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Table of Content - Volume 4 Issue 1- October 2016


A Study of various complications among type II diabetic patients at rural tertiary heath care center

 

Mithun Somaiah C S

 

Assistant Professor, Department of General Medicine, BGS Global Institute of Medical Sciences, No. 67, BGS health and Education city Uttarahalli road,  Kengeri, Bengaluru, Karnataka- 560060, INDIA.

Email: drmithun.somaiah4899@gmail.com

 

Abstract              Background: The present situation about diabetes makes it all the more important that we make attempts to understand the prevalence of these complications and possible risk factors in order to develop potential preventive programmes. Aims and Objectives: To Study various complications among type II Diabetic patients at Rural tertiary heath care center. Methodology: After approval from institutional ethical committee, a cross-sectional study was carried out in patients who were admitted to Sri Adichunchanagiri hospital and research center, B.G. Nagara, Mandya attached to Adichunchanagiri Institute of Medical Sciences, B.G. Nagara, Mandya. From the patients admitted, 50 cases with H/O Type 2 diabetes mellitus were taken as subjects for the study. Analysis of variance (ANOVA) has been used to find the significance of study parameters between three or more groups of patients, Student t test (two tailed, independent) has been used to find the significance of study parameters on a continuous scale between two groups( Inter group analysis) on metric parameters. Chi-square/ Fisher Exact test has been used to find the significance of study parameters on categorical scale between two or more groups. Result: The most common complication was Retinopathy i.e. 42% followed by Neuropathy 34%, Nephropathy 14%, Cardiovascular in 18%, Cerebrovascular Accidents 4%. In Insulin treatment group Retinopathy and Cardiovascular complications were more common (54%), followed by OHA was having Neuropathy 38.2%, Insulin+ OHA was having CVS -80% and Retinopathy 60% was more common. The commonest complication among males was retinopathy with an incidence of 52.9%, followed by IHD (41.2%). The commonest complication among females was peripheral neuropathy (25%) and IHD (25%). There was not much variation seen among the parameters irrespective of the duration of diabetes. Conclusion: It can be concluded from our study that the most common complication was Retinopathy, followed by Neuropathy and Nephropathy. In Insulin treatment group Retinopathy was common followed by OHA was having Neuropathy, Insulin+ OHA group was having Cardiovascular complications like MI, Retinopathy. The commonest complication among males was retinopathy with an incidence, followed by IHD. The commonest complication among females was peripheral neuropathy and IHD.

Key Words: Type II Diabetes, Complications of Diabetes, Neuropathy, Nephropathy, Retinopathy.