Assessment of atrial conduction time and P-wave dispersion in patients with gestational diabetes mellitus

Kök, Zafer; Sıncer, İsa; Güneş, Yılmaz; Ural, Ülkü Mete

doi:10.1007/s13410-022-01136-6

Cited by 1 publication

(1 citation statement)

References 46 publications

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“…The epicardial fat thickness [ 26 ] or neuregulin-4 [ 10 ], serum C-reactive protein to albumin ratio [ 38 ], and indicators for the inflammation nature of DR [ 13 ] were not conducted, which may be involved in further studies investigating the factors related to the progression of DR after PRP. We did not involve gestational diabetes mellitus patients, we can not show the relationship between atrial conduction time and P-wave dispersion [ 39 ] and DR progression.…”

Section: Discussionmentioning

confidence: 99%

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Zhao,

Chandra,

Liu

et al. 2024

PLoS ONE

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Aim To investigate reasons for delayed presentation in patients with proliferative diabetic retinopathy (PDR). Methods A questionnaire was designed to investigate consecutive PDR patients with delayed presentation who visited our center between January 2021 and December 2021. The questionnaire was divided into four sections: knowledge regarding diabetic retinopathy (DR), attitude toward DR treatment, difficulties adhering to follow-up plans, and medical care. The systemic disease status and severity of DR were recorded. Logistic analysis was undertaken to investigate DR treatment refusal and delay factors. Results A total of 157 patients were included in this study, with an average age of 50.0 ± 11.6 years. The median glycated hemoglobin level (HbA1c) was 7.8% (IQR 2.5%). Among the 157 eyes, most required vitrectomy intervention (144, 91.7%); 17 developed neovascular glaucoma (NVG), while only 13 required additional photocoagulation. Among the 36 patients with undiagnosed DM, the reason for delayed DR presentation was a lack of awareness of DM status among these patients (36 cases, 100.0%). Most of the patients with a known history of DM exhibited inadequate DR knowledge (29, 24.0%), believed their good visual acuity did not require DR screening (98, 81.0%), and had poorly controlled diabetes (113, 93.3%). Factors related to refusing DR treatment were patients with an inability to receive regular diabetes treatment in internal medicine clinics (OR 6.78, 95% CI 1.73–26.59, p = 0.006), patients who could not tolerate discomfort during ophthalmic examination and treatment (OR 15.15, 95% CI 2.70–83.33, p<0.001), and patients who did not have any retinal abnormalities detected and were not informed about the need for regular screening (OR 2.05, 95% CI 1.36–3.09, p<0.001). Conclusions This study investigated the factors contributing to delayed presentation among patients with PDR. Many individuals in the delayed population were found to have undiagnosed DM. Among patients already aware of their DM status, reasons for delay included insufficient knowledge about DR, negative attitudes toward screening and treatment, and difficulties seeking medical care in real-life situations. Furthermore, there needed to be more improvements in the detection, treatment, and follow-up of DR by internal medicine practitioners and ophthalmologists.

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