantly n al hyperuricemia. The research of degenerative complications of hyperuricemia has objectified renal impairment (GFR between 15 and 60ml / min) chez47% (p <0.001), it was kind of moderate in 35.8% (p <0.01) and severe in 5.1% (p <0.02), ischemic heart disease was found in 34% of cases (p <0.01). Conclusion: In our study, hyperuricemia in type 2 diabetes is common in female patients, especially with hypertension, dyslipidemia, and renal failure. Other factors such as age, obesity, smoking is not associated with hyperuricemia in type 2 diabetics.


2019 ◽  
Vol 5 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Thomas A Zelniker ◽  
Eugene Braunwald

Patients with type 2 diabetes are at increased risk of developing heart failure, cardiovascular death and renal failure. The recent results of three large sodium-glucose cotransporter 2 inhibitor cardiovascular outcomes trials have demonstrated a reduction in heart failure hospitalisation and progressive renal failure. One trial also showed a fall in cardiovascular and total death. A broad spectrum of patients with diabetes benefit from these salutary effects in cardiac and renal function and so these trials have important implications for the management of patients with type 2 diabetes. Selected glucagon-like peptide 1 receptor agonists have also been shown to reduce adverse cardiovascular outcomes.


Author(s):  
Amin Kordi yoosefinejad ◽  
Farzaneh Moslemi Haghighi

Background: Diabetes is a highly significant public health problem inIran with a prevalence of 5 to 8%. Proprioception plays an important role in the orientation and limb movement in space. Diabetic neuropathy decreases sensory function and causes gait instabilities.Objective: The present study evaluated knee proprioception and kinesthesia in patients with type 2 diabetes with and without neuropathy and compared the results with those of healthy people. Methods: The subjects were ten type 2 diabetes mellitus patients with diabetes type 2 associated with neuropathy, ten patients with diabetes without neuropathy and ten healthy people as the control group. Data were collected in a physical examination and using a questionnaire. Special tests included manual muscle testing of the knee musculature, Achilles and patellar reflexes, and knee proprioception and kinesthesia. Data were analyzed using one-way ANOVA and the Tukey test.Results: the results show that knee proprioception and kinesthesia were significantly decreased in patients with diabetes mellitus type 2 in comparison with healthy people and there was a greater decline in patients with diabetes associated with neuropathy than in patients with diabetes without neuropathy. Also, knee musculature strength was significantly lower in patients with diabetes in comparison with healthy people and the attenuation was greater in neuropathic patients than in non-neuropathic ones. Conclusions: Patients with diabetes type 2 especially those with neuropathy suffer from proprioception deficits. Proprioception training may prevent secondary problems occurring as a result of proprioception impairment in patients with diabetes type2.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Lyubomirova ◽  
M Tabanska ◽  
L Hristova ◽  
M Samuneva ◽  
M Yancheva ◽  
...  

Abstract Background Diabetes mellitus is a risk factor for atherosclerosis, cardiovascular morbidity and increased mortality. Identifying people at a high risk of developing diabetes determine the prognosis and quality of life of the patients and prevent the development of macrovascular complications of diabetes. Within the framework of an international project, the ten-year risk of developing type 2 diabetes mellitus in two age groups workers (up to 25 and over 55) of four economic sectors (construction, clothing, hairdressing and cosmetics, and healthcare) has been estimated. Methods The survey included 150 workers from four economic activities. The FINDRISK questionnaire was distributed among them. Plasma glucose and serum lipids (HDL, LDL, triglycerides) were analyzed. The statistical analysis of the results was done using SPSS 16. Results The mean FINDRISK score for the age group up to 25 years is 3.6 ± 3.8, and for respondents above 55 years - 10.1 ± 5.0. The analysis highlights the higher risk of developing diabetes among healthcare workers, where the score of older workers is 11.63 ± 6.61, as well as in the textile and clothing industry (11.17 ± 4.3). These results call attention to a potential link between the occupation and the risk of developing type 2 diabetes in these sectors of the economy and the need for additional measures to search for causes and prevention. Conclusions A significant proportion of the participants over 55 years old in the healthcare and textile and clothing sectors are at an increased risk of developing type 2 diabetes, which requires a change in lifestyle, as well as the identification of workplace hazards that lead to these results. The FINDRISK questionnaire can serve as an indirect assessment of the cardiovascular risk of older workers. Additional preventive measures are needed to limit the risk of developing type 2 diabetes mellitus as well as cardiovascular risk in the identified risky occupations. Key messages Occupation could contribute to the life style risk factors for developing diabetes type 2. Occupational risk reduction measures and health promotion are needed to protects workers.


Morphologia ◽  
2021 ◽  
Vol 15 (3) ◽  
pp. 23-29
Author(s):  
I.I. Savka ◽  
M.N. Tsytovskyi ◽  
G.M. Dmytriv

The study of structural changes of organs and tissues in the context of diabetes is one of the urgent problems of modern medicine. According to WHO, in all countries of the world the number of patients with diabetes exceeds 175 million. According to an expert estimate of the spread of this disease by 2025 will make about 300 million people. More than 1 million people with diabetes have been officially registered in Ukraine. WHO has recognized the disease as a non-communicable epidemic. The dramatic increase in the prevalence of diabetes requires a detailed study of this problem. It is established that the prevalence of diabetes increases among the population of the countries of the world depending on the region, the level of economic development of the country, gender and age. Thus, according to IDF findings, there is a tendency for the highest prevalence of diabetes among the urban (urban) able-bodied population of developing countries in persons between 40 and 59 years of age, approximately equal in both male and female. The number of patients is increasing, mainly due to patients with type 2 diabetes. Type 2 diabetes (type 2 diabetes mellitus) is a severe progressive chronic disease that is an independent risk factor for heart failure (CH) and cardiovascular complications. In the XXI century. the steady growth of type 2 diabetes and the frequency of its serious consequences is of great concern to the world medical community. It is important that at the time of diagnosis of type 2 diabetes, the prevalence of complications leading to a decline in quality of life, early disability and premature death is already high enough. Despite the presence in the fight against this disease effective drugs, modern technologies, new educational and preventive techniques, mankind loses the fight against diabetes year after year, which leads to disability due to its complications, reducing the life expectancy and quality of life of patients, loss working capacity and premature mortality. Thus, the current prevalence and incidence of diabetes and life-threatening complications suggest that there is a non-communicable diabetes epidemic in the world and in Ukraine in particular. The article represents analysis of work of numerous researchers who studied statistіcal, clinical and morphological aspects of the impact of diabetes on cardiovascular system. Main morphogenetic, morphological and clinical aspects of complications of diabetes, pathologies of microcirculation of patients with diabetes were dedicated, what makes possible to predict and detect on the early stages vascular complications in diabetes and to perform effective prevention and treatment.


2010 ◽  
Vol 24 (3) ◽  
pp. 157-161
Author(s):  
N. Kosanović-Jaković ◽  
M. Resan ◽  
V. Dimitrijević-Srećković ◽  
M. Vukosavljević ◽  
S. Milenković ◽  
...  

Author(s):  
Burooj M. Razooqi Al-Aajem

Diabetes mellitus is a serious public health problem, S. aureus and MRSA are the most common bacteria isolated from ulceration of diabetic patients. The aim of the study was to estimation rate of S. aureus and MRSA carrier in diabetes type-2 and determine the antimicrobial effect of Gliotoxin on the previous bacterial carriage in type-2 diabetes. The study was conducted on 450 diabetics' patients, attended the outpatients clinic in Baquba Teaching Hospital, their ages ranged from 15-65years, with mean age of 36.15, and 150 healthy group, who were randomly selected, during the period from May 2016 to April 2017, patients were classified into two groups according to the type of diabetes, group1 included: 184 with type1-diabetes, and group2: included 266 with type2-diabetes, 97 patients with foot ulcers. Swabs were taken from anterior nares, toe and axillae for each diabetic patient type-2, identified based on standard bacteriological methods. Using the Kirby -Bauer method for detection the antibacterial effect of Gliotoxin. The results showed rates of the bacterial carriage in anterior nares of type-2diabetic patients without complications were (11.4%), (4.4%), respectively for S. aureus and MRSA, in type-2 diabetes with complications were (8.6%), (2.1%) respectively for S. aureus and MRSA. In the toe of type-2diabetic patients without complications were (6.7%), (2.5%) respectively for S. aureus and MRSA. In with complications were (9.2%), (5%) respectively. In the axillae of diabetic patients, type-2 without complications was (5.5%), (4.5%) respectively. Aspergillus fumigatusGliotoxin was effective against bacterial carriage in diabetes type-2 with the foot ulcer, for S. aureus inhibition diameter was (20.50, 16.40, 12.20) mm for different concentrations of Gliotoxin, to MRSA was (8.25, 6.1, 4.20) mm. Increasing rate of S. aureus and MRSA carrier in diabetic patient's type-2 which lead to a significantly increased risk of bacterial infections. Gliotoxin was effective as an antibacterial agent against S. aureus and MRSA in type-2diabetis with the foot ulcer.


2019 ◽  
Vol 20 (3) ◽  
pp. 54-61
Author(s):  
T.Yа. Korchina ◽  
◽  
V.I. Korchin ◽  
K.A. Cherepanova ◽  
A.B. Bogdanovich ◽  
...  

Author(s):  
Mulia Mayangsari

 Individuals who have a family history oftype 2 diabetes mellitus (DM) have a highrisk for type 2 diabetes. Type 2 diabetescan be prevented by improving modifiablerisk factors, supported by self-awareness,perceptions and attitudes of individualswho have a high family history of DM. Thisstudy used a qualitative phenomenologicaldesign. A Purposive Sampling techiniquewas applied to determine individuals whohad parents with type 2 diabetes. Nineindividuals participated in this study. AQualitative content analysis with Collaiziapproach used as a data analysis method.The main themes depicted individuals selfawareness,perceptions, & attitudes were:denials that diabetes caused by heredityfactors; misperception about diabetes;“traditional modalities” as a preventionmeasurement toward type 2 diabetes; andDM is perceived as a “threatening disease”.Further study is needed to examine indepth the themes that have been identifiedon the number of participants are morenumerous and varied.


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