PREVALENCE OF DIABETES MELLITUS WITH MAJOR COMPLICATIONS, THE EVALUATION OF RISK FACTORS AND TREATMENT STRATEGIES FOLLOWED IN A TERTIARY CARE HOSPITAL - A PROSPECTIVE OBSERVATIONAL STUDY
A. A. Mohamed Yasir Arafath*, E. Manivannan, B. Arul, Sreelakshmi M., Stella Saiera Agi, Umasri B.
This study was carried out to evaluate the prevalence, risk factors, major complications and treatment strategies in patients with diabetes and to determine what extent management of diabetes in a tertiary care hospital at Salem, Tamil Nadu. Total 100 diabetic patients were randomly selected during the month of November to April. The study group comprised of about 46% male and 54% female with varying risk factors including family history (38%), smoking (23%). Results showed deteriorating glycemic control with mean FBG (fasting blood glucose), PPG (postprandial blood glucose) and HbA1c level was 41% ± 150-200 mg/dl, 44%± 200-350 mg/dl and 45% ± 8-9 % respectively. The rates of diabetic complications were Coronary artery disease 10%, Stroke 4%, Atherosclerosis 3%, Retinopathy 18%, Nephropathy 6% and Neuropathy 6%.Proportion of patients on oral hypoglycemic agent (OHA), insulin and combination of insulin & OHA was 10, 10 and 53 percent respectively. Hence this study has given information about the demographic datas, the clinical outcome of 100 Type II diabetic patients. In conclusion the purpose of this prospective- observational study was planned to evaluate the current prevailing scenario of diabetes mellitus prevalence, risk factors, major complications and treatment strategies of patients in order to correlate with the findings of previous studies.[Full Text Article]