Study of Cardiac Autonomic Neuropathy (CAN) in Type II Diabetes Mellitus Patients Attending a Tertiary Health Care Center in Maharashtra

2017 ◽  
Vol 5 (2) ◽  
pp. 224
Author(s):  
Mohammed Suhail ◽  
Sayed Badar Azhar Daimi ◽  
Abhay D Hatekar ◽  
Ashfak Ahmed Hussain
2021 ◽  
Vol 59 (244) ◽  
pp. 1243-1246
Author(s):  
Prakash Kayastha ◽  
Sharma Paudel ◽  
Ghanshyam Gurung ◽  
Pradeep Kumar ◽  
Rudra Prasad Upadhyaya ◽  
...  

Introduction: Sonographic carotid intima media thickness measurement in diabetic patients is an important tool for estimating the risk of cardiovascular and cerebrovascular events. It is a simple, noninvasive and widely available tool which can give idea of further treatment needed. The objective of this study was to determine the mean intima media complex thickness in patients with type II diabetes mellitus attending a tertiary care center. Methods: This was a descriptive cross-sectional study done in 64 patients with the type II diabetes mellitus patients visiting diabetic clinic of Tribhuvan University Teaching Hospital, sent for carotid Doppler examination in the department of radiology and imaging. Ethical approval was taken from the Instituitonal Review Board. Convenient sampling method was used. Carotid intima media thickness was measured on both sides and mean intima media thickness was calculated. Mean intima media thickness for male and female diabetic patients was also calculated separately. Statistical Package for Social Sciences version 25 was used for data analysis. Results: The mean carotid intima media thickness was 0.86±0.13mm with range from 0.7mm to 1.3mm. Mean intima media thickness in male was 0.832±0.094mm and in female it was 0.904±0.144mm. Among 64 patients, 30 (46.8%) were female and 34 (53.3%) were male. Age of the patients ranged from 35 years to 68 years with mean age of 52.4±6.54 years. Conclusions: Carotid intima media thickness in patients with type II diabetes mellitus showed higher values than that of mean value from study done in similar study. Female had higher mean intima media thickness than male.


2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Lochan Karki ◽  
Krishna Rana ◽  
Manisha Shahi ◽  
Anjila Pradhan ◽  
Roshina Thapa ◽  
...  

Introduction: Diabetes mellitus is a chronic metabolic disease that is mainly associated with a number of lifestyle behaviors. There is a high discrepancy among urban and rural populations with the prevalence of diabetes in rural areas as 2.5% and a high prevalence of 14.6% in urban areas. Type 2 diabetes mellitus accounts for the majority of all diabetes cases with a number of chronic effects that include cardiovascular disease, kidney disease, blindness, and disability. This study is done to determine the prevalence of Type II Diabetes Mellitus among the adult population in the medical department of a tertiary care center. Methods: A descriptive cross-sectional study was done in a medical department of a tertiary care center of Himal Hospital Private Limited from March to April 2020. Ethical approval was taken from the Ethical Review Board of NHRC (Reference Number 752). All the data of the last two years from the medical record section were included in the study. The convenience sampling technique was followed. Descriptive statistical analysis was done. Results: The study showed the prevalence of Type II Diabetes Mellitus among the adult population to be 23.93 % (0.23) (C.I= 0.20-0.26). Prevalence was found to be ... Conclusions: The prevalence of Type II Diabetes Mellitus was found to be higher than the previous study done in similar settings.


2021 ◽  
pp. 42-45
Author(s):  
Atul Debbarma ◽  
Papiya Deb ◽  
Shyamal Roy

Background: There has been a marked variance in the prevalence of Vitamin D deciency in India. Limited evidence is available regarding the correlation of Vitamin D with thyroid hormones in patients with Type II Diabetes mellitus (T2DM). Aims AND Objectives: To study the correlation of Vitamin D with thyroid hormones in patients with Type II Diabetes mellitus at tertiary health care in Tripura. Materials And Methods: Hundred patients with T2DM diagnosed as per American Diabetes Association (ADA) were studied in acrosssectional study which was conducted in the Department of Medicine at AGMC&GBP Hospital from January 2019 – June 2020. Blood tests were performed to estimate serum vitamin D level and thyroid prole and correlation was obtained with glycemic parameters. Results: T2DM was more prevalent in the age group of 60-70 years with mean age being 55.28 years. Majority had (52%) hypothyroidism, 38% had had vitamin D deciency and 13% had vitamin D insufciency. Majority of the Vitamin D decient patients TSH > 5 µIU/mL (31%). Linear regression analysis showed that inverse relationship between TSH and Vitamin D, HbA1c and Vitamin D. An equation of Vitamin D level estimation was derived as Vitamin D level = 28.48 – 0.81 * HbA1c level. Conclusion: Prevalence of vitamin d deciency is more prevalent among hypothyroid diabetics and the severity of the Vitamin D deciency correlated with hypothyroid status.


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