Presenting features of diabetes mellitus

Bhaskar, Emmanuel; Sowmya, G V; Moorthy, Swathy; Kumar, Neeraj; Praveena, R.; Kumar, Vinod

doi:10.4103/0970-0218.74371

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Similar predominance of a classic symptom in newly diagnosed diabetics has been reported in previous study. 13 The prevalence of abnormal Waist to hip ratio was found to be 46% in this study. Purohit A study showed similar finding.…”

Section: Discussionsupporting

confidence: 49%

Clinical and biochemical profile of newly diagnosed type 2 diabetes mellitus patients: A Study from Rural Tertiary Care Hospital of South Karnataka

Tl¹

2018

jmscr

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To study the clinical and biochemical profile of newly detected type 2 diabetes mellitus patients from rural areas. Method: 100 newly diagnosed type 2 diabetes mellitus patients were included in this study. Study protocol included detailed clinical history, examination and investigations. Clinical examination and investigations were done to assess hypertension, body mass index, ischemic heart diseases, lipid profile, microvascular, and macrovascular complications of diabetes mellitus. Results: There were 56 males and 44 females. Maximum patients were belonged to fourth decade and upperlower socioeconomic status. 18% patients had obesity and 30% people were overweight. The prevalence of abnormal Waist to hip ratio was 46 %. Polyuria was the main complaint in 60% patients. 54 % patients had hypertension. 40% patients had increased cholesterol, 52 %patients had altered triglyceride. One or more microvascular complications were detected in 67% patients. The prevalence of neuropathy, retinopathy and nephropathy was 25%, 20% and22 % respectively. Conclusion: This study showed more patients belonged to younger age group. Most of the patients were not obese but had abnormal waist to hip ratio. Hypertension was the commonest observed comorbidity. Significant proportions of our patients had microvascular complications at the time of diagnosis. Neuropathy was the commonest complication.

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Section: Discussionsupporting

confidence: 49%

Clinical and biochemical profile of newly diagnosed type 2 diabetes mellitus patients: A Study from Rural Tertiary Care Hospital of South Karnataka

Tl¹

2018

jmscr

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“…Diabetes mellitus (DM) is a chronic non-communicable disease (NCD) of impaired carbohydrate, fat, and protein metabolism caused by either lack of insulin secretion or decreased sensitivity of the tissues to insulin [1]. The disease is characterized by hyperglycemia, with fasting glucose greater than 1.26 g/L [2]. Diabetes is an increasingly prevalent global health problem and is the 9 th leading cause of death.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Glycated Hemoglobin Levels > 6.5% among Diabetic Patients Attending Kenyatta National Hospital, Kenya

Muringo¹,

Gachohi²

2021

JDM

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Introduction: Good quality care in Type 2 diabetes mellitus (T2DM), whose prevalence is approximately 10% in Kenya, may prevent or delay diabetes complications. This study determined blood glycemic targets, defined by HbA1c levels (>6.5% [53 mmol/mol]) and associated factors among patients receiving diabetes management at Kenyatta National Hospital in Kenya. Methods: In this cross-sectional study conducted between May to September 2017, we obtained blood samples from 381 consenting T2DM patients attending KNH. The study collected data using a detailed questionnaire while taking glycemic measurements. Factors associated with poor glycemic control (HbA1c levels >6.5%) were determined using Ordinal logistic regression modeling, STATA software version 13. Results: 103 (27.1%) T2DM patients with poor glycemic control were identified. In multivariate analysis, independent risk factors associated with poor glycemic control and their 95% confidence intervals included: concurrent hypertension (aOR 1.6, [1.1, 2.4]), receiving ≥3 oral anti-diabetes medication (aOR 2.4, [1.3, 4.6]) and good adherence to medication based on self-reporting (aOR 6.2, [1.9, 41.3). Independent protective factors included self-monitoring of blood glucose levels (aOR 0.35, [0.2, 0.4]), patients aged 51 to 60 years (aOR 0.5, [0.3, 0.9]), weight between 50 and 70 kgs (aOR 0.5, [0.3, 0.9]) and receiving 1 to 2 diabetes medication (aOR 0.4, [0.3, 0.7]). Conclusion: Significantly high proportion of T2DM patients receiving treatment at KNH had poor glycemic control. Addressing comorbidities and promoting good glycemic control among long-standing T2DM patients receiving ≥3 oral anti-diabetes medication is key to delaying or preventing chronic diabetes complications. Self-monitoring of blood glucose levels needs to be encouraged as suggested by its protective effect. While dif

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Presenting features of diabetes mellitus

Cited by 2 publications

References 5 publications

Clinical and biochemical profile of newly diagnosed type 2 diabetes mellitus patients: A Study from Rural Tertiary Care Hospital of South Karnataka

Clinical and biochemical profile of newly diagnosed type 2 diabetes mellitus patients: A Study from Rural Tertiary Care Hospital of South Karnataka

Factors Associated with Glycated Hemoglobin Levels > 6.5% among Diabetic Patients Attending Kenyatta National Hospital, Kenya

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Presenting features of diabetes mellitus

Cited by 2 publications

References 5 publications

Clinical and biochemical profile of newly diagnosed type 2 diabetes mellitus patients: A Study from Rural Tertiary Care Hospital of South Karnataka

Clinical and biochemical profile of newly diagnosed type 2 diabetes mellitus patients: A Study from Rural Tertiary Care Hospital of South Karnataka

Factors Associated with Glycated Hemoglobin Levels &gt; 6.5% among Diabetic Patients Attending Kenyatta National Hospital, Kenya

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Factors Associated with Glycated Hemoglobin Levels > 6.5% among Diabetic Patients Attending Kenyatta National Hospital, Kenya