scholarly journals Angina in a diabetic patient: a case of integrated approach

2008 ◽  
Vol 2 (3) ◽  
pp. 121-126
Author(s):  
Eugenio Roberto Cosentino ◽  
Elisa Rebecca Rinaldi ◽  
Claudio Borghi
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Risk Factor ◽  
General Practitioner ◽  
High Risk ◽  
Integrated Approach ◽  
Diabetic Patients ◽  
Successful Management ◽  
Multiple Risk Factors

Diabetes mellitus, both of type 1 and 2, is an important risk factor for the development of atherosclerosis: in diabetic patients vascular atherosclerotic complications are responsible of approximately 80% of all the deaths. There is no doubt that patients affections originating from diabetes and coronaropathy remain at high risk. For this reason it is essential to adopt an aggressive strategy of secondary prevention. We report a case of a patient with multiple risk factors for cardiovascular diseases: the successful management was due to an integrated approach that involved the general practitioner and cardiologist.

scholarly journals Mucormycosis complicating diabetes mellitus and COVID-19: a diagnostic and therapeutic threat

2021 ◽  
Vol 7 (4) ◽  
pp. 679
Author(s):  
Sophia Amalanathan ◽  
Kumaran Ramesh Colbert ◽  
Satish Kumar Chockalingam ◽  
Sankappa Pundalikappa Sinhasan ◽  
Chaitra Jadhav
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
High Risk ◽  
Orbital Cellulitis ◽  
Diabetic Patients ◽  
Complex Interplay ◽  
Multiple Risk Factors ◽  
Clinical Complications ◽  
Clinical Presentations ◽  
The World

<p class="abstract">COVID-19 infections is known to have a multitude of clinical presentations, and newer clinical complications continue to be reported from all over the world. It is now widely known that the diabetic patients with poor glycemic control are associated with a higher risk of developing severe COVID-19 infection. They are also at a high risk for developing secondary bacterial or fungal, co infections because of the complex interplay of multiple risk factors , necessitating an intensive medical care and monitoring in them. We are presenting a case of mucormycosis in a diabetic patient with moderate COVID pneumonia that presented to us as orbital cellulitis and the events that followed. There have been very few documented cases of mucormycosis in COVID infected diabetic patients so far during this pandemic and we also present a literature review of the same.</p>

Abstract 3892: Brooklyn AWAReness of StrokE in Diabetes Mellitus

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Kessarin Panichpisal ◽  
Benedict Tan ◽  
Yogesh Moradiya ◽  
Hasan Memon ◽  
Volodymyr Vulkanov ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Risk Factor ◽  
High Risk ◽  
Primary Care Physicians ◽  
Current Status ◽  
Medical Complications ◽  
High Risk Population ◽  
Diabetic Patients ◽  
Stroke Risk Factor

OBJECTIVE: Diabetes mellitus (DM) is a common risk factor for stroke. Hence stroke awareness is very critical in diabetic patients. In order to design effective educational strategies for stroke intervention and prevention in this high risk group, we assessed the current status of knowledge about stroke symptoms, risk factors and activation of emergency medical services in individuals with DM. METHOD: A hospital-based survey was conducted between February and August 2011. Subjects who have DM were interviewed at 2 sites by trained Internal medicine, Neurology residents and medical students using a structured, closed-ended questionnaire. RESULTS: Two hundred and thirty subjects were interviewed, 64% female and 71% Caribbean-American and African-American. Seventy five percent of subjects had hypertension. Only sixty percent of subjects knew that they were high risk of stroke and only 46% had been informed by their primary care physician about this risk. More than 75% did not know their hemoglobin a1c and cholesterol levels. Stroke and diabetic ketoacidosis were the least recognized medical complications of DM (29%) while diabetic foot ulcer and diabetic nephropathy were the most recognized complications (54%). Hypertension was the most identified stroke risk factor (66%). Eighty-nine percent of respondents identified two or more stroke symptoms. Only 58% of respondents would call 911 for a stroke scenario. Subjects having DM > 10 years (p=0.02) and graduating from high school (p=0.002) were more likely to call 911, while people who had a history of kidney disease were less likely to call 911 (p=0.024). The two most common sources of information about stroke that DM patients received were from their primary care physicians (43%) and family and friends (35%). CONCLUSION: Stroke is one of the least recognized medical complications in DM patients. Primary care physicians play a very important role of stroke education in this high risk population.

scholarly journals Association of diabetes mellitus and acute myocardial infarction: a study in a semi urban centre

2018 ◽  
Vol 5 (5) ◽  
pp. 1138
Author(s):  
Jella Ramdas ◽  
Vasantha Jella
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Risk Factor ◽  
Previous History ◽  
Left Ventricular ◽  
Diabetic Patients ◽  
Urban Centre ◽  
The Mean

Background: Acute myocardial infarction is one of the very common ailments, that quite often ends in mortality. The risk factors for AMI has been identified as smoking, alcoholism, high cholesterol, obesity, left ventricular hypertrophy, high triglyceride levels and diabetes mellitus. This study was done to evaluate diabetes as a risk factor for the incidence of acute myocardial infarction in our area.Methods: Demographic details such as age, sex, height, weight, BMI, blood pressure, details of alcoholism or smoking were taken. Physical examination was conducted for all the patients. Previous clinical and medical history was taken for all the patients. The predictors for calculation of 10 years risk factor for SCORE were age, sex, smoking, cholesterol and triglyceride levels and blood pressure.Results: The mean age of the males was 66.1±2.7 and women was 68.8±4.9. 27.3% of the males and 29.4% of the females were obese while 34.6% of males and 32.4% of females were overweight. The mean random blood sugar among the diabetic patients was around 143.5 mg/dL, and in the non-diabetics it was 84.4mg/dL. Out of the 48 diabetic patients, 32 of them (66.7%) had a previous history of MI while in non-diabetes, 53.7% had a previous MI attack.Conclusions: It is essential for the early detection of diabetes and control of the sugar levels, so as to reduce the risk of cardiovascular ailments, since diabetes is one of the independent risk factors.

scholarly journals Demographic characters and factors favouring emergence of diabetes mellitus type two

2018 ◽  
Vol 6 (3) ◽  
pp. 950
Author(s):  
Medha Mathur ◽  
Navgeet Mathur ◽  
Omveer Singh ◽  
Jitendra Solanki ◽  
Pradeep Soni ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Risk Factor ◽  
Poverty Line ◽  
Diabetes Mellitus Type ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Cross Sectional ◽  
Effective Prevention ◽  
Lack Of Exercise

Background: Diabetes mellitus (DM) is associated with high morbidity and mortality. It has various complications. Risk factor control is effective way of prevention. Current study was conducted to know demographic profile including risk factors related to diabetes mellitus in patients attending a tertiary health care institute of Rajasthan.Methods: This cross-sectional study was conducted for the duration of six months. In the study 623 diabetes mellitus type 2 patients were included and subjected to evaluation of various demographic parameters and risk factors like age, sex, economic status, area of residence, obesity, hypertension (HTN), lack of exercise, smoking, dyslipidemia and positive family history.Results: Mean age of diabetic population was 62 years. Male-female, urban-rural ratios were nearly 1:1 and 3:2 respectively. Nearly 7 % patients were found to be below poverty line (BPL). On risk factor evaluation of 623 diabetic patients it was found that 598 (96%) patients had lack of exercise, 406 (65.2%) patients had age more than 60 years, 394 (63.2%) patients had dyslipidemia, 210 (33.7%) patients were smoker as per the mentioned criteria, 144 (23.1%) patients were obese, 118 (19%) patients had HTN before emergence of DM and 90 (14.4%) patients had positive family history.Conclusions: High prevalence of risk factors in Indian community is alarming. Health education, promotion of exercise, favourable life style, dietary modification, cessation of smoking, screening programmes for early detection of derange blood pressure, blood sugar, lipid profile can be effective prevention strategies.

scholarly journals Risk Factors for Silent Myocardial Ischemia in High-Risk Type 1 Diabetic Patients

Diabetes Care ◽  
2004 ◽  
Vol 27 (7) ◽  
pp. 1745-1747 ◽  
Author(s):  
A. Sultan ◽  
C. Piot ◽  
D. Mariano-Goulart ◽  
M. Rasamisoa ◽  
E. Renard ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Myocardial Ischemia ◽  
Silent Myocardial Ischemia ◽  
Diabetic Patients ◽  
High Risk Type ◽  
Type 1 Diabetic Patients

scholarly journals Traditional Therapeutic Approach for the Management of Non-Healing, Chronic Diabetic Ulcer – A Case Report

2021 ◽  
Vol 10 (30) ◽  
pp. 2358-2361
Author(s):  
Gomathi Ramaswamy ◽  
Preetheekha Elangovan ◽  
Mammallan Arumugam ◽  
Shanmugapriya Ponnappan ◽  
Subathra Thangamani ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Case Report ◽  
Integrated Approach ◽  
Diabetic Patients ◽  
Successful Management ◽  
Diabetic Ulcer ◽  
Contemporary Science ◽  
The World ◽  
Current Scenario ◽  
Dead Tissue

Diabetic ulcer is an outcome of the combined effect of diabetes related vascular disease and neuropathy. 1 People prone to diabetes mellitus across the world were estimated to be 131 million in 2000; it is expected to increase to 366 million by 2030. 2 According to several studies, about 25 - 50 % of diabetic patients receive instantaneous amputation at the first visit due to the infection. 3 Slight injury to glucose laden tissue will cause infection which is progressed by an ulcer and it tends to a state of non-healing which has been shown to precede amputation up to 85 % of cases. 4,5 Diabetic ulcer management in the contemporary science includes drainage of pus, debridement of dead tissue, local amputation of necrotic digits and antibiotics.6 Siddha system of medicine also has 64 unique categories of internal and external medicines including 32 in each. 7 Both these ends have their own strengths and limitations too. Though treating a non-healing diabetic ulcer is a very big challenge in the current scenario, an integrated approach will give a light on the path of successful management. P

Apoptosis and proliferation ofperipheral blood T-cells as alternative processes in pathogenesis of diabetes mellitus type 1

2019 ◽  
Vol 1 (4) ◽  
pp. 16-20 ◽  
Author(s):  
A. V. Lugovaya ◽  
N. M. Kalinina ◽  
V. Ph. Mitreikin ◽  
Yu. P. Kovaltchuk ◽  
A. V. Artyomova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
T Cells ◽  
High Risk ◽  
Peripheral Blood ◽  
Cellular Response ◽  
Proliferative Potential ◽  
Autoreactive T Cells ◽  
Alternative Processes

Apoptosis, along with proliferation, is a form of lymphocyte response to activating stimuli. In the early stages of cell differentiation, the apoptotic response prevails and it results to the formation of tolerance to inductor antigen. Mature lymphocytes proliferate in response to stimulation and it means the initial stage in the development of the immune response. Since in this case apoptosis and proliferation acts as alternative processes, their ratio can serve as a measure of the effectiveness of the cellular response to activating signals. The resistance of autoreactive T-cells to apoptosis is the main key point in the development of type 1 diabetes mellitus (T1DM). Autoreactive T-cells migrates from the bloodstream to the islet tissue of the pancreas and take an active part in b cells destruction. The resistance of autoreactive effector T-cells to apoptosis may suggest their high proliferative potential. Therefore, the comparative evaluation of apoptosis and proliferation of peripheral blood lymphocytes can give a more complete picture of their functional state and thus will help to reveal the causes of ineffective peripheral blood T-ceiis apoptosis in patients with T1DM and will help to understand more deeply the pathogenesis of the disease. in this article, the features of proliferative response of peripheral blood T-cells in patients with T1DM and in individuals with high risk of developing T1DM have been studied. Apoptosis of T-cell subpopulations has been investigated. The correlation between the apoptotic markers and the intensity of spontaneous and activation- induced in vitro T-cells proliferation of was revealed. it was determined, that autoreactive peripheral blood T-cells were resistant to apoptosis and demonstrated the increased proliferative potential in patients with T1DM and in individuals with high risk of developing T1DM.

A cross sectional study on assessment of risk of diabetes mellitus using Indian diabetic risk score in a medical college teaching hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 32-40
Author(s):  
Singam Sivasankar Reddy ◽  
Syeda Rahath ◽  
Rakshitha H N ◽  
Godson K Lal ◽  
Swathy S ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Risk Score ◽  
Hospital Setting ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Patient Counselling ◽  
Related Quality

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.

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