scholarly journals ANÁLISE DE PACIENTES DIABÉTICOS ATENDIDOS NO AMBULATÓRIO DE ESPECIALIDADES EM NUTRIÇÃO DA URI- CAMPOS DE FREDERICO WESTPHALEN- RS

2018 ◽  
Vol 7 (2) ◽  
pp. 91-99
Author(s):  
Elis Marina Marchioro ◽  
Janice Daiane Brutti ◽  
Rúbia Garcia Deon ◽  
Fábia Benetti

O Diabetes Mellitus (DM) é um grupo heterogêneo de distúrbios metabólicos que tem em comum a hiperglicemia. No Brasil, onde as cidades das regiões Sul e Sudeste são consideradas de maior desenvolvimento econômico, o número de indivíduos que apresentam DM é maior. O objetivo dessa pesquisa foi analisar os pacientes diabéticos atendidos no Ambulatório de Especialidades em Nutrição da URI - Campus de Frederico Westphalen/RS no ano de 2016. Trata-se de um estudo transversal, quantitativo e descritivo. A partir dos prontuários dos pacientes com DM, foram coletados dados pessoais e socioeconômicos, história clínica, hábitos alimentares e medidas antropométricas. Foi identificado que 10% dos pacientes apresentavam como diagnóstico o DM. Desta amostra, a maioria é do sexo masculino, com média de idade 37,5±16,7 anos. Referente ao Índice de Massa Corporal pode ser observado uma alta frequência de sobrepeso nos pacientes do sexo masculino (55%), diferentemente do sexo feminino, onde a eutrofia e obesidade I tiveram maior relevância, ambos com 37,5%. Para fatores de risco, destacou-se uma elevada frequência de pacientes com sobrepeso e obesidade, afetando em torno de 74% dos pacientes com DM. Já análise do Recordatório Alimentar 24 horas, o consumo de carboidratos apresentou média de 57,6±10,26% e proteína 18,68±9,55% e são similares os recomendados pela Sociedade Brasileira de Diabetes. Pelo exposto podemos reafirmar a necessidade e importância do acompanhamento nutricional aos pacientes diabéticos, como uma estratégia não farmacológica necessária que beneficiará o paciente no controle da glicemia e no retardo da progressão de comorbidades associadas ao DM.Palavras-chave: Diabetes Mellitus. Assistência ao Paciente. Avaliação nutricional. ANALYSIS OF DIABETIC PATIENTS TAKEN IN THE AMBULATORY OF NUTRITION SPECIALTIES OF URI- CAMPOS DE FREDERICO WESTPHALEN- RS ABSTRACT: Diabetes Mellitus (DM) is classified by a heterogeneous group of metabolic disorders that have in common hyperglycemia. More specifically, in Brazil, where the cities of the South and Southeast are considered to be the most economically developed, the number of individuals with DM is higher. In this context, the objective of the present study was to analyze the diabetic patients attended at the Nutrition Specialties Clinic of the URI - Campus of Frederico Westphalen/RS in the year 2016. This is a cross-sectional, quantitative and descriptive study. The study was based on the data collection of patients' records with DM, personal and socioeconomic data were collected, as well as clinical history, eating habits and anthropometric measurements. As a result, it was identified that 10% of the patients presented DM as their diagnosis. From this sample, the prevalence of patients is male, with a mean age of 37.5 ± 16.7 years. Regarding the Body Mass Index, a high frequency of overweight was observed in male patients (55%), differently from the female sex, where eutrophy and obesity I were more relevant, both with 37.5%. For risk factors, a high frequency of overweight and obese patients was observed, affecting around 74% of patients with DM, followed by the rate of sedentary and alcoholic patients, in a lower proportion of patients with a diagnosis of Arterial Hypertension (26 %) And smokers with 16%. Already analysis of the Food Recall 24 hours we can verify that the consumption of carbohydrates, with an average of 57.6 ± 10.26% and protein 18.68 ± 9.55% are similar to those recommended by the Brazilian Society of Diabetes. Therefore, we can reaffirm the need and importance of nutritional monitoring for diabetic patients, as a necessary non-pharmacological strategy that will benefit the patient in glycemic control and delayed progression of comorbidities associated with DM.Keywords: Diabetes Mellitus. Patient Care. Nutrition assessment.

2022 ◽  
Vol 32 (1) ◽  
pp. 18
Author(s):  
Heronimus Hansen Kaware ◽  
Deby Kusumaningrum ◽  
Arief Bakhtiar

Highlight:1. The signs and symptoms of patients with pulmonary tuberculosis and those of diabetes mellitus were similar.2. Male, aged 51-75 years old, and working in private sector are characteristics of most of the diabetic patients with pulmonary tuberculosis.Abstract:Background: Diabetes Mellitus is a type of disorder where the patients’ blood sugar is above average. Diabetes Mellitus can cause an abundance of comorbidities, from viral infection until metabolic abnormalities. The increased risk of infections is mostly because diabetes mellitus changes how the body works. The changes range from changes in mechanical barriers (humoral immunity) and cellular changes (cellular immunity), the changes of the humoral immunity that can increase the chance of protracting pulmonary tuberculosis. Objective: The purpose of this study was to describe the characteristics of diabetes mellitus in pulmonary tuberculosis in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia from January to December 2016. Materials and Methods: The research method used was an observational study using a cross-sectional design conducted in Central Medical Record for hospitalized patients, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The diabetes mellitus patients’ data collected from the medical records of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016 were 1,410 and 11 of them were also diagnosed with pulmonary tuberculosis. The final data taken were from 67 out of 115 patients due to the incomplete medical record. Results: According to the data, the most of the diabetic patients with pulmonary tuberculosis were male, age of 51-75 years old, and worked in private sector. Conclusion: There was a significantly higher number of diabetes mellitus with pulmonary tuberculosis patients in older age, males, and private-sector workers. Diabetic patients with pulmonary t


Author(s):  
B. Surya ◽  
S. Loganathan ◽  
G. Ravivarman

Background: Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Psychiatric problems are common in diabetes mellitus and nearly 33% suffer from mental disorders. According to the NHS people with diabetes are twice as likely to suffer with depression. The aim and objective of the study was to assess the psychological status in patients with diabetes mellitus.Methods: The sample of 100 participants was involved in the study. The patients with diabetes mellitus are included in the study but with known psychiatric disturbances were excluded from the study Standardized questionnaire was used for assessment. The collected data entered in MS-Excel and the analysis done using the SPSS.Results: Depression is the most common emotional disturbance among the female participants with diabetes while anxiety is common among the male subjects, prior with 58.2% and later with 54.5%. The emotional status of diabetic patient and their religion have a significant association with p-value 0.02.Conclusions: Emotional disturbances are common among the diabetic patients and the study revealed depression is common among the female participants where as anxiety is the common psychiatric problem among males.


2020 ◽  
Vol 2 (1) ◽  
pp. 105-114
Author(s):  
Waode Azfari Azis ◽  
Laode Yusman Muriman ◽  
Sri Rahayu Burhan

Diabetes Mellitus adalah suatu kondisi kronis yang terjadi ketika tubuh tidak dapat menghasilkan cukup insulin atau tidak dapat menggunakan insulin, dan didiagnosis dengan mengamati peningkatan kadar glukosa dalam darah.Penelitian ini bertujuan untuk untuk mengetahui  hubungan  antara  tingkat pengetahuan dengan gaya hidup pada penderita diabetes mellitus yang berobat di puskesmas meome. Jenis penelitian yang digunakan adalah kuantitatif menggunakan desain deskriptif korelasi dengan pendekatan cross sectional. Jumlah  populasi sebanyak 47 orang.  Sampel dalam penelitian ini diambil dengan menggunakan teknik total sampling. Analisis data  menggunakan uji Chi-square.Hasil penelitian menunjukkan bahwa ada Hubungan  Antara  Tingkat   Pengetahuan  Diabetes  Melitus dengan Gaya Hidup Penderita Diabetes Melitus yang Berobat di Puskesmas Meomeo.Kesimpulan penelitian ini adalah tingkat pengetahuan penderita diabetes melitus sebagian besar  adalah kurang, sedangkan gaya hidup pada penderita diabetes melitus sebagian  besar  adalah  tidak sehat, dan terdapat  hubungan antara tingkat pengetahuan dengan gaya hidup  pada   penderita   diabetes   mellitus. Kata kunci: diabetes mellitus,  pengetahuan, gaya hidup RELATIONSHIP BETWEEN KNOWLEDGE LEVELS WITH LIFESTYLE IN   DIABETES MELLITUS PATIENT ABSTRACT Diabetes Mellitus  is a chronic condition that  occurs  when  the body cannot  produce enough insulin or cannot use insulin, and is diagnosed by observing an increase in blood glucose levels. This study aims to determine the relationship between the level of knowledge with living style in people  with  diabetes mellitus who seek treatment at the health clinic in Meomeo. This type of research is quantitative using a descriptive correlation design with cross sectional approach. Total population of  47 people. The sample in this study was taken using total sampling technique. Data analysis used Chi-square test. The results of the research showed that means there is a relationship between the level of knowledge of diabetes mellitus with the lifestyle of patients with diabetes mellitus who seek treatment at the Meomeo health center. The conclusion of this study is that the level of knowledge of people with diabetes mellitus is largely lacking, while the lifestyle of people with diabetes mellitus is largely unhealthy, and there is a relationship between the level of knowledge and lifestyle in people with diabetes mellitus. Keywords: diabetes mellitus, knowledge, lifestyle


Author(s):  
Singam Sivasankar Reddy ◽  
Syeda Rahath ◽  
Rakshitha H N ◽  
Godson K Lal ◽  
Swathy S ◽  
...  

The objective of the study was to evaluate the risk of diabetes mellitus in elderlywith age above 20 years in a hospital setting using Indian Diabetes risk score and to provide patient counselling regarding their life style modifications and health related quality of life among participants with high risk of developing diabetes.A total of 125 non diabetic patients were interviewed with a pre designed selfstructured questionnaire (IDRS). Participants were chosen voluntarily and a written consent was obtained before the administration of the questionnaire from individual patients. In our study we observed that out of 125 patients,males 26[59%]and 18[41%] females were at high risk, males 39[58.2%] and 28[41.8%] females were at moderate risk, males 5[35.7%] and 9[64.3%] females were at low risk of developing diabetes mellitus.


Author(s):  
Sreeharsha N. ◽  
Bargale Sushant Sukumar ◽  
Divyasree C. H.

Diabetes mellitus is a chronic metabolic disorder in which the body is unable to make proper utilisation of glucose, resulting in the condition of hyperglycaemia. Excess glucose in the blood ultimately results in high levels of glucose being present in the urine (glycosuria). This increase the urine output, which leads to dehydration and increase thirst. India has the largest diabetic population in the world. Changes in eating habits, increasing weight and decreased physical activity are major factors leading to increased incidence of Diabetes. Lifestyle plays an important role in the development of Diabetes. Yoga offers natural and effective remedies without toxic side-effects, and with benefits that extend far beyond the physical. This system of Yoga is a simple, natural programme involving five main principles: proper exercise, proper breathing, proper relaxation, proper diet and positive thinking and meditation. It is a cost effective lifestyle intervention technique.


1969 ◽  
Vol 2 (2) ◽  
pp. 187-191
Author(s):  
Sahibzada Saeed Jan ◽  
Taj Muhammad Khan ◽  
Alamzeb ◽  
Izaz-urrahman ◽  
Amanullah ◽  
...  

Background: As hypertension is the most important risk factor for stroke, it is generally considered to beasymptomatic condition and require lifetime therapy which may include chemotherapy and lifestylechanges. Hypertension also clearly contributes to the risk of macrovascular disease in patients with type-IIdiabetes mellitus. Therefore, the present study was conducted to evaluate the prevalence of hypertension indiabetic and non-diabetic stroke patients in community hospital district Swat. Methodology: This was a cross-sectional study, comprised of 100 subjects, 50 were diabetic and 50 werenon-diabetic stroke patients of ages between 28 to 90 years. The blood sugar (random and fasting), bloodpressure (systolic and diastolic) of Diabetic stroke subjects were compared with Non-diabetic strokesubjects. Results: The prevalence of hypertension was significantly high in diabetic stroke subject as compared tonon-diabetic stroke subjects. Conclusion: Diabetic patients with persistently elevated blood pressure are more prone to develop stroke ascompared to non diabetic with hypertension KEYWORDS:Stroke, Diabetes mellitus, hypertension.


Author(s):  
Muhammad Zohaib Siddiq ◽  
Shahid Hussain Memon ◽  
Anwar Ali ◽  
Tabassum Almas ◽  
Atiya Razzaq ◽  
...  

Background: Previous studies have established the fact that diabetic patients are predominantly inclined towards silent myocardial infarction (SMI). The objective of the present study is to determine the incidence of SMI in diabetes mellitus (DM) patients. Methodology: In this cross-sectional study, patient data was gathered on a predesigned proforma regarding the detailed history of dyspnea, DM and its duration, chest pain either present or not. Those patients who had normal ECG labeled negative for SMI, while those who had either ST-segment elevation or ST-segment deviation on resting ECG were positive for SMI. Study was conducted at the National Institute of Cardiovascular Diseases (NICVD) Karachi- Pakistan. Results: The mean age of the enrolled patients was 54.21±8.65 (40-70) years. Out of 210, majority were female (51.90%).Overall, 94(44.76%) patients were obese, 122(58.09%) were hypertensive, 90(42.85%) had dyslipidemia and 98(46.66%) diabetic patients were smokers. There were 93 (44.3%) DM patients who had SMI. Moreover, 109(51.90%) patients had a family history of myocardial ischemia. Conclusion:  The SMI incidence among diabetic patients was found higher in local population. It is proposed that diabetic patients with demonstrated cardiovascular autonomic neuropathy must be screened for the manifestation of SMI.


Author(s):  
Anil Shrinivasrao Joshi ◽  
Chandrakant Gunaji Lahane ◽  
Akshay Arvind Kashid

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">To study the prevalence of silent myocardial ischaemia in asymptomatic patients with type 2 DM</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The present study was conducted in the Govt. Medical College and Hospital Aurangabad. During December 2012 to November 2014 with 50 patients. It was two year cross sectional study with the patients of asymptomatic type 2 diabetes mellitus without clinical and electrocardiographic evidence of coronary artery disease. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">12 (24%) out of 50 subjects had positive TMT. It correlated with years of duration of diabetes (9 positive TMT cases with duration of diabetes more than 10 years). 5 (25%) out of 20 had serum cholesterol levels &gt;240, Number of positive TMT were higher in patients with LDL &gt;160 [5 (25%) out of 20]</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Diabetic patients are at very high risk for cardiovascular morbidity and mortality. Early detection of IHD is very important so that pharmacological therapy, which may improve outcome, can be established. Tread mill exercise TMT being a non-invasive test with high safety, has an important role in early detection of IHD. It is recommended that TMT should be a part of routine management in asymptomatic patients with type II DM. </span></p>


2018 ◽  
Vol 8 (3) ◽  
pp. 210-214
Author(s):  
Rushda Sharmin Binte Rouf ◽  
SM Ashrafuzzaman ◽  
Zafar Ahmed Latif

Background: Diabetic retinopathy (DR) and nephropathy are two major complications of diabetes mellitus carrying significant morbidity and mortality. In this study DR was investigated in different stages of chronic kidney disease (CKD) to find out possible association of these two devastating complications.Methods: This cross-sectional study was conducted in 150 diabetic patients having CKD in BIRDEM. CKD was defined as estimated glomerular filtration rate (eGFR) of <60ml/min/1.73m2and/or urinary albumin excretion rate (UAER) >30 mg/day in at least two occasions in 3 months apart. Retinopathy was assessed by direct fundoscopic examination and confirmed by color fundus photography. Severe DR (SDR) included proliferative diabetic retinopathy, severe non-proliferative DR and maculopathy; whereas microaneurysm regarded as non-severe retinopathy.Results: Majority (68%) of the respondents had some form of retinopathy (38.35% SDR and 29.65% nonsevere). There was strong association between different levels of albuminuria (UAER) and DR (p<0.0001). On the contrary DR did not correspond with stages of CKD (P=0.349). Hypertension (79.5%) and dyslipidaemia (59%) were common co-morbidities.Conclusion: This study concluded that DR prevalence was more in nephropathy along with significant association with UAER. Whereas different stages of CKD was not associated with stages of DR . This finding focused the necessity of regular retinal examination irrespective of the stage of renal involvement.Birdem Med J 2018; 8(3): 210-214


2020 ◽  
Vol 7 (12) ◽  
pp. 1815
Author(s):  
Mausam Jain ◽  
Pramod R. Jha ◽  
Gaurang Patel

Background: Aim was to study prevalence of thyroid dysfunction in type II diabetes mellitus (T2DM) patients.Methods: The present study was a cross sectional observational study, which focused on cases of diabetes mellitus. Study was conducted in Departments of Medicine, SBKS MI & RC, a tertiary care centre for a period of 6 months. All the patients of T2DM were included. Total of 263 patients were enrolled which involved indoor, outpatient and diabetic clinic attending patients. A detailed history taking, clinical examination and relevant investigations (Hb%, Total count, platelet count, serum creatinine, FBS, PP2BS, HbA1C, S.TSH, F.T3 and F.T4). Appropriate statistical analytics were used and important correlations and conclusions were drawn.Results: A study of thyroid dysfunction (TD) in T2DM patients which included 263 diabetic patients, out of them 67 had thyroid dysfunction. Out of these 67 patients 43 were female and 24 were male. This suggests that female was more prone to thyroid dysfunction than males. Out of 67 TD patients, 42 were above the age of 50 year. So, as the age increases the prevalence of TD also increases thyroid dysfunction also depends on the glycaemic control of the patients. Out of 67 patients 22 patients had>8.0 HbA1C level. In our study we found that as the glycaemic control became poorer the prevalence of TD increase in hypothyroid but not in hyperthyroidism.Conclusions: Following conclusions were drawn from this study TD is more common in female than male, more after the age of 50 year, in T2DM patients. Hypothyroidism is more common with poor glycaemic control and long duration of T2DM patients. But for hyperthyroidism data which we evaluated was not significant and further conclusion bigger study is needed.


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