Title: Prevelance of Various Complications in Type II Diabetes Mallitus in Rural Medical College of Central India - A Study
Authors: Dr Jyoti Tiwari, Dr Jagrati Kiran Naagar, Dr (Prof) K.K. Kawre
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.17
Aim of study- To detect incidence of various complications of type 2 diabetes mallitus in rural tertiary health care hospital of central india. Materials and methods –Diabetes mallitus is an increasing health concern for urban as well as rural populations of India. In this study we evaluated the prevelence of various microvascular and macrovascular comlications in patients of OPD/IPD of Bundelkhand medical college,Sagar MP. The study conducted from Apr 2014- Sept 2014.Total 1970 pateients were included in the study by random sampling. Detailed history,clinical examination, anthopometric and biochemical examination was done. American Diabetes Association criteria (ADA) were used for diagnosis of diabetes mallitus and standard definitions were used to define the diabetic patients. Data were analysed by SPPS software version 12. Results- Among the 1970 patients studied 1025 (52%), patients were male & 945 (48%), patients were female. Out of which around 270 were diabetic (13.7%). The associated diabetic comlications was as follows-Neuropathy (n=70,25.9%), CAD ( n=42%,15.5), Retinopathy (n=22,8.1%), Peripheral vascular disease (n=15,5.5%), Cerebrovascular accidents (n=10,3.7%). Along with the complications we have also observed a rising trend in the diabetic complications with increased duration of illness as well as persistant high blood sugar levels. Conclusions- As the comlications of diabetes are higher with higher blood sugars and long duration of diabetes hence the disese needs to be diagnosed and treated as early as possible by doing routine screening for diabete & diabetes awareness programme should be there for early diagnosis of the disease and treatment to prevent complications. Key words – Diabetes mallitus , comlications , blood sugar , rural 1. Gadsby R. Epidemiology of diabetes. Adv Drug Deliv Rev. 2002;54:1165–1172. doi: 10.1016/S0169-409X(02)00094-7. [PubMed] [Cross Ref] 2. Newnham A, Ryan R, Khunti K, Majeed A. Prevalence of diagnosed diabetes mellitus in general practice in England and Wales, 1994 to 1998. Health Statistics Quarterly.2002;14:5–13. 3. American Diabetes Association. Standards of Medical Care in Diabetes-2015: Abridged for Primary Care Providers. Clinical Diabetes. 2015. 33(2):[Full Text]. 4. Guideline] Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010 Jan. 33 Suppl 1:S62-9.[Med]. [Full Text]. 5. Azizi F, Guoya MM, Vazirian P, Dolatshati P, Habbibian S. Screening for type 2 diabetes in the Iranian national programme:a preliminary report. East Mediterr Health J. 2003;9:1122–7. [PubMed] 6. Fall CH. Non-industrialised countries and affluence. Br Med Bull. 2001;60:33–50. [PubMed] 7. Wild S, Roglic Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047–53. [PubMed] 8. Pradeepa R, Mohan V. The changing scenario of the diabetes epidemic: implications for India. Indian J Med Res. 2002;116:121–32. [PubMed] 9. Drivsholm T, de Fine Olivarius N, Nielsen AB, Siersma V. Symptoms, signs and complications in newly diagnosed type 2 diabetic patients, and their relationship to glycaemia, blood pressure and weight. Diabetologia 2005;48(2):210-4. 10. Weerasuriya N, Siribaddana S, Dissanayake A, Subasinghe Z, Wariyapola D, Fernando DJ. Long-term complications in newly diagnosed Sri Lankan patients with type 2 diabetes mellitus. QJM 1998;91(6):439-43. 11. Premlatha G, Rema M, Mohan V. Complications of diabetes mellitus at diagnosis in South Indian type 2 diabetic patients. Int J Diab Dev Ctries 1998;18:1-4. 12. Spijkerman AM, Dekker JM, Nijpels G, Adriaanse MC,Kostense PJ, Ruwaard D, et al. Microvascular complications at time of diagnosis of type 2 diabetes are similar among diabetic patients detected by targeted screening and patients newly diagnosed in general practice: the Hoorn screening study. Diabetes Care 2003;26(9):2604-8. 13. Agrawal RP, OlaV, Bishnoi P,Gothwal S, Sirohi P,Agrawal R.Prevelence of micro & macrovascular complications and their risk factors in type II diabetes mallitus. J Assoc Physicians India.2014 June;62(6):504-8. 14. Nafisa C Vaz, AM Ferreira,MS Kulkarni, Fredrick S Vaz,NR Pinto.Prevelence of Diabetic Complications in Rural Goa, India. Indian J Community Med.2011 Oct-Dec;36(4):283-86.Abstract
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