A CLINICAL STUDY OF MICROVASCULAR COMPLICATIONS IN A NEWLY DIAGNOSED DIABETES MELLITUS.

Dr.B.NIRMALA KUMAR; Dr.CHENNAKESAVULU DARA

Volume : VII, Issue : XI, November - 2017

A CLINICAL STUDY OF MICROVASCULAR COMPLICATIONS IN A NEWLY DIAGNOSED DIABETES MELLITUS.

Dr. B. Nirmala Kumar, Dr. Chennakesavulu Dara

Abstract :

AIM OF THE STUDY:

To study the presence of various microvascular complications in patients with newly detected Diabetes Mellitus.

MATERIALS AND METHODS:

Patients with newly diagnosed Diabetes Mellitus presenting to department of Medicine, New Government General Hospital , attached to Siddhartha Medical College,Vijayawada from May 2016 to May 2017. They presented to physician either for routine checkup or have been admitted for some other illness and diabetes was detected by chance for first time. Known cases of diabetes mellitus under treatment were excluded from study.

Sample Size: 100 cases

Sample procedure: Cross–sectional study

Study Duration: May2011 to August 2012

Inclusion criteria: Patients with newly diagnosed Diabetes Mellitus presenting to MGM Hospital.

Criteria for establishing Diabetes Mellitus:

1. Fasting plasma glucose ≥126mg/dl (7.0mmol/dl). (Fasting is defined as no

calorie intake for at least 8 hours)

2. Postprandial plasma glucose ≥200mg/dl (2 hours after 75gm of oral glucose)

Exclusion criteria:. Congestive cardiac failure, Urinary tract infection, Known hypertensives, Fever, Renal diseases, Other diseases causing peripheral neuropathy.

Method of collection of data: Clinical history, Clinical examination, Direct ophthalmic examination of fundus, routine investigations like Fasting plasma glucose,Post prandial plasma glucose,Urine for proteinuria, Blood urea & serum creatinine, Urine culture,ESR,Hb A1C, Serum electrolytes, Albumin Creatinine ratio, ECG, Chest X–ray, Enthesiometry and Nerve Conduction Studies.

DISCUSSION: The public health importance of diabetes is because of the complications associated with it .According to the International Diabetes Federation (IDF),India is going to have close to 70 million individuals with diabetes by the year 2025^1,2.Diabetes along with other chronic noncommunicable diseases has emerged as a leading cause of mortality in Indians. Diabetes mellitus is characterized by asymptomatic phase between actual onset of hyperglycemia and clinical diagnosis which has been estimated to last at least 4–7 years³.