Журнал диабетических осложнений и медицины

Hypertension is one of most common health problems. According to W.H.O reports almost more than 42 million people throughout the world are suffering from this disease and are increasing day by day. Total 500 male patients hospitalized in different hospitals of Dera ghazi khan district were selected, for which, a concise study designed Performa was prepared to collect the history and data of the patients. A number of parameters such as cholesterol level, serum sodium (Na+) level, abnormality of proteinuria and Hypercholesterolemia were studied to characterize the possible reasons of hypertension in diabetic patients. It has been observed that the prevalence of hypertension was significantly higher in those patients suffering from diabetes. Of the total 500 patients, 399 (67.8%) had hypertension. Out of the total 339 hypertensive patients, 187 (55.16%) were found possessing raised cholesterol level, 179 (52.8%) possessed raised Na+ level, 172 (50.7%) possessed raised K+ level and 159 (46.9%) patients were with proteinuria problems. In our study it was confirmed that higher sodium level, abnormal cholesterol level and the presence of proteinuria were strongly linked to the developing hypertension in diabetics. Therefore we concluded from this study that diabetes and hypertension occur together.

The circulating number of Endothelial Progenitor Cells (EPCs) decrease in patients with established heart failure (HF) depending the severity of the disease and may reflect poor prognosis. Developing type 2 diabetes mellitus (T2DM) associates with decreased number and weak function of EPCs that corresponds to impaired vascular repair and endothelial dysfunction. It is well known that T2DM is a risk factor of HF, but the role of EPC dysfunction in T2DM-induced HF is not fully investigated. The short communication is depicted a role of decreased circulating number and lowered function of EPCs in T2DM patients as a predictive biological marker of HF manifestation. It has been suggested that the potential use of EPCs as a novel personified indicator of cardiac dysfunction in diabetics is challenging and requires being under scrutinizes in future

Introduction and Aim: Diabetes is one of the largest health emergencies in the 21st century. In Fiji, type 2 diabetes mellitus (T2DM) is the number one cause of premature deaths and disability. The aim of this study was to determine the socio-demographic determinants of poor glycemic control among T2DM patients attending clinics at the three selected health facilities in Suva, Fiji.
Methods: This facility based 5-year retrospective folder audit among 338 randomly selected T2DM patient records registered between August 1, 2011 to August 1, 2016 from three selected health facilities in Suva, Fiji through proportionate sampling method and met the following inclusion criteria: T2DM adults >18 years; on treatment for >1 year; had >4 clinic visits and; had recent HbA1c result in 2017. Glycemic level was assessed using the most recent HbA1c level and poor glycemic control was defined as HbA1c of >7%. Data analysis included both descriptive and inferential statistics using SPSS v. 22 to assess the independent variable’s association with glycemic control. P value <0.05 was considered significant.
Results: The 338 T2DM patients had a mean age of 56.5 years (SD=+9.9), 62.1% were <60 years old, 62.1% were females and 63.9% were of Fijian of Indian Descent (FID). The prevalence of poor glycemic control was 77.2%. Mean HbA1c was 8.6% (SD=+2.04). In logistic regression analysis, T2DM patients <60 years had twice the chances of having poor glycemic control than their younger counterparts: odds ratio (OR) =2.29; 95% confidence interval (CI): 1.32, 3.9; p=0.003. Those attending Suva diabetes Centre were found to be three times more likely to have poor glycemic control than those attending other diabetes clinics: OR =3.32; 95% CI: 1.22, 9.04; p=0.019.
Conclusion: This study found a significantly high proportion of poorly controlled T2DM patients. Younger patients and those attending Suva Diabetes Centre were significant socio-demographic determinants of poor glycemic control. Health care workers dealing with T2DM patients should consider socio-demographic factors associated with glycemic control for a more patient-centered diabetes care.

When diabetes mellitus comes into question, the most common thing that strikes the mind of a physician is triopathy, cardiovascular status and secondary infections due to the immunosupressive state. Attention also needs to be paid to the examination of the oral cavity, auditory, complete ophthalmic, skin, pulmonary, gastrointestinal and muscular system in such patients, so that the work up of a diabetic patient becomes complete in all its aspects. A few noteworthy manifestations are discussed below.