A STUDY OF RHEUMATOLOGICAL MANIFESTATIONS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND ITS RELATION TO GLYCEMIC CONTROL

Dr. RONANKI PRIYANKA

Volume : VIII, Issue : XI, November - 2019

A STUDY OF RHEUMATOLOGICAL MANIFESTATIONS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND ITS RELATION TO GLYCEMIC CONTROL

Dr. Ronanki Priyanka

Abstract :

Background: Type 2 Diabetes mellitus is usually associated with several rheumatological manifestations that cause significant morbidity. This study was conducted to find the prevalence of rheumatological manifestations in patients with type 2 diabetes and its relation to glycemic control. Methods: This was a cross–sectional study done in 120 type 2 diabetic cases and 60 age and sex–matched non–diabetic controls in Katuri Medical College & Hospital for one year. Subjects were examined for various rheumatological manifestations and all the necessary investigations were done. Results: Rheumatological manifestations were seen in 42.5% of patients with type 2 diabetes mellitus compared to 26.6% in non–diabetic subjects. Limited joint mobility was the most common manifestation seen in 29.4% of diabetic group followed by Periarthritis of shoulder (20.8%), Carpal tunnel syndrome (15.83%) and Dupuytren�s contracture (14.16%). Majority of the patients had HbA1c levels between 8.1 to 10%. Conclusion: Rheumatological manifestations are more prevalent in people with type 2 diabetes than those without diabetes. Limited joint mobility and periarthritis of shoulder are the most common rheumatological manifestations. Usually, poor glycemic control is associated with an increase in rheumatological manifestations.