Relationship of diabetic retinopathy and systemic complications of diabetes

Abstract

: To study the relationship of diabetic retinopathy with systemic complications of diabetes.: Study was conducted on 310 diabetic patients attending to Narayana medical college ophthalmology opd in Nellore between August 2017and June 2018. Patients are categorized into five groups based on the duration and severity of DR into No DR, Mild NPDR, ModerateNPDR, Severe NPDR, PDR according to the ETDRS classification. All the above patients evaluated clinically, and required investigations were done for the presence of systemic complications like nephropathy, neuropathy, cardiovascular, cerebrovascular, and diabetic foot. The relation between the duration of diabetes mellitus and stage of diabetic retinopathy and also with systemic complications assessed. A total of 310 diabetic patients with a mean age of 56.5 + 11.8 years and males 211(31.7%) and females99(31.7%). Prevalence of Diabetic retinopathy was 108(34.8%) of which mild NPDR44(41.9%), moderate NPDR35(34.5%), severe NPDR 19(18.3%)and PDR10(11.4%). A significant association (P<0.001) was observed between the duration of diabetes and the presence and severity of diabetic retinopathy. The overall prevalence of nephropathy, neuropathy, diabetic foot, CVS, CAD was 52.6%and they were significantly (p<0.05) more common in patients with DR (64.8%) as compared to those with no DR (43.5%) and complications increased with severity of retinopathy.

Oral and systemic complications associated with type 2 diabetes mellitus in a sample of the Libyan population: A single-center study

“…This findings were consistent with Vidyashri, et al (2021) [20] who conducted study on 800 DPs and found that the most common associated systemic complication observed was hypertension (32.57%) and also consistent with Dregan, et al (2014) [28] who found that hypertension was more prevalent. Whilst inconsistent with Priya, et al (2020) [29] who carried study on 310 DPs and revealed that the most common systemic complication was diabetic retinopathy (34.8%) and also inconsistent with Bajaj, et al (2012) [30] who reported that retinopathy was significantly more prevalent in DPs. Teeth loss as an indicator for oral health reputation has a more potent association with risk of diabetes complications.…”