107. Survey on major micro vascular complication of Diabetes Mellitus Type 1 (T1DM) patients in different age groups in Hyderabad and Jamshoro

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Fahmida Channa, Tahira Jabeen Ursani, Jawaid Ahmed Khokhar, Samina Malik Syed Akbar Ali Shah, Aftab Khaskheli

Abstract

Diabetes mellitus (DM) is a common medical condition known to have adverse effects on all system of human body. Diabetes mellitus is a big threat towards public health. More than 382 million public suffered from DM in the year 2013. The type 1 diabetes mellitus (T1DM) is a multifactorial autoimmune disease and its susceptibility is recognized by combination of environmental factors and heredity factors. Microvascular complications are specific to diabetes and related to longstanding hyperglycemia. The aim of this study was to evaluate the frequency major microvascular complication of different age group patients with T1DM and was conducted in medical outdoor patient department (OPD) of two main hospitals named as Civil Hospital Hyderabad and Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro from July 2018–December 2018. The results found that out of 410 T1DM patients 250 (61%) were males and 160 (39%) were females were enrolled in the present study. The present study concluded that total 410 Diabetic patients have major microvascular complications included 180 (44%) diabetic retinopathy (DR) patients, 125 (30.4%) diabetic nephropathy patients and 105(25.6%) diabetic neuropathy patients. Out of 180 patient 120 (66.66%) males have DR and 60 (33.33%) females were DR. Out of 125 diabetic nephropathy patients 70 males (56%) were suffer and 55(44%) females. Out of 105 diabetic neuropathic patients, 60 (57%) males and 45 (43%) were females. Out of 180 DR patients, 117 (65%) patients have Non-Proliferative Diabetic Retinopathy (NPDR) & 63(35%) have Proliferative Diabetic Retinopathy (PDR). Out of 125 Diabetic Neuropathy (DN) patients 110 patients have proteinuria, 90 patients have swelling of hands, feet & ankle, 95 patients have swelling on eyes & 80 patients have confusion or difficulty to concentrate on work. Out of 105 Diabetic neuropathy patients 100 have numbness, 95 have muscles weakness, 90 have constipation sometimes diarrhea, 65 have urinary incontinence. Out of the total T1DM patients, mostly 320 (78%) of the patients were with uncontrolled glycemic level in the T1DM patient whereas only 90 (22%) T1DM patients showed glycemic control.


Keywords: Diabetes; Micro vascular Complications; Nephropathy; Neuropathy; Retinopathy


http://dx.doi.org/10.19045/bspab.2020.90118


 

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