The present work is a cross-sectional study aimed to evaluate the serum levels of calcium and Glycated Hemoglobin (HbA1c) of (40) patients with type 2 diabetes mellitus, attending Center clinic in Khartoum North-Sudan, and (40) apparently healthy (non-diabetic) volunteers as control group. Age and sex of the test group were matched with the control group. Serum levels of calcium were measured by auto analyzer Bs-200 (instruments and reagents from Mindray Company) and HbA1c amount was measured by CERA-STAT TM 4000 Analyzer (reagents and instruments from Ceragem Medisys Company). Data was analyzed using SPSS. The results showed a significant reduction in the mean of serum calcium level of the diabetic group when compared with the control group (p value <0.05), whereas HbA1c was increased in diabetic patients (type 2) compared to the control group (p. value <0.05). However there was a good negative correlation between the serum calcium levels and HbA1c in diabetic patients. The results revealed that the increase in HbA1c, in diabetics of type 2 diabetes mellitus, is accompanied by a significant decrease in calcium serum levels, so uncontrolled diabetic patients are at risk of hypocalcaemia compared to controlled patients. This effect was not influenced by gender or duration of diabetes in the studied group.

Diabetic foot complications are a major challenge for the healthcare system, with enormous economic consequences for the patients, their families, and the society and a leading cause of mortality and morbidity in developing countries. Diabetic foot ulcer (DFU) is the most costly and devastating complication, which affects 15% of diabetic patients during their lifetime. Good knowledge, attitude, and practice regarding diabetic foot care will reduce the risk of diabetic foot complications and ultimately amputations. The aim of this study was to assess the knowledge, attitude, and practice of foot care among type 2 diabetic patients and to determine the relationship between proper foot care and diabetic foot lesions. This is an observational, descriptive, cross-sectional, hospitalbased study. It was conducted in the diabetic outpatient clinic at Al-Ribat University Hospital, in Khartoum, Sudan 2016. A total number of 156 type 2 diabetic patients were enrolled in this study; with 75% of the participants were females and 25% males. Duration of DM, exercise, smoking adherent to diabetic diet, type of therapy, co-morbidity, foot lesions, and foot care knowledge, attitude, and practice were tested. Having diabetes longer than 10 years were 37.8%, mean age was 53.4 ± 7.68 years. There was high prevalence of peripheral neuropathy(PN) symptoms 56.4% while 42.3% of the patients had peripheral arterial disease symptoms .17 patients had loss of sensation while only 2 patients had loss of peripheral pulses (dorsalis pedis and posterior artery pulses). Regarding knowledge, attitude, and practice about diabetic foot care, 56.5% had good foot care knowledge, 70.5% had bad attitude, and 62.2% had moderate practice. Based on Chi square test of relationship between proper foot care and diabetic foot ulcer (DFU), there was association between bad knowledge, attitude, and practice about foot care and DFU, P. values: 0,03, 0,000, 0.036 respectively. Advising the diabetics about frequent foot care clinic visits, regular feet examination, proper footwear, exercise program, and smoking cessation would be beneficial in preventing diabetic foot complication. Policy and decision makers should initiate interventional foot care education programs throughout the country, with our ultimate goal is to save limbs.

The present work is Prospective cross sectional study. The main objective is to determine the presence of microalbuminuria in the patients urine in relation to the duration and the age and gender by using urine strip for microalbuminuria. The complications of diabetes mellitus especially end stage renal failure is a major health problem, This study is about the screening diabetic patients for microalbuminuria by simple urine strip for microalbuminuria. During period from Jan.-Aug. 2008, 100 diabetic patients were randomly selected from diabetic clinics of Omdurman Teaching Hospital and Altyser Health Center by using simple direct standardized questionnaire for 100 diabetic patients type I & II. And the urine samples were examined for microalbuminuria Results: out of 100 diabetic patients, 66% were females and 34% were males, type I constitutes about 5 % and type II about 95%, the ages range from (9-90) years. Microalbuminuria detected in about 41% of the patients and 59% had negative results, most of the patients with positive results were in age group (45-54). The clinical practice in diabetic clinics in Sudan is not following the international guidelines regarding the screening of diabetic nephropathy, so a significant number of the diabetic patients with diabetic nephropathy are missed.