Title: Prevalence of cheiroarthropathy in Type2 Diabetes Mellitus in a Tertiary care hospital
Authors: Dr Jacob Antony, Dr Ratheesh Narayanan Santhanavally
India has nearly 66.8 million cases of diabetes, and these numbers are expected to rise to 120.9 million in2035.1. India is set to become the diabetic capital of the world. Once thought of as an urban disease, now a day’s diabetes has become highly prevalent in rural population also. The prevalence of diabetes is significantly high in south Indian population. The reasons for increasing prevalence are not exactly known. However, physical inactivity, dietary indiscretion and genetic factors may be playing a role in the rising prevalence of diabetes in India. The pathogenesis of diabetes is also highly complex. There are many defects: impaired insulin secretion, insulin resistance, in cretin defects, hypererglucogonemia and increased reabsorbption of glucose from kidneys. Because of these multiple defects in diabetes, it is very difficult to manage a diabetic patient and achieve targets of glycemic control. To compound this, diabetics will usually have associated comorbidities like dyslipidemia, obesity and hypertension also. Diabetes predisposes to microvascular complications (nephropathy, retinopathy and neuropathy) and macrovascular complications (coronary artery disease, cerebrovascular disease and peripheral vascular disease. Indian diabetics are more prone for complications2. The exact reasons behind the increased prevalence of diabetic complications are not very clear. Genetic factors may be playing a role.