A Study Of Frequency Of Complications at the Time of Diagnosis of Type -2 Diabetes Mellitus

Neelima Saoji

Abstract


AIMS & OBJECTIVES : To study the frequency of various complications in newly detected type-2 diabetes
mellitus and to study the associated risk factors in them.
MATERIAL & METHODS : We studied total 75 subjects (52 males and 23 females) of type-2 DM attending our
our hospital in the age group of 30-70yrs.The patients were subjected to detail clinical history, general and
systemic examination in addition to basic laboratory evaluation for diabetes. The various complications of
diabetes in them were divided as microvascular, macrovascular complications, infections and others. The
other risk factors like obesity, hypertension, dyslipidemia and positive family history were also studied.
RESULTS : The study revealed that 53.3% subjects had complications related to diabetes at the time of
diagnosis. The most common complication was found to be coronary artery disease(CAD)in 18.7% and most
common associated risk factor was hypertension in 33.3%.Obesity was noted in 20% and 33.4% subjects had =
3 complications. 69.3% subjects were asymptomatic for DM.
CONCLUSIONS : It is seen that the diabetic complications are common at the time of diagnosis. As prolonged
asymptomatic phase precedes the development of classical manifestations of diabetes, many patients are
detected to be diabetic only when they develop complications related to the disease. Hence it is necessary
to screen all individuals above the age of 30 yrs. regularly, especially when they have high risk profile so that
we can prevent or delay the complications by early interventions. As the morbidity and mortality associated
with such complications is more if patient has uncontrolled status, by proper control of hyperglycemia we
can improve their prognosis.
Key Words : Diabetes, complications


Full Text:

PDF