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

Dr. S. Naga Mohana Rao; Dr. Chappa Vinaya Raja; Dr. G. Swarnalatha Devi

Volume : IX, Issue : I, January - 2019

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

Dr. S. Naga Mohana Rao, Dr. Chappa Vinaya Raja, Dr. G. Swarnalatha Devi

Abstract :

INTRODUCTION: Diabetes is characterized by asymptomatic phase between actual onset of hyperglycemia and clinical diagnosis , which has been estimated to last atleast 4–7 years .although microvascular complication do not occur at onset of disease, due to delay in diagnosis they are commonly present at the time of diagonosis. AIM & OBJECTIVE: the study is to detect micovascular complications at the time of diagnosis MATERIALS AND METHODS: Patients with Newly diagnosed Diabetes Mellitus presenting to department of general medicine ,ASRAM MEDICAL COLLEGE,ELURU, from 2017 to 2018. They presented to physician either for routine check up or have been admitted for some other illness and Diabetes by chance for first time .known cases of diabetes mellitus under treatment were excluded from study. RESULTS :The total of 100 patients with newly diagnosed DM were studied out of which 60% were males and 40% females. the mean age duration was found to be55.26±20.24, 56 % of the patients presented with classical symptoms of DM,32% with symptoms due to microvascular complications and 12% were asymptomatic. 90% of newly diagnosed diabetics had positive family history. Out of 100 newly diagnosed diabetics 37% of the patients were overweight,41% were obese.27%of females had central obesity to compare to 14% in males.34% of the total patients had some infections at the time of diagnosed of DM with 10% of them having pneumonia and6% TB.36% of the patients presented with peripheral neuropathy at the time of diagnosed of DM with 29% of them having only symptoms of PN , 8%with only signs and 28% of them with both.22% of the patients had Retinopathy at the time of diagnosed of DM in which BDR is more common accounting for12%.10% of the patients had PPDR.32% of the patients had diabetic nephropathy at the time of diagnosed of DM with 28% of them having incipient nephropathy. CONCLUSION: About 41% of the newly diagnosed diabetes had microvascular complications .hence microvascular complications at the time of diagnosed of DM were high in our patients who was found to be due to low sociology economic status, poverty and life style, signals physicians to have serious awareness about these unusual presentations and helps in concentrating on further evaluation and appropriate intensive control of diabetes to prevent further complications.