scholarly journals Presenting Features of lschaemic Stroke Patients with Type 2 Diabetes during Hospital Admission at BIRDEM

2012 ◽  
Vol 2 (2) ◽  
pp. 14-18
Author(s):  
Nirmalendu Bikash Bhowmik ◽  
Sufia Jannat ◽  
Md Rashedul Islam ◽  
Rumana Habib ◽  
Aminur Rahman ◽  
...  

Background & objective: Stroke is the third major cause of morbidity and mortality in the world immediately following ischemic heart disease and malignancy. Diabetes mellitus increases risk of ischemic stroke and mortality and morbidity after stroke. This cross sectional study was carried out to observe clinical profile of ischemic stroke in Type 2 diabetic patient. Materials & Methods: This cross-sectional study was done in the Department of Neurology, Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine, and Metabolic Disorders (BIRDEM) Hospital, from April to September 2010. A total of 50 ischemic stroke patients with type-2 diabetes were consecutively recruited. Ischemic stroke was confirmed by clinical examination and CT imaging. Data were analysed using SPSS (Statistical Package for Social Sciences) and were presented as mean ± SD and frequencies with corresponding percentages as appropriate. Results: Of the 50 ischemic patients, over one-third (36%) was in their 6th decades of life.  A male preponderance (1.5:1) in the series. Most of the patients presented with weakness on either side of the body (90%) followed by difficulties in speech (80%), altered consciousness (24%) and facial weakness (4%). On examination 76% were conscious and oriented.  Other examination findings were hemiparesis (60%), hemiplegia (30%), dysarthria (72%) and dysphagia (4%).  The major co-morbid condition was hypertension (86%) with mean systolic and diastolic blood pressures being 153 ± 5 and 97 ± 4 mmHg respectively.  On admission 94% had normal pulse  and  40%  abnormal  fundoscopic  examination  in  the  form  of  hypertensive and diabetic retinopathy. Only 2% had carotid bruit. Conclusion: Elderly males are more prone to develop ischemic stroke. Hemiparesis and dysarthria are the major clinical presentation and hypertension might be an important risk factor for ischemic stroke. Further study is recommended to conclusively comment on the clinical features of diabetic ischemic stroke patients and also to compare the clinical profile between diabetic stroke patients. Ibrahim Cardiac Med J 2012; 2(2): 14-18

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2393-PUB
Author(s):  
KENICHIRO TAKAHASHI ◽  
MINORI SHINODA ◽  
RIKA SAKAMOTO ◽  
JUN SUZUKI ◽  
TADASHI YAMAKAWA ◽  
...  

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 910-P
Author(s):  
YO KOHATA ◽  
MAKOTO OHARA ◽  
TOMOKI FUJIKAWA ◽  
HIROE NAGAIKE ◽  
HIDEKI KUSHIMA ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039625
Author(s):  
Jason I Chiang ◽  
John Furler ◽  
Frances Mair ◽  
Bhautesh D Jani ◽  
Barbara I Nicholl ◽  
...  

ObjectivesTo explore the prevalence of multimorbidity as well as individual and combinations of long-term conditions (LTCs) in people with type 2 diabetes (T2D) attending Australian general practice, using electronic health record (EHR) data. We also examine the association between multimorbidity condition count (total/concordant(T2D related)/discordant(unrelated)) and glycaemia (glycated haemoglobin, HbA1c).DesignCross-sectional study.SettingAustralian general practice.Participants69 718 people with T2D with a general practice encounter between 2013 and 2015 captured in the MedicineInsight database (EHR Data from 557 general practices and >3.8 million Australian patients).Primary and secondary outcome measuresPrevalence of multimorbidity, individual and combinations of LTCs. Multivariable linear regression models used to examine associations between multimorbidity counts and HbA1c (%).ResultsMean (SD) age 66.42 (12.70) years, 46.1% female and mean (SD) HbA1c 7.1 (1.4)%. More than 90% of participants with T2D were living with multimorbidity. Discordant conditions were more prevalent (83.4%) than concordant conditions (69.9 %). The three most prevalent discordant conditions were: painful conditions (55.4%), dyspepsia (31.6%) and depression (22.8%). The three most prevalent concordant conditions were hypertension (61.4%), coronary heart disease (17.1%) and chronic kidney disease (8.5%). The three most common combinations of conditions were: painful conditions and hypertension (38.8%), painful conditions and dyspepsia (23.1%) and hypertension and dyspepsia (22.7%). We found no associations between any multimorbidity counts (total, concordant and discordant) or combinations and HbA1c.ConclusionsMultimorbidity was common in our cohort of people with T2D attending Australian general practice, but was not associated with glycaemia. Although we did not explore mortality in this study, our results suggest that the increased mortality in those with multimorbidity and T2D observed in other studies may not be linked to glycaemia. Interestingly, discordant conditions were more prevalent than concordant conditions with painful conditions being the second most common comorbidity. Better understanding of the implications of different patterns of multimorbidity in people with T2D will allow more effective tailored care.


2021 ◽  
Vol 10 ◽  
pp. 100703
Author(s):  
Ajoy Tiwari ◽  
Dinesh Kumar ◽  
Mohammad S. Ansari ◽  
Santosh Kumar Chaubey ◽  
Nitin R. Gupta ◽  
...  

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