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Chaurasia, A.
- Clinical Profile and Prevalence of Complications in Newly Detected Type 2 Diabetics
Authors
1 Department of Medicine, SSMC & SGMH Rewa (MP), IN
Source
The Indian Practitioner, Vol 66, No 10 (2013), Pagination: 617-623Abstract
Background: Prevalence of diabetes is rapidly rising all over globe at an alarming rate. It proceeds un-noticed silently ravaging the body. Although complications of diabetes do not occur at the onset of disease but due to delay in diagnosis, they are commonly present at the time of diagnosis.Objective: We sought to determine the clinical profile and prevalence of complications in newly detected type 2 diabetics.
Methods: The study was conducted in the wards and patients admitted from medicine OPD at SGM hospital Rewa between January 2010 and September 2011. Patients were diagnosed as type 2 diabetic if they fulfilled ADA 2010 Criteria and were thoroughly evaluated for detection of various complications.
Results: We diagnosed 150 patients as type 2 diabetic, 60% were male, 40% were females, 56.67% were in the age group 31 - 50 years with mean age of 48.25 ± 13.08 years. 58.66% had normal BMI, 43.33% had family history, classical symptoms of diabetes were present in 42% of cases. Mean HbA1C was 9.9 ± 2.7%. Complications were neuropathy (25.33%), nephropathy (17.34%), coronary artery disease (13.33%), retinopathy (12.67%), peripheral arterial disease (10%), cataract (7.33%), diabetic ketoacidosis (7.33%), diabetic foot (6%), stroke (3.33%). The prevalence of other conditions, e.g. infections (50.67%), hypercholesterolaemia (18.67%), low serum HDL (41.11% males&60% females), hypertension (40.67%), hypertriglyceridaemia (36.67%), diastolic dysfunction (28.67%), high serum LDL (27.33%) was also high.
Conclusion: A large number of patients with newly detected diabetes had already had serious complications like nephropathy, coronary artery disease, diabetic ketoacidosis, diabetic foot and stroke. Asymptomatic diabetes mellitus constituted very small percentage i.e. 4.67%. Thus efforts should be made to increase awareness about symptoms and likelihood of diabetes in high risk groups. A thorough screening programme at National level for early detection of diabetes is needed so that complications can be avoided or postponed.
- Bilateral Basal Ganglia Calcification:Uncommon Manifestation in Hypoparathyroidism
Authors
1 Department of Medicine, Shyam Shah Medical College, Rewa, Madhya Pradesh, IN
Source
The Indian Practitioner, Vol 69, No 12 (2016), Pagination: 37-38Abstract
Hypoparathyroidism is far less common than hyperparathyroidism. Although as many as one-half of patients in an ICU setting are reported to have hypocalcemia (<8.5mg/dl), most do not have a reduction in ionized calcium. Since adequate treatment of hypoparathyroidism may lead to marked clinical improvement, serum concentration of calcium, phosphorus, and parathyroid hormone (PTH) is suggested to be determined in all individuals with calcification of the basal ganglia to rule out hypoparathyroidism.References
- Kumar, Abbas, Fausto, Aster. Robbins and Cotran Pathologic Basis of Disease, Eighth Edition January 2009;1129.
- Kasper,Fausi,Hauser,Longo,Jameson,Loscalzo.Harrison ´s Principles Of Internal Medicine. 19th Edition; 315.
- Kasper, Fausi, Hauser, Longo, Jameson, Loscalzo. Harrison´S Principles Of Internal Medicine. 19th Edition; 2482
- Kumar, Abbas, Fausto, Aster. Robbins and Cotran Pathologic Basis of Disease, Eighth Edition January 2009;1130