scholarly journals Echocardiographic Changes in Controlled Type 2 Diabetes Mellitus with Reference to Body Mass Index and Waist Hip Ratio

Author(s):  
G. Meenakshi ◽  
N. N. Anand

Type2 diabetes mellitus is associated with central obesity. Studies shows that central obesity, leads to insulin resistance is an important determinant for insulin resistance and cardiovascular morbidity. In the present study clinical profile of type2 diabetics with special reference to cardiac changes were studied and their relationship were established. This is a prospective cross-sectional study conducted in Sree Balaji Medical College and Hospital. 50 obese patients with controlled diabetes less than 5 years of duration were compared with obese non diabetics. There is significant statistical correlation with obese diabetic subjects particularly females, alterations in LV geometry. Obese female subjects had predominantly higher left ventricular mass. From the data of the present study high BMI, WHR have increased incidence of cardiovascular disease.

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Abid Naeem ◽  
Muhammad Shuaib ◽  
Subtain-Ul- Hassan Abid ◽  
Muhammad Huzaifa Abid ◽  
Muhammad Imran

Introduction: Diabetes is a very prevalent problem in Pakistan. Depression along with diabetes affects not only quality of life but compliance and management of patient. Various studies have found high prevalence of depression among T2DM depression. In our study we shall determine the prevalence of depression among T2DM patients in Pakistan. Period: May 2017 to December 2017. Objectives: The objective of this study was to find out the prevalence of depression in Type2 diabetes mellitus patients. Study Design: A cross-sectional study. Setting: Jinnah Post Graduate Medical Centre Karachi. Results: Mean PHQ- Score is 10.83±5.6. 81.9% had PHQ Score > 4. According to PHQ-9 scale, 18.1% (n=30) had no depression, 26.5% (n=44) had moderately severe depression and 3.6% (n=6) had severe depression. In our study females had more severe depression in comparison with male (5.2% vs. 0%). Conclusion: Depression is very common in Pakistan among Type 2 Diabetic patients. Antidepressant has key role to break the vicious cycle of depression and type2 diabetes mellitus diabetes.


2021 ◽  
pp. 40-42
Author(s):  
Anusree Banerjee ◽  
Amrita Dey ◽  
Somnath Das

INTRODUCTION: Diabetes Mellitus is a major public health concern worldwide. Global burden of diabetes is increasing at an alarming rate. The lack of awareness among population is the major cause of the disease burden as well as its complications. According to the Global Burden Disease Study, the prevalence of diabetes mellitus (DM) in India was 31.7 million in the year 2010, and the prevalence is expected to upsurge to 79.4 million 1 by the year 2030. AIMS AND OBJECTIVES:To assess the awareness level of Diabetic Retinopathy among the diabetic individuals. To increase the level of awareness regarding one of the leading causes of blindness among population and thereby minimizing the sight threatening complication of Diabetes. METHODOLOGY Study design/ Experiment design:Institution based cross-sectional study. Study setting and timelines:All patients who fulll the inclusion criterias, presented to the Out Patient Department of RIO, Kolkata in a time span of 18 months were taken for study with their informed consent. Apre-tested interviewer-administered KAPquestionnaire was asked to the patients. Eyes were examined by slit lamp biomicroscope, detailed posterior segment examination by +90D lens and indirect ophthalmoscope to detect diabetic retinopathy. Period of study:January 2019 - June 2020 Study population: 200 patients RESULT AND ANALYSIS:We found in Knowledge about DR Present, 7(21.2%) patients were Female and 26(78.8%) patients were Male. Association of Gender vs Knowledge about DR was statistically signicant (p=0.0017). In Knowledge about DR present, 4(12.1%) patients had DM 1 and 29(87.9%) patients had DM 2. Association of Type of DM vs Knowledge about DR was statistically signicant (p<0.0001). SUMMARYAND CONCLUSION:In Knowledge about effect of DM on eyesight present, 119(90.8%) patients were having duration of diabetes for 10-20yrs and 12(9.2%) patients were having duration >20yrs which was statistically signicant. It was found that Education Level was signicantly associated with Knowledge about effect of DM on eyesight as well as with Knowledge about Diabetic Retinopathy. 33(25.2%) patients had both Knowledge about DR and Knowledge about effect of DM on eyesight. Association of Knowledge about DR with Frequency of eye check-up was statistically signicant


Author(s):  
Priyanka Inaniya ◽  
B S Meena ◽  
Mohan Lal Meena ◽  
Aparna Sharma ◽  
Shalini Rathore

Background: The present study aimed to study the demographic profile women with gestational diabetes mellitus Methods: This hospital based cross-sectional study Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur. Results: Mean age of patients was 27.68 ± 4.4 Yrs. Most of the study subjects in GDM group (54.7%) were Hindu. Study subjects in GDM group were almost equally from rural (50.7%).Most of the study subjects in both GDM group (88%) were housewives. Habit of smoking was found in only 6.7% females in GDM group. Habit of alcohol was found in 4% females in GDM group. Family history of diabetes was seen more in females with GDM (17.3%). Conclusion: This study concluded that the socio demographic factors influence the occurrence of GDM. Keywords: GDM, Age, Gravida


2021 ◽  
Vol 71 (2) ◽  
pp. 602-05
Author(s):  
Umair Ali ◽  
Muhammad Wajid Munir ◽  
Jahanzeb Maqsood ◽  
Mahwash Jamil ◽  
Syed Saif Ur Rehman ◽  
...  

Objective: To evaluate factors resulting in reluctance of initiation of insulin therapy in patients with type 2 diabetes mellitus. Study Design: Cross sectional study. Place and Duration of Study: Medical OPD of a private tertiary care multi-specialty hospital in Islamabad, from Apr to Jul 2019. Methodology: Patients with diabetes mellitus between age of 30-70 years, who had poor glycaemic control on two oral antidiabetic drugs having HbA1c>9% and were insulin naïve, were included in this study. A validated questionnaire was developed which had two sections; first including the demographic data of the study populations and second having closedended dichotomous questions which were asked from patients by the treating physicians Results: A total of 180 patients with diabetes mellitus eligible for insulin therapy were included in the study, among them 52 (28.9%) were agreed to initiate the insulin. Negative attitude and beliefs include painful way of administration 85 (66.4%), difficult insulin storage 98 (76.6%), risk of hypoglycemia 82 (64.1%).The mean negative perception Score was 7.35 (SD 0.98). Conclusion: Psychological insulin resistance is present in significant diabetic population, and it is a big obstacle in insulin therapy initiation and compliance.


2019 ◽  
Vol 6 (4) ◽  
pp. 1069
Author(s):  
Narendra M. Uma ◽  
Mahendra C. Parmar ◽  
Siddarth Shah ◽  
Sonal M. Dindod

Background: Surgical diabetes is syndrome of hyperglycemia and disturbance of carbohydrate, fat and protein metabolism associated with absolute or relative deficiency of insulin secretions. Diabetes mellitus and hypertension considered as a major medical and public health issues worldwide, and both are important risk factors for both macrovascular and microvascular diseases like coronary artery disease, heart failure and cerebrovascular diseases.Methods: This cross-sectional study was conducted among 175 patients coming to Govt. medical college and SSG hospital, Vadodara from 2014 to 2015 having diabetes mellitus were studied and evaluated for hypertension  and its various risk factor like age, obesity.Results: one hundred and twenty-nine (127) out of 175 subjects had hypertension, thus giving a prevalence rate of 73.7% of which 64 males (49.6%) were hypertensive compared with 65 (50.3%) females. Mean age of patients having hypertension with Diabetes Mellitus (case) is 59.87 compare to DM without hypertension (control) was 56.21. Mean BMI in diabetes cases with hypertension was 30.93 while without hypertension was 23.47 suggest obese are more prone to develop hypertension. Waist hip ratio DM with hypertension was 0.96 while was 0.81 in DM without hypertension.Conclusion: Hypertension and its associated risk factor like obesity, dyslipidemia are important risk factor for development of complication in diabetes patients so early detection and intervention measures should be undertaken for aggressive control of  blood pressure control , obesity and it will  likely to offer the greatest promise for reducing the incidence of complications and its associated mortality.


2020 ◽  
Vol 8 (1) ◽  
pp. 16
Author(s):  
Sruthi Kare ◽  
Vishwanath N. Reddy ◽  
Thejdeep Mahamkali

Background: India is one of the epicentres of the global diabetes mellitus pandemic. Rapid socioeconomic development and demographic changes, along with increased susceptibility for Indian individuals, have led to the explosive increase in the prevalence of diabetes mellitus in India over the past four decades. Diabetic Nephropathy is a common consequence of long-standing diabetes mellitus. The development of diabetic nephropathy has a dramatic increase on the morbidity and mortality of patients with diabetes. Objective of this study was to evaluate the prevalence of microalbuminuria in patients with diabetes mellitus patients.  Methods: This cross-sectional study was conducted on T 2 diabetes mellitus patients visiting medicine OPD of R L Jalappa hospital constituent hospital of Sri Deveraj Urs Medical College, Tamaka, Kolar from May 2016 to July 2016. A total of 60 type-2 diabetes patients were enrolled in the study.Results: Average duration of diabetes among study group was 8 years and most of the patients were between 6-10 years. In type 2DM patients, microalbuminuria and glycemic control have shown a significant linear correlation with duration of diabetes (p<0.05). Also, micro albuminuria has a significant correlation with increase in level of glycosylated haemoglobin.  Conclusions: The prevalence of microalbuminuria in diabetic patients was found to be high and being a developing country; there is a dire need that microalbuminuria and HbA1c testing should be done in both, newly diagnosed as well as already diagnosed type 2DM patients as an early marker of renal risk factor.


Author(s):  
Tamilarasan M. ◽  
Maniprabhu Selvaraju ◽  
Karthikeyan Kulothungan ◽  
Srirangathan T.

Background: Various studies from the urban population shows people are more susceptible to develop type 2 diabetes mellitus. Since the cause of diabetes is multifactorial it is necessary to screen the population to identify high-risk individuals. The objective of the study was to estimate the risk of developing type 2 Diabetes Mellitus (T2DM) using the Indian diabetes risk score (IDRS) and its determinants in the urban field practicing area of the medical college in Perambalur district.Methods: A cross-sectional study was conducted in an urban field practicing area of Dhanalakshmi Srinivasan Medical College and Hospital in Perambalur district. 400 participants of age more than 20 years enrolled in this study. IDRS risk score and data on other risk factors were obtained for every individual. Data entry was done in Excel and statistical analysis was done with SPSS version 16.Results: In our study, the proportion of male and female were almost equal. One-third of the participants 124 (31%) had a high risk of developing type 2 diabetes mellitus. Similarly, half of them 188 (47%) were at moderate risk and 88 (22%) had a low risk for diabetes. Statistically, a significant association was seen between high risk for T2DM and increased age, positive family history, Low socioeconomic status, living as a nuclear family, habits of smoking/Alcohol, and sedentary lifestyle.Conclusions: The risk of developing type 2 diabetes mellitus among the urban population is rising trends. For effective screening of the general population, IDRS can be used.


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