scholarly journals Identifying the Prevalence and Risk Factors Associated With Uncontrolled Diabetes (Type 2) in Al Buraimi Governorate, Sultanate of Oman

2018 ◽  
Vol 10 (11) ◽  
pp. 39
Author(s):  
Amal Ali Khamis Al Makhmari ◽  
Muhammad Muqeet Ullah ◽  
Fatma Sulieman Salim Al Alawi ◽  
Khalifa Darwish Al Saadi
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Diabetes Type 2 ◽  
Diabetes Type ◽  
P Value ◽  
Diabetic Patients ◽  
Factors Associated ◽  
Primary Health ◽  
Uncontrolled Diabetes

BACKGROUND: People with poorly controlled diabetes are likely to have shortened life, diabetes related complications and also reduced quality of life. WHO-EMRO region is considered to be the highest prevalence region accounted 43 million people. Among GCC countries, Oman has reported increased number of cases in recent years. OBJECTIVE: To identify the prevalence and risk factors associated with uncontrolled diabetes (Type 2) in a diabetic setting of Al Buraimi Polyclinic, AL Buraimi Governorate, Oman. METHODOLOGY: This Cross sectional retrospective study was conducted in diabetic clinic of Al Buraimi Polyclinic of primary health care, Al Buraimi Governorate Oman between January-April 2015. This study enrolled all diabetic patients type 2 (N=1164) who were registered during the period 2010-2014 in the polyclinic. Data was retrieved from the electronic diabetic register and patient’s electronic records in a diabetic setting at Al Buraimi Polyclinic. Descriptive statistics were applied to analyze the data. Differences between the groups were analyzed by using Chi-square test in SPSS 16 with p value ≤ 0.05 significance level. RESULTS: Prevalence of Uncontrolled Diabetes Mellitus Type 2 was found to be 623 (54%) among 1164 registered patients. 1108 (95%) were Omani nationals and 56 (5%) were non-Omani nationals with mean age 51±12 and male predominance 632 (54%) with higher significance (p-value=0.009). A significant association was found between treatment and glycemic control (p-value = 0.000) with 926 (80%) were on oral hypoglycemic agents. Moreover, HbA1c was significantly associated with total cholesterol, Low density lipoprotein and Triglyceride with (p-value=0 .000). 629 (54%). Diabetic patients were having family history as a common risk factor. CONCLUSION: Uncontrolled diabetes mellitus with prevalence >50% implies an alarming challenge to health care system. An intervention should be focused on patient’s education, emphasizing on life modification strategies. Furthermore, multidisciplinary approach is needed for the effective care of diabetes in primary health care.

scholarly journals Diabetes Melitus dan Tingkat Keparahan Jaringan Periodontal

2015 ◽  
Vol 9 (3) ◽  
pp. 277
Author(s):  
Rikawarastuti Rikawarastuti ◽  
Eka Anggreni ◽  
Ngatemi Ngatemi
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
P Value ◽  
Periodontal Tissue ◽  
Diabetes Mellitus Group ◽  
Primary Health ◽  
Uncontrolled Diabetes ◽  
Diabetes Melitus

Penyakit periodontal merupakan masalah kesehatan gigi dan mulut dengan prevalensi cukup tinggi di Indonesia (60%). Diabetes melitus merupakan salah satu faktor predisposisi terjadinya penyakit periodontal. Tujuan penelitian adalah menganalisis hubungan diabetes melitus terhadap tingkat keparahan jaringan periodontal. Jenis penelitian observasional analitik potong lintang. Penelitian dilakukan di Puskesmas Kecamatan Jagakarsa Jakarta Selatan pada bulan Oktober - November 2014 dengan populasi penelitian adalah pengunjung Puskesmas Kecamatan Jagakarsa. Pengambilan sampel menggunakan simple random sampling sebanyak 122 orang. Status diabetes melitus didapat dari rekam medis poli penyakit tidak menular. Analisis data menggunakan kai kuadrat dan regresi logistik sederhana. Hasil penelitian menunjukkan proporsi penderita diabetes melitus usia > 50 tahun mengalami kerusakan jaringan periodontal yang lebih parah dibandingkan penderita diabetes melitus ≤ 50 tahun. Kelompok diabetes melitus berisiko 3,5 kali mengalami keparahan jaringan periodontal dibandingkan kelompok nondiabetes melitus, OR = 3,505 (1,609 – 7,634), nilai p = 0,002. Kelompok diabetes melitus tidak terkendali berisiko 2,5 kali mengalami keparahan jaringan periodontal dibandingkan kelompok diabetes melitus terkendali, nilai OR = 2,514 (0,892 – 7,085), nilai p = 0,12 disebabkan ukuran sampel terlalu kecil. Penderita diabetes melitus lebih berisiko mengalami keparahan jaringan periodontal dibandingkan dengan nondiabetes melitus. Pada diabetes melitus tidak terkendali, risiko penyakit periodontal semakin tinggi. Diabetes Melitus and Severity of Periodontal TissuePeriodontal disease is a teeth and oral health problem, with a quite high prevalence in Indonesia (66%). Diabetes mellitus one of predisposing factors of periodontal occurence. This study aimed to analyze relation between diabetes mellitus and the severity of periodontal tissue. The study was observational analytic study with cross-sectional design. The study was conducted in Jagakarsa District Primary Health Care of South Jakarta on October to November 2014 with the primary health care visitors as population. Sample was taken using simple random sampling as much as 122 respondents. Diabetes mellitus status was identified from the non-infectious disease medical record. Data analysis used chi-square and simple logistic regression. Results showed proportion of diabetes mellitus patients > 50 years suffered periodontal tissue damage more severe than ≤ 50 years old patients. Diabetes mellitus group had 3.5 times risk of suffering severe periodontal tissue than nondiabetes mellitus group, OR = 3.505 (1.609 - 7.634), p value = 0.002. Uncontrolled diabetes mellitus group had 2.5 times risk of suffering severe periodontal tissue than controlled diabetes mellitus group, OR = 2.514 (0.892 - 7.085), p value = 0.12 due too small size of sample. Diabetes mellitus sample patients were more risky to suffer severe periodontal tissue than nondiabetes mellitus patients. On uncontrolled diabetes mellitus, the risk of periodontal disease was getting higher.

Eksplorasi Kesadaran Diri, Persepsi Dan Sikap Pada Individu Yang Memiliki Riwayat Keluarga Diabetes Melitus Tipe 2

2019 ◽  
Vol 1 (1) ◽  
pp. 52-62
Author(s):  
Mulia Mayangsari
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Family History ◽  
Diabetes Type 2 ◽  
Diabetes Type ◽  
Self Awareness ◽  
Perceptions And Attitudes ◽  
History Of ◽  
Diabetes Melitus

 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.

Risk Factors Associated With Hyperuricemia in Patients with Diabetes Type 2: About 190 Cases

2020 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
Fennoun H ◽  
Haraj NE ◽  
El Aziz S ◽  
Bensbaa S ◽  
Chadli A
Keyword(s):  
Type 2 Diabetes ◽  
Heart Disease ◽  
Glycemic Control ◽  
Ischemic Heart Disease ◽  
Diabetes Type 2 ◽  
Diabetes Type ◽  
Ischemic Heart ◽  
Factors Associated ◽  
Patients With Diabetes

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.

scholarly journals Echocardiographic evaluation of left ventricular diastolic dysfunction in recently diagnosed type 2 diabetes mellitus

2018 ◽  
Vol 6 (5) ◽  
pp. 1691
Author(s):  
Swapnil Jain ◽  
C. L. Nawal ◽  
Amandeep Singh ◽  
Radhey Shyam Chejara ◽  
Sagar Barasara ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diastolic Dysfunction ◽  
Left Ventricular Diastolic Dysfunction ◽  
Left Ventricular ◽  
P Value ◽  
Diabetic Patients ◽  
Ventricular Diastolic Dysfunction

Background: Diastolic dysfunction in patients suffering from diabetes mellitus represents an earlier stage in the natural history of cardiomyopathy. This study was done to assess the left ventricular diastolic dysfunction in recently diagnosed (<5yr) Type 2 Diabetes Mellitus by Echocardiography and also to determine association of glycemic status (by HBA1c levels) with left ventricular diastolic dysfunction (LVDD).Methods: An observational descriptive study involving 100 diabetic patients, taken on first come first serve basis after applying inclusion and exclusion criteria. In all the subjects, other than routine investigations, HbA1c was estimated and echocardiography was done to evaluate LVDD.Results: Mean value of HbA1c in the study was 8.31+ 1.408 %. 63 out of 100 subjects had LVDD. There was significant positive correlation between HbA1c and LVDD (p value <0.001). As HbA1c increased, severity of LVDD increased. In this study, as BMI increased, HbA1c and LVDD increased & both findings were statistically significant (p value =0.001).Conclusion: Our study indicates that myocardial damage in patients with diabetes affects diastolic function before systolic function &higher HbA1C level is strongly associated with presence of LVDD. Patients should be advised strict control of diabetes in order to reduce the risk for developing LVDD which is a precursor for more advanced disease.Keywords: Diabetes mellitus, Diastolic dysfunction, BMI, HbA1c

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