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1

Makwana, Dr Piyush, and Dr Anju Mehta. "Knowledge, Attitude and Practice Regarding Diabetes Mellitus in Diabetic and Non Diabetic Population." International Journal of Scientific Research 2, no. 10 (June 1, 2012): 1–3. http://dx.doi.org/10.15373/22778179/oct2013/94.

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2

Scott, A. R., T. Bennett, and I. A. Macdonald. "Diabetes mellitus and thermoregulation." Canadian Journal of Physiology and Pharmacology 65, no. 6 (June 1, 1987): 1365–76. http://dx.doi.org/10.1139/y87-215.

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Diabetes mellitus is accompanied by a variety of alterations in metabolic, cardiovascular, and neuronal function. This paper provides a comprehensive review of the ways in which these pathophysiological aspects of diabetes may impair thermoregulatory function. The influence of diabetic neuropathy and vasculopathy on the control of peripheral blood flow is reviewed and the additional effects of changing levels of blood glucose and insulin are discussed. Both hypoglycaemia and diabetic ketoacidosis are associated with hypothermia, but the reasons for this in ketoacidosis are not clear. Impairment of heat conservation may contribute to and could be a consequence of autonomic neuropathy. The final section of the paper describes a study of our own in which metabolic stability was maintained by infusing insulin intravenously before and during the determination of the thermoregulatory responses to acute cold stress. Under these conditions, there was impairment of reflex vasoconstriction in the limbs of diabetics with neuropathy. This failure to reduce heat loss resulted in half the diabetics with neuropathy shivering in response to moderate cooling, which in some subjects was accompanied by a fall in core temperature. Diabetics without neuropathy and nondiabetics neither shivered nor dropped core temperature.
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3

Kumar, Pojala, Ravi Shankar K., Krishnakanth K., and Jagadeesh Alla. "Study of awareness of diabetes mellitus among diabetics and non-diabetics and drug utilisation pattern in diabetics attending tertiary care general hospital in India." International Journal of Basic & Clinical Pharmacology 7, no. 5 (April 23, 2018): 824. http://dx.doi.org/10.18203/2319-2003.ijbcp20181490.

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Background: Diabetes Mellitus (DM) is one of the most challenging public health problems. It is important to know about the awareness level of a disease condition in a population, which plays a vital role in future development, early detection and prevention of disease.Methods: A total of 200 subjects were interviewed and their details were noted in a specially designed data collection form. The questionnaire contained a series of questions related to demographic characteristics and awareness of DM including general knowledge, risk factors and complications of diabetic and non-diabetic patients.Results: Among 150 subjects were diabetic and 50 were non-diabetic. 60 (40%), 14(28%) of diabetics and non- diabetics were between the age of 41-50. 101 (67.3%) were male, 49 (32.6%) were female. 101 (67.3%) of the study participant had family history of diabetes in diabetic. 45 (44.5%) diabetic, 20 (40.81%) non-diabetic male knows the risk factor for diabetes mellitus and 35 (34.6%), 21 (42.8%) were aware of symptoms, 09(8.9%), 03(6.1%) awareness on complication of diabetes. 21 (20.7%), 06 (12.2%) doesn’t know about Risk factors.Conclusions: The present study conclude a current situation of knowledge and awareness of diabetes mellitus and also emphasizes the need for improvement in knowledge and awareness on diabetes mellitus among the diabetic as well as non-diabetic subjects in order to achieve prevention and better control of diabetes risk factors, complications and its management.
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4

AZIZ, MUHAMMAD SHAHID. "DIABETES MELLITUS;." Professional Medical Journal 19, no. 01 (January 3, 2012): 068–72. http://dx.doi.org/10.29309/tpmj/2012.19.01.1955.

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Objective: To determine the prevalence of Diabetes mellitus in patients of hepatitis C virus infection. Design: Prospective andobservational study. Setting: Medical Wards at Combined Military Hospital Jhelum. Period: 1st November 2009 to 31st October 2010. Method:100 cases of HCV positive on Elisa method were inducted. All cases were segregated into different states of liver disorders and were screenedfor Blood Sugar level, for one year. So as to observe the frequency of Diabetes Mellitus among HCV positive patients. Diabetes mellitus wasconsidered to be present if patients were already on diabetes treatment or fasting or random blood sugar indicated diabetes mellitus accordingto standard criteria. Results: One hundred patients were studied. Fifty five (55 %) were males and forty five (45 %) were females. The agesranged from 15 to 71 years (Mean 44.24). Out of these 100 patients, total of 28 (28%) had diabetes mellitus. Out of 100 patients, 82 patients hadchronic hepatitis C virus infection without cirrhosis and 22 (26.4 %) of these had diabetes. Twenty two patients with chronic hepatitis C, who haddiabetes mellitus, twenty (90.9 %) were non-insulin dependent diabetics and two (9.1 %) were insulin dependent. Total of 18 patients hadcirrhosis and out of these 6 patients (33.33 %) had diabetes mellitus. Six patients with cirrhosis all had non-insulin dependent diabetes mellitus.Conclusions: Patient with chronic hepatitis C virus infection and cirrhosis secondary to hepatitis C virus infection have strong association withdiabetes mellitus and great majority of them are non-insulin dependent diabetics.
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5

Muneer, Khadija, Naheed Hashmat, Taimia Ayub, and Usman Abdul Ahad. "DIABETES MELLITUS." Professional Medical Journal 25, no. 12 (December 8, 2018): 1869–75. http://dx.doi.org/10.29309/tpmj/18.4670.

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Background: Type I diabetes mellitus is a chronic illness in which autoimmune destruction of pancreatic beta cells results in the body’s inability to produce insulin. Vitamin D has several important roles regarding bone health however, recent studies suggest that Vitamin D3 (the active form of Vitamin D) has potent antiproliferative and immunomodulatory properties which has linked it to many autoimmune disease including Type I Diabetes Melltius. Vitamin D deficiency (serum levels less than 50 nmol/l) has a negative influence on insulin secretion in patients with Type I Diabetes Mellitus, thereby suggesting a role for vitamin D3 in the pathogenesis of Type I Diabetes Mellitus. Vitamin D deficiency is an increasingly recognized comorbidity in patients with Type I diabetes mellitus. We aim to determine the frequency of vitamin D deficiency in Type I Diabetes Mellitus in Pakistani population. Objectives: The objective of the study was to determine frequency of Vitamin D deficiency in patients havingType I Diabetes Mellitus in Pakistani Population. Study Design: Cross-sectional study. Setting: The study was conducted in Diabetes Management Center & Endocrinology Unit (DMC & EU) at Services Hospital Lahore. Period: From 20th May to 19th November (6 months). Materials and Methods: 200 patients having Type I Diabetes Mellitus presenting to Diabetic Management Center were recruited by non-probability purposive sampling. Informed consent was taken. Pro forma was filled by a skilled interviewer and blood sample for vitamin D levels was drawn. Data was entered in the pro forma given at the end and was analyzed in SPSS. Results: Of the 200 subjects 125 were males and 75 were females. Of the males 85.6% and females 88% were vitamin D deficient. The frequency of vitamin D deficiency in newly diagnosed Type I Diabetics is 86.5%. In this study it was seen that higher HbA1c levels are significantly associated with Vitamin D deficiency. Conclusions: These results conclude that vitamin D deficiency is significantly frequent at the onset of Type I Diabetes Mellitus . So vitamin D levels should be measured in all Type I diabetics on their first presentation to the hospital especially those with higher HbA1c levels and vitamin D should be replaced in deficient patients. Further prospectivestudies should be done to evaluate Vitamin D3 as a factor in managing glycemic control.
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6

Pareek, Jitendra, and Kashyap Buch. "Prevalence of Diabetic Retinopathy in Diabetes Mellitus Patients in Bhuj, Kutch." Indian Journal of Emergency Medicine 4, no. 3 (2018): 137–40. http://dx.doi.org/10.21088/ijem.2395.311x.4318.4.

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7

Singh, Luxmi, Lubna Ahmed, Swati Yadav, Pragati Garg, and B. B. Lal. "DIABETIC MACULAR EDEMA IN ASSOCIATION WITH DIABETIC RETINOPATHY IN PATIENTS OF TYPE 2 DIABETES MELLITUS." ERA'S JOURNAL OF MEDICAL RESEARCH 5, no. 1 (June 2018): 06–08. http://dx.doi.org/10.24041/ejmr2018.55.

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8

Quartey, Perez, Bright Afriyie Owusu, Daniel Taylor, and Eliza-Bertha Adomaka. "Type 2 diabetes mellitus in glucose-6-phosphate dehydrogenase deficient individuals in a Ghanaian population." International Journal of Research in Medical Sciences 8, no. 12 (November 27, 2020): 4348. http://dx.doi.org/10.18203/2320-6012.ijrms20205303.

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Background: Studies in different populations have shown an association between diabetes mellitus and G6PD deficiency. This association has not been investigated in the Ghanaian population. We conducted a cross-sectional study to investigate the relationship between G6PD deficiency and type 2 diabetes mellitus in a Ghanaian population.Methods: The cross-sectional study involved 125 registered type 2 diabetes mellitus clients and 125 non-diabetic individuals. Chi-square analysis was used to assess the association between G6PD status and type 2 diabetes mellitus with statistical significance pegged at p-value<0.05.Results: The prevalence of G6PD deficiency in the study population was 24.0% and 13.6% for the diabetics and non-diabetics respectively. In terms of gender, 29.5% of the diabetic males were G6PD deficient whiles G6PD deficiency was observed in 11.1% of the non-diabetic males. Additionally, 21.0% of the diabetic females were also G6PD deficient with 15.3% of the non-diabetic females being G6PD deficient. The results showed that the overall G6PD deficiency was significantly associated with type 2 diabetes mellitus as compared to the non-diabetics. In terms of gender differences, G6PD deficiency was significantly associated with type 2 diabetes in males but, there was no significant association in females.Conclusions: The study reports the first findings of the relationship between G6PD deficiencies among type 2 diabetes patients in Ghana. The study revealed that G6PD deficiency is more prevalent among type 2 diabetics than non-diabetics. Type 2 diabetes mellitus is independently associated with G6PD deficiency in males but not females.
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9

Varshavsky, I. M., V. I. Trenin, V. M. Shinkin, and A. A. Boklin. "Repair osteogenesis in diabetes mellitus." Problems of Endocrinology 41, no. 5 (October 15, 1995): 13–16. http://dx.doi.org/10.14341/probl11470.

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The authors analyze the experience gained in the treatment of more than 1000 diabetics with pyonecrotic complications on the soles. Elements of diabetic osteoarthropathy, indicative of osteomineralopenia and collagenopathy, were detected in 61.1% of patients. Repair osteogenesis in diabetes mellitus is incomplete and does not lead to repair of bone mass and structure.
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10

Dr. Vanitha Gowda M. N, Dr Vanitha Gowda M. N., Dr Kusuma K. S. Dr. Kusuma K. S, and Dr Vasudha K. C. Dr. Vasudha. K. C. "Serum Paraoxonase (Arylesterase) activity in Type 2 Diabetes Mellitus and diabetic nephropathy." Indian Journal of Applied Research 3, no. 4 (October 1, 2011): 351–53. http://dx.doi.org/10.15373/2249555x/apr2013/115.

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11

SINDHU,, GHAZANFAR ALI, SADAF NAZ,, FRAZ SAEED QURESHI,, Zaheer Ahmed,, and Tamur Islam,. "DIABETES MELLITUS;." Professional Medical Journal 20, no. 02 (February 7, 2013): 220–26. http://dx.doi.org/10.29309/tpmj/2013.20.02.629.

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Introduction: Hepatitis C virus (HCV) is a major cause of chronic liver disease, cirrhosis and hepatocellular carcinoma(HCC). HCV infection and type 2 diabetes are two common disorders with a high impact on health worldwide. There is growing evidenceto support the concept that HCV infection is a risk factor for developing type 2 Diabetes Mellitus. Both insulin resistance and diabetes canadversely affect the course of chronic hepatitis C, and lead to poor response to antiviral therapy and increased incidence of Hepatocellularcarcinoma. Objective: The objective of the study was to assess the frequency of type 2 Diabetes mellitus in newly diagnosed chronichepatitis C patients presenting in Allied hospital Medical unit II during six month period. Design: Cross sectional study. Setting: Medicalunit-II, Allied Hospital, Faisalabad. Period: 01-08-2009 to 28-02-2010. Material and methods: All newly diagnosed patients of chronichepatitis C on the basis of PCR for HCV-RNA were included in the study. Fasting and two hours postprandial blood sample were tested.Diabetes Mellitus was labeled as per slandered. Results: Out of 180 patients with CHC 19 (10.6%) were found to have Diabetes mellituswhile 161(89.4%) were non-diabetics. Conclusions: There is close association in the development of type 2 diabetes mellitus in patientswith chronic hepatitis C.
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12

Hafeez, Arsalan, Kashif Rehman, Aqib Rehman, and Abdul Hafeez Ch. "DIABETES MELLITUS." Professional Medical Journal 25, no. 09 (September 9, 2018): 1406–12. http://dx.doi.org/10.29309/tpmj/18.4813.

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13

Kurien, M., K. Thomas, and T. S. Bhanu. "Hearing threshold in patients with diabetes mellitus." Journal of Laryngology & Otology 103, no. 2 (February 1989): 164–68. http://dx.doi.org/10.1017/s0022215100108345.

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AbstractHearing threshold of 30 diabetic patients and 30 healthy controls attending the medical outpatient department were determined using pure tone audiometry (Arphi Digital 900). All subjects were less than 50 years old. Subjects with otological and other metabolic diseases were excluded from the study. The patients were categorized into groups according to age, duration of disease, complications and control of diabetes. These observations were compared with those from the control subjects using appropriate statistical methods.It was found that diabetics had a poorer hearing threshold than the non-diabetics; all age groups with diabetes showed a significant high frequency hearing loss, as compared to the control population; poorly controlled and complicated diabetics have significant, high frequency hearing loss as compared to those who were well controlled and uncomplicated; there was no relationship between duration of the diabetes and the level of hearing loss.
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14

Yue, W. L. "Nasal mucociliary clearance in patients with diabetes mellitus." Journal of Laryngology & Otology 103, no. 9 (September 1989): 853–55. http://dx.doi.org/10.1017/s0022215100110291.

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AbstractFifty insulin-dependent diabetics and 50 non-diabetics without a history of nasal disease have been studied for nasal problems including mucociliary function complicated by diabetes mellitus. For the diabetics, the mean value of nasal mucociliary clearance was considerably decreased and this was more often associated with dry noses but increased pH-values, both of which were higher than those for non-diabetics (p<0.05). As suggested in earlier literature, more aggressive nasal moistening therapy must be recommended for those patients presenting with these conditions in the light of systemic diabetic abnormalities.
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15

A., Vinay Kumar, Raj Kumar K., and Nithin Kumar Reddy R. "Study of pulmonary tuberculosis in diabetes mellitus." International Journal of Research in Medical Sciences 6, no. 7 (June 25, 2018): 2375. http://dx.doi.org/10.18203/2320-6012.ijrms20182820.

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Background: To study the clinical profile of pulmonary tuberculosis in diabetic patients and to study the radiographic patterns of pulmonary tuberculosis in diabetic patients.Methods: The study was undertaken on 100 patients with diabetes mellitus and pulmonary tuberculosis of both sexes admitted to Chalmeda Anand Rao Institute of Medical Sciences, Bommakal, Karimnagar.Results: The fasting blood sugar value showed a definite co-relation with pulmonary tuberculosis. 41% of the patients had fasting blood sugar value between 201 to 300mg/dl and 30% had value between 151-200mg/dl and 23% of the patients had value above 300mg/dl. Mean fasting blood sugar value was 234.4mg/dl. Right sided lung lesions were noted in 37% of the cases and left sided lesions in 33% of the cases. Upper lobe lesions were noted in 68% of the cases and bilateral lesion in 30% of the study group.Conclusions: Uncontrolled diabetes mellitus patients are more prone to develop pulmonary tuberculosis compared to non diabetics. Sputum examination tends to be positive in diabetics compared to non diabetics.
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Muhalla, Hafna Ilmy. "BODY IMAGE IN DIABETES MELITUS PATIENTS WITH ULCUS DIABETIC IN GRESIK." Journal of Vocational Nursing 1, no. 2 (October 29, 2020): 130. http://dx.doi.org/10.20473/jovin.v1i2.23560.

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Introduction: Indonesia is ranked 4th in the world for the number of diabetics according to WHO, and most of diabetics experience complications, one of which is ulcer diabetikum. This can be a trigger for the emergence of body image disorders from diabetics, so researchers need to know the picture of ulcus sufferers' body image to later be mapped and make it easier in subsequent handling. The research objective is to describe the image of body image in patients with diabetes mellitus with ulcus complications. Physical changes in the body can affect body image and self-esteem Methods: Design of this study used a descriptive research design, the population in this study were all patients who have diabetes mellitus with ulcus diabeticum in Ibnu Sina Hospital Gresik regency with a sample of 20 respondents, samples were taken by using purposive sampling technique. Data collection using questionnaires with 15 multiple choices question. Furthermore, the data were analyzed with coding, scoring, tabulating presentatif, and described. Results: The results showed a total of 20 respondents obtained ii'om 5 respondents (25%) have a good body image, 7 respondents (35%) had a poor body image and 8 respondents (40%) who did not have a good body image. Conclusion: Based on the results of this study indicate that in patients with diabetes mellitus who are already experiencing complications of ulcus diabetic almost half of respondents do not have a good body image, and a small proportion of respondents have a good body image. This is due to several factors, namely the respondents admitted that the wounds on his legs is a sign of personal failure on him therefore to improve body image and the changing assessment of the physical condition and provide social support.
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Kesic, Ljiljana, Dragan Petrovic, Radmila Obradovic, Jovanka Gasic, and Kosta Todorovic. "Diabetes mellitus and periodontal disease." Medical review 62, no. 11-12 (2009): 534–38. http://dx.doi.org/10.2298/mpns0912534k.

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Introduction. This review highlights the relations between diabetes mellitus and periodontal disease, as well as the pathogenic mechanisms which are still the subject of investigations. The possible pathogenic mechanisms important for developing periodontal disease in the diabetics are: vascular gingival changes, the disorders in the metabolism of the collagen, disorders in the function of the polimorphonuclear leukocytes and specific microbial flora in the parodontal pockets. Conclusion. It is clear that adequate early recognition and good treatment are very important and significant for treatment of diabetic periodontal disease.
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Singh Rajput, Devendra Pratap, Javed Yusuf Shah, Priti Singh, and Shyransh Jain. "Evaluation of dyslipidemia in type 2 diabetes mellitus." Asian Journal of Medical Sciences 6, no. 6 (April 28, 2015): 16–19. http://dx.doi.org/10.3126/ajms.v6i6.12452.

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Back ground: In type 2 diabetes mellitus lipid abnormalities are almost the rule. Dyslipidemia has been noted to play an integral role in the pathogenesis and progression of micro and macrovascular complications in diabetes mellitus patients. The complications exemplified by renal, cerebrovascular and cardiovascular disease cause the most morbidity and mortality in this group of patients.Aims and Objectives: This study is aimed at understanding the pattern of dyslipidemia among type 2 diabetic patients. Materials and Methods: During two month study period, total 100 patients with diabetes mellitus were evaluated for dyslipidemia. Plasma glucose was estimated by GOD –POD method and Lipid profile by photometry method. Lipid profile was evaluated by investigating the subjects for total cholesterol, serum triglyceride, high density lipoprotein, low density lipoprotein and very low density lipoprotein. In statistical analysis data were analyzed by using various statistical methods like percentage, proportions and tables by using epi info software.Results: Out of 100 patients 72(72%) were males and 28(28%) were females. The mean fasting blood sugar of total patients with type 2 diabetes mellitus was 158.35mg/dl. in male diabetics, fasting blood sugar level with diabetes mellitus was 157.56mg/dl and in female diabetics it was 159.14mg/dl. The pattern of dyslipidemia in our study showed significantly higher levels of serum cholesterol, serum triglyceride, LDL-C in both male and female diabetics and lower levels of HDL-C in female diabetics. There was no significant difference in lipid profile pattern in male and female diabetic patients except lower levels of HDL-C in female diabetic patients. Conclusion: This study showed that dyslipidemia is highly prevalent among type 2 diabetic patients. DOI: http://dx.doi.org/10.3126/ajms.v6i6.12452Asian Journal of Medical Sciences Vol.6(6) 2015 16-19
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Alfaqih, Mohamad Roni, Bayu Akbar K, and Adhe Anisa P. "Perception of Type 2 Diabetes Mellitus Patient About Diabetic Wound Prevention." Jurnal Kesehatan Prima 15, no. 1 (February 28, 2021): 8. http://dx.doi.org/10.32807/jkp.v15i1.497.

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The prevalence of diabetes mellitus increases every year, this case make the risk of diabetes complications increase. One of the complication is diabetic wound.The prevention of wound is needed to avoid diabetic wound. The purpose of this study was to explore the perceptions of diabetics about prevention of diabetic wounds in patients. This study design used a qualitative research with phenomenology approach. Data collection used in-depth interview method that involving five participants. The results of this study got 18 themes with a large theme, that is hoping to be able for carry out prevention activities properly so that injuries do not occur. The conclusion of this study is that diabetes mellitus sufferers realize that diabetes is a disease that can makes unstable blood sugar and is caused by poor lifestyle, Patients know that diabetic wounds can occur on himself, so diabetes mellitus suffer take preventive measures such as wearing footwear and be careful in daily activity, do sports activities and avoid places that has risk and handle injuries immediately. This is meassure because the participants are afraid that if there is a diabetic wound on him self, then the participants hope to avoid diabetic wounds with proper prevention.
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Raju Taklikar, Anupama. "Prevalence of Diabetic Retinopathy in Newly Diagnosed Cases of Type 2 Diabetes Mellitus." Ophthalmology and Allied Sciences 6, no. 1 (April 1, 2020): 9–11. http://dx.doi.org/10.21088/oas.2454.7816.6120.1.

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21

Fahrig, Clemens, Breitinger, and Heidrich. "Vitalkapillarmikroskopische Befunde am Nagelfalz bei Diabetes mellitus." Vasa 29, no. 4 (November 1, 2000): 258–63. http://dx.doi.org/10.1024/0301-1526.29.4.258.

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Background: Preliminary investigation done in 100 healthy adults and 20 healthy children had shown that the interpretation of significance of changes in capillary morphology need to be corrected, since capillary changes previously considered to be pathological are also to be found in large numbers in healthy subjects. Against this background, the question has now been investigated whether the capillary microscopic findings in diabetics deviates from those found in normals, and whether the duration of the diabetes, its treatment, its sequelae, or concomitant diseases have any influence on the capillary microscopic appearance. Patients and methods: In 100 patients aged between 44 and 88 years with type 2 diabetes vital capillary microscopy was carried out on all ten fingers in the usual manner. The evaluation of the video recordings was done only when all the examinations had been completed – by two examiners blinded to the clinical data. Results: It was shown that 66% of the patients demonstrated pathological capillary microscopic findings. These findings included pathologically increased apical and non-apical dilatations (32%), haemorrhagic extravasations (20%) and branchings (45%). No differences were found between the therapy groups (insulin – oral medication) nor was any relationship between the appearance of capillary changes and the duration of diabetes observed. Diabetics with concomitant diabetic sequelae (polyneuropathy), demonstrated no differences in capillary morphology as compared with diabetics with no such sequelae. Conclusion: Diabetics are found to have an increased incidence of pathological capillary morphology taking the form of increased apical dilatations, branchings and haemorrhagic extravasations. Neither the treatment, nor the duration of the illness, nor diabetic sequelae appeared to have any influence on the capillary microscopic changes.
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Joshi, Kamal Deep, Jeevan Ramachandra Galagali, and Sanajeet Kumar Singh. "A Study on Effects of Diabetes Mellitus on Auditory System." Romanian Journal of Diabetes Nutrition and Metabolic Diseases 24, no. 1 (March 1, 2017): 49–55. http://dx.doi.org/10.1515/rjdnmd-2017-0006.

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AbstractBackground and aims: Auditory dysfunctions in diabetes are known but are difficult to identify. Role of clinical tests and routine audiological tools are still to be established in early detection of diabetes-related auditory complication. The study aims to establish a link between diabetes and auditory dysfunction and assess the role of clinical examination and audiological investigations as a sensitive indicator of auditory dysfunctions in diabetics.Material and Methods: The auditory functions of 100 diabetic patients and 100 non-diabetics were assessed by clinical otological examination including free-field hearing and pure tone audiometry (PTA) in this descriptive study. The data for diabetic and non-diabetic groups and effect of age on auditory functions were analyzed with suitable statistical tests using SPSS 2.0 software with an error margin of 10%.Results: The demographical variables were comparable in both groups. The results showed a decline in free field hearing, which are furthur adversely affected by duration of diabetes and patient’s age. Overall pure tone thresholds were not significantly higher in diabetics, however the thresholds were higher in diabetics in older age groups. The hearing loss appears at an early age in diabetics but gradually becomes indistinguishable from age-related hearing loss.Conclusions: The auditory dysfunction can be linked to diabetes. It is usually not detectable at earliest stages with routine clinical and audiological tests but the clinical tests and pure tone audiometry can have a utility in monitoring the auditory dysfunction.
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S., Harish Kumar, Srinivasa S. V., and Prabhakar K. "Haematological profile of diabetes and non-diabetes patients in rural tertiary centre." International Journal of Advances in Medicine 4, no. 5 (September 22, 2017): 1271. http://dx.doi.org/10.18203/2349-3933.ijam20174111.

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Background: Anemia is a common haematological finding in diabetic patients. Many research studies have reported that anemia mostly occurs in patients with diabetes who also have renal insufficiency. A few other studies have also reported an incidence of anemia in diabetics prior to evidence of renal impairment. Anemia occurs earlier and at a greater degree in patients presenting with diabetic nephropathy than those presenting with other causes of renal failure. The objective of this study is to determine the haematological profile among type 2 Diabetes mellitus in comparison with non-diabetic controls.Methods: Hospital based case control study was conducted in a rural tertiary care centre for a period of 1 year (May 2016 to April 2017) among type 2 diabetic patients and equal proportion of controls without diabetes. 70 diabetics and non-diabetics as controlled were enrolled for the study. Pretested and structured questionnaire was used to collect the data from subjects. For laboratory investigation 5 ml of blood was drawn from the patient and analysed in the automated cell counter for haematological parameters. Data was analysed using SPSS 22 version, Chi-square test and independent t test was the test of significance for qualitative and quantitative data respectively. P value of <0.05 was considered to be statistically significant.Results: Mean age of diabetics was 55.7±3.6 years and non-diabetics was 56.2±3.5 years. Majority of subjects in both the groups were females. In diabetics mean haemoglobin, RBCs, PCV, and MCV was significantly lower than in non-diabetics. Whereas mean MCHC, WBCs and lymphocytes was significantly higher in diabetics compared to non-diabetics. No difference was observed for MCH, neutrophils and platelets between two groups. This shows that diabetics are prone for anemia, leucocytosis and lymphocytosis.Conclusions: Haematological profile in diabetes patients in deranged and diabetics are more prone for anemia, leucocytosis and lymphocytosis. Hence routine and regular screening for haematological profile is recommended in diabetic patients to initiate early prevention strategies and to reduce the morbidity related to it.
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Chhabra, Ajay, Suparna Grover, Anil Vij, and Amrit Pal Singh. "Gallbladder Disease in Type-2 Diabetes Mellitus Patients." International Journal of Medical and Dental Sciences 2, no. 1 (January 23, 2018): 7. http://dx.doi.org/10.18311/ijmds/2013/19815.

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<p><strong>Background:</strong> Diabetes mellitus is a modern epidemic which leads to various complications over a period of time. Autonomic neuropathy is one such complication which may lead on to gallbladder dysmotility and gallbladder stones.</p><p><strong>Objectives:</strong> To determine the incidence of gallbladder disorders in patients of type 2 diabetes mellitus and to find out the incidence of autonomic dysfunction in type 2 diabetes mellitus and correlate it with presence of gall bladder disorders.</p><p><strong>Material and Methods:</strong> The present study was conducted in 50 cases of type 2 diabetes mellitus and 25 healthy age and sex matched normal individuals were taken as controls. The cases as well as the controls underwent ultrasonographic examination for gall bladder volume, wall thickness, intraluminal mass and contraction in response to fatty meal. Data thus collected was compared and analysed statistically by using students ‘t’ test and chi- square test.</p><p><strong>Results:</strong> Mean postprandial gallbladder volume was 20.56±8.87 cm<sup>3</sup> in diabetics with ANP with gallstones, 26.16±1.24 cm<sup>3</sup> in diabetics with ANP with dysmotility 13.0±6.26 cm<sup>3</sup> in diabetics with gallstones without ANP, 12.14±4.88 cm<sup>3</sup> in normal diabetics and 13.60±5.95 cm<sup>3</sup> in controls. The percentage contraction post fatty meal was calculated from these values and found to be 24.73±14.64% in diabetics with ANP with dysmotility, 26.38±17 .04% in diabetics with ANP with dysmotility, 43.48±8.45% in diabetics with gallstones without ANP, 56.84±9.02% in normal diabetics and 57 .64±9.92% in controls.</p><p><strong>Conclusion:</strong> Incidence of gallbladder disease is much higher in type 2 diabetics (40%) as compared to normal healthy adults (4%). It was concluded that diabetics with ANP had significantly impaired gallbladder emptying. Poor control of diabetes, hypercholesterolemia and diabetic autonomic neuropathy are important risk factors for the development of gallbladder disease.</p>
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G.T, Basavaraj, Mudassir Indikar, and Malingaraya Negali. "A Study of Effect of Glycaemic Status on Pulmonary Function Test in Type 2 Diabetes Mellitus." Journal of Evolution of Medical and Dental Sciences 10, no. 18 (May 3, 2021): 1343–46. http://dx.doi.org/10.14260/jemds/2021/283.

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BACKGROUND Diabetes mellitus is a metabolic disorder precipitating micro vascular, macro vascular complications and peripheral vascular diseases. Pulmonary complications of diabetes mellitus have been poorly characterised. Glycaemic status has shown varied impact on lung functions. In type-2 diabetes there is resistance to insulin action and also inadequate insulin secretion. Diabetes mellitus is associated with morphological and functional abnormalities. Several studies have shown that diabetes is associated with impaired pulmonary function. Pulmonary complications of diabetes mellitus (DM) have been poorly characterised. Some authors have reported normal pulmonary functions and even concluded that spirometry is not at all necessary in diabetic patients. We wanted to highlight the evidence-based significance of spirometry. METHODS This cross-sectional study was done for a period of 1 year from September 2017 to July 2018. The study sample consisted of 50 type-2 diabetes patients and 50 controls. RESULTS A total of 100 subjects were included in the present study; 50 of them were diabetics and the other 50 were non-diabetic controls matched by age, sex and body mass index (BMI). The range of forced vital capacity (FVC) in diabetic group was from 1.36 litres, which is lesser than range in controls (2.06 litres). Forced expiratory volume (FEV1) / FVC ranged from 0.59 in diabetics compared to 0.84 in controls. Mean FVC value was higher in diabetics with a duration of diabetes of less than 5 years (2.72) as compared to those with diabetes of more than 5 years (2.03) with a P value of 0.0004 which is statistically significant. CONCLUSIONS Type 2 diabetes mellitus is associated with restrictive pattern of respiratory abnormality. As the duration of diabetes increases the restrictive profile was more prominent. There was inverse relation between glycaemic status and spirometric indices FEV1 and FVC. Thus, an intensive glycaemic management may reduce the risk of death through an improved ventilator function which is independent of the other beneficial effects. KEY WORDS Pulmonary Function Test, Type 2 Diabetes Mellitus, Glycaemic Status
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Babu, Niya, Nima Teresa Andrew, Mercy Paul, Chakkalackal Varkey Anthrayose, Anchitha Meenu Rajeev, Rakendu Puthiyedath, Amitha Sunny, and Sreelakshmi K. T. Arun. "Diabetic Dermopathy (Shin Spots) and Diabetic Retinopathy - Are They Associated?" Journal of Evidence Based Medicine and Healthcare 7, no. 48 (November 30, 2020): 2806–10. http://dx.doi.org/10.18410/jebmh/2020/575.

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BACKGROUND Diabetes mellitus (DM) is a major cause of avoidable blindness in the developing and the developed countries. Diabetic patients have 25 times more chance of becoming blind than the non-diabetics.1 According to the WHO, the number of people in India affected with Diabetes Mellitus in the year 2000 was 31.7 million which is estimated to rise to 79.4 million by 2030, which would be higher than any other country in the world. 75 percent of all Type 2 diabetics and almost all Type 1 diabetics are expected to develop diabetic retinopathy (DR) over a period of time.2 Diabetic dermopathy or shin spots are the commonest dermatological manifestation in patients with Diabetes Mellitus. It is also known as pigmented pretibial patches, spotted leg syndrome or diabetic dermangiopathy.3 Both diabetic retinopathy and dermopathy are manifestations of diabetic microangiopathy. We wanted to study the association between diabetic retinopathy and diabetic dermopathy. METHODS 182 patients (between 40 - 70 years of age) having diabetes mellitus for at least five years were included in the study and were examined for retinal changes and skin changes. The study period was six months. RESULTS Of the 182 diabetic patients included in this study, 106 (58.2 %) had diabetic retinopathy. Shin spots were seen in 158 cases (86.8 %). 100 (94.3 %) cases with diabetic retinopathy had shin spots. The mean duration of diabetes mellitus in patients with diabetic retinopathy was 11.85 years and it was 8.16 years in those without diabetic retinopathy. The mean duration of diabetes mellitus in patients with shin spots was 14.88 years and it was 10.70 years in those without shin spots. CONCLUSIONS There is significant association between diabetic retinopathy and diabetic dermopathy. KEYWORDS Diabetic Retinopathy, Shin Spots, Diabetic Dermopathy
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Jha, Jay, Varun Malhotra, Om Jha, and Shivani Gupta. "Study of Lipid Profile in Diabetes Mellitus with and without Hypertension." Journal of Basic and Applied Research in Biomedicine 5, no. 1 (August 3, 2019): 31–36. http://dx.doi.org/10.51152/jbarbiomed.v5i1.25.

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Introduction Alterations in the lipid metabolism have been reported in the subject of diabetes mellitus. They may be influenced by the presence of hypertension. Aims The present study was undertaken to estimate the serum lipids profiles of diabetics with and without hypertension. Study design The study design is experimental with comparative study method, Methodology The sample size taken is 80 which is divided into four groups as A group of 20 healthy individuals of age 20-70 years, other B group of 20 diabetic patients without Hypertension, other C group of 20 hypertensive patients without diabetes and the rest 20 diabetic patients along with hypertension of age 20-70 years of D group. They were matched with respect to various lipid parameters such as total cholesterol, Triglycerides, lipoprotein ratio etc. with control group A. Place and duration of study: the study took place at Santosh group of institutions between August 2013 to August 2016. Result The serum cholesterol levels were significantly higher in hypertensives without diabetics and in diabetics with hypertension as compared to normal controls. No significant difference in the serum triglyceride level was observed among various groups in this study. The ?: ? lipoprotein ratio was found to be affected in all the groups as compared to controls with maximum ratio in diabetics without hypertension and in hypertension without diabetes. Patients who were suffering from diabetes and hypertension were at a maximum risk of developing atherosclerosisand its complications such as coronary artery disease. Diabetics with hypertension had significant higher levels of cholesterol as compared to that of without hypertension. The diabetics with hypertension had lipid abnormalities because of diabetic element in them rather than the hypertension. All the groups studied except the controls were found to be increasingly susceptible to the risk of atherosclerosis and its complications. This risk was found to be maximum in diabetics with hypertension rather than diabetics or hypertensive’s alone. Conclusion The need for right balanced diet, regular exercise and a stress free life is essential for prevention and management of diabetes and hypertension.
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Fedorchenko, Yu L. "Chronic gastroduodenal ulcers in patients with diabetes mellitus." Problems of Endocrinology 49, no. 1 (December 15, 2003): 5–10. http://dx.doi.org/10.14341/probl11320.

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The clinical picture, course, and treatment of gastroduodenal ul­cers (GDU) in diabetics were studied. A total of 395 diabetics were examined; GDU were detected in 36. The incidence of gas­tric and duodenal ulcers was similar in patients with insulin-de­pendent diabetes mellitus, while in patients with non-insulin-de- pendent diabetes gastric ulcers predominated. The clinical pic­ture of the disease, gastric acid production, Helicobacter pylori infection, and blood gastrin levels were studied in all patients with ulcers. The efficiency of GDU treatment with quamatel, raniti­dine, and antacids was evaluated. The clinical course of GDU in diabetics was asymptomatic. The highest incidence of H. pylori, infection was observed in patients with type 1 diabetes with con­comitant peptic ulcers. Serum gastrin levels were more frequently increased in patients with type 1 diabetes and duodenal ulcers and normal in patients with type 2 diabetes. Quamatel therapy was highly effective in diabetics with GDU. Ulcers healed in 85% patients and blood gastrin level significantly decreased after 3- week therapy. GDU in diabetics are characterized by specific lo­cation, clinical course, laboratory and instrumental features, which allows a differentiated approach to therapy of these pa­tients.
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Fedorchenko, Yu L. "Chronic gastroduodenal ulcers in patients with diabetes mellitus." Problems of Endocrinology 49, no. 1 (December 15, 2003): 5–10. http://dx.doi.org/10.14341/probl11321.

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The clinical picture, course, and treatment of gastroduodenal ul­cers (GDU) in diabetics were studied. A total of 395 diabetics were examined; GDU were detected in 36. The incidence of gas­tric and duodenal ulcers was similar in patients with insulin-de­pendent diabetes mellitus, while in patients with non-insulin-de- pendent diabetes gastric ulcers predominated. The clinical pic­ture of the disease, gastric acid production, Helicobacter pylori infection, and blood gastrin levels were studied in all patients with ulcers. The efficiency of GDU treatment with quamatel, raniti­dine, and antacids was evaluated. The clinical course of GDU in diabetics was asymptomatic. The highest incidence of H. pylori, infection was observed in patients with type 1 diabetes with con­comitant peptic ulcers. Serum gastrin levels were more frequently increased in patients with type 1 diabetes and duodenal ulcers and normal in patients with type 2 diabetes. Quamatel therapy was highly effective in diabetics with GDU. Ulcers healed in 85% patients and blood gastrin level significantly decreased after 3- week therapy. GDU in diabetics are characterized by specific lo­cation, clinical course, laboratory and instrumental features, which allows a differentiated approach to therapy of these pa­tients.
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Syamsurizal, Syam. "Type-2 Diabetes Mellitus of Degenerative Disease." Bioscience 2, no. 1 (March 30, 2018): 34. http://dx.doi.org/10.24036/02018219980-0-00.

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Diabetes mellitus as a degenerative disease is difficult to cure but can be prevented by knowing the symptoms from the beginning. Developmental stage of diabetes: normal, prediabetes and diabetes. Diabetes mellitus can be divided into type-1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes mellitus and other types of diabetes mellitus. People with diabetes melitus type-2 90% of all diabetics. Type 2 diabetes mellitus is inherited polygenically. The genes that cause type 2 diabetes melitus include TCF7L2 gene, KCNJ11, HHEX, SLC30A8, CDKAL1, CDKN2A / 2B, IGF2BP2, and KCNQ, PPARG CAPN10, MC4R and FTO Genes. Type 2 diabetes mellitus risk factors: family history of diabetes mellitus, obesity, smokers, hypertension, history of coronary heart disease, lack of rest, and stress.Key words: DM, TCF7L2 and SNP
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Altumairah, Mohammed A. H., and Ravindra P. Choudhary. "Overview on Diabetes Mellitus." Journal of Medical and Health Studies 2, no. 2 (September 21, 2021): 63–69. http://dx.doi.org/10.32996/jmhs.2021.2.2.7.

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Diabetes mellitus is a group of diverse illnesses that often show hyperglycemia and glucose intolerance via insulin shortage, insulin impairment or both (Sicree et al., 2006). These difficulties occur due to disruptions in regulation systems controlling the storage and movement of metabolic fuels, including carbohydrate, lipid and protein catabolism and anabolism, induced by poor insulin production, insulin activity or both (Shillitoe, 1988; Votey and Peters, 2004). With more than 62 million diabetics already diagnosed in India, the situation of a potential pandemic is approaching fast.
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Rekleiti, M., G. Wozniak, M. Saridi, P. Kyloudis, A. Toska, I. Kyriazis, and Z. Roupa. "Examination of depression at patients with diabetes mellitus." European Psychiatry 26, S2 (March 2011): 680. http://dx.doi.org/10.1016/s0924-9338(11)72386-0.

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IntroductionDepression is a dysfunction with great range of demonstrations and according to researches appears at person with diabetes mellitus two or three times more than in general population. The knowledge although about the reasons and the way that depression affects the management of diabetes are limited.AimOf this study was the examination of existence of possible depression at patients with diabetes mellitus.Material/method164 diabetics were studied (72 male and 92 female, medieval age 66,9 ± 11,53 years) at diabetic clinics. We used the self evaluation scale of Zung (ZDRS) and structured questionnaire about demographical and body measure data.The statistic analysis was done with the statistic package SPSS 18.0.Results57,3% of diabetics were overweight, and 30,5% obese, with high rates of central obesity (83,3% at males and 92,4% at females), while the big Index of Body Maze [r = 0,309, p = 0,001] and central obesity [t(162)=4,773, p = 0,001] were related significantly with depression. 50% of diabetics appeared depression symptoms at mild levels and 20% at medium levels, with the females [t(162)=3,26, p = 0,001] and elder to be related statistically significant with depression.ConclusionsThe majority of the sample appeared a level of mild or medium depression and correlation was observed between bad glycemic examinations. The daily and for many years effort of diabetes control can create the suitable situation for depressive symptomatology appearance. The examination and evaluation of the causative factors can help at the adaptation of diabetic and the solution of his problems.
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Robalino, Raquel, María Robalino, Amelia Cano, Rosa Chilquina, and Marcia Aldaz. "CARACTERIZACIÓN CLINICOEPIDEMIOLÓGICA DE ADULTOS CON DIABETES MELLITUS PERTENECIENTES AL CLUB DE DIABÉTICO DE RIOBAMBA." Revista de Investigación Talentos 7, no. 1 (June 30, 2020): 114–24. http://dx.doi.org/10.33789/talentos.7.1.128.

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Garg, Prof Pragati. "Prevalence of various stages of Diabetic Retinopathy in patients of Diabetes Mellitus-Type 2." Journal of Medical Science And clinical Research 04, no. 12 (December 24, 2016): 14903–8. http://dx.doi.org/10.18535/jmscr/v4i12.97.

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35

Sinyangwe, Emmanuel, Herbert Tato Nyirenda, and Victor Mwanakasale. "Knowledge, Attitudes and Behaviour Towards Diabetes Mellitus Among Diabetic Patients at Ndola Teaching Hospital." Asian Pacific Journal of Health Sciences 4, no. 3 (September 30, 2017): 34–42. http://dx.doi.org/10.21276/apjhs.2017.4.3.7.

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GÜRBÜZ, Murat, and Menşure Nur ÇELİK. "Minerals and Diabetes Mellitus." Turkiye Klinikleri Journal of Internal Medicine 4, no. 2 (2019): 71–83. http://dx.doi.org/10.5336/intermed.2018-64388.

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Chaudhary, Nitin, and Nidhi Tyagi. "Diabetes mellitus: An Overview." International Journal of Research and Development in Pharmacy & Life Sciences 7, no. 4 (August 2018): 3030–33. http://dx.doi.org/10.21276/ijrdpl.2278-0238.2018.7(4).3030-3033.

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Ambulkar, Sunil, Parimal Tayde, Makarand Randive, and Mukund Ganeriwal. "Diabetes mellitus in pregnancy." New Indian Journal of OBGYN 4, no. 1 (July 2017): 4–9. http://dx.doi.org/10.21276/obgyn.2017.4.1.2.

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39

Jan, Fauzia, Muhammad Saeed, Sadaf Zia, Rahat Rahman, Sara Muzaffar, and Anam Waheed. "TYPE 2 DIABETES MELLITUS." Professional Medical Journal 25, no. 12 (December 8, 2018): 1972–78. http://dx.doi.org/10.29309/tpmj/18.5045.

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Developing countries like Pakistan have many sufferers of Diabetes Mellitus Type 2 still unprepared and unaware of the disastrous implications and complications of the disease. Local population must be aware about all factors that may worsen the disease or that may be monitored to keep them in a better status of health. Objectives: To assess the correlation between blood glucose and various parameters of lipid profile alongwith levels ofMagnesium in Type 2 diabetic patients. The aim was to help in better management of patients by monitoring dyslipidemia and mineral levels in Type2 diabetics. Study design: Cross sectional study. Setting: Madinah Teaching Hospital, Faisalabad. Period: 6 months from July to December 2017. Subjects and methods: The study was executed at Madinah Teaching Hospital Faisalabad on 50 known cases of diabetes mellitus type 2 as well as 30 healthy subjects. Estimations included Fasting blood glucose, Lipid profile and Serum Magnesium. All parameters were performed by Cobas C311 analyzer. Statistical analysis was done using SPSS version 20. Results: There was significant positive correlation between fasting blood sugar andserum cholesterol, triglycerides and LDL while a highly significant negative correlation existed between HDL and FBS. There was negative correlation among fasting blood sugar and serum Magnesium. The control group also showed low HDL and Magnesium levels. Conclusion: Hypercholesterolemia, hypertriglyceridemia, high LDL is associated with type 2 diabetes mellitus along with low HDL and hypomagnesaemia. The low levels in control group may be due to heredity or dietary factors.
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Kodiatte, Thomas Alex, Udaya Kumar Manikyam, Suraksha Bellur Rao, Thej Mothakapalli Jagadish, Madhavi Reddy, Harendra Kumar Malligere Lingaiah, and Venkataswamy Lakshmaiah. "Mean Platelet Volume in Type 2 Diabetes Mellitus." Journal of Laboratory Physicians 4, no. 01 (January 2012): 005–9. http://dx.doi.org/10.4103/0974-2727.98662.

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ABSTRACT Context: diabetes mellitus is a global pandemic. The increased platelet activity may play a role in the development of vascular complications of this metabolic disorder. The mean platelet volume (MPV) is an indicator of the average size and activity of platelets. Larger platelets are younger and exhibit more activity. Aims: to determine the MPV in diabetics compared to nondiabetics, to see if there is a difference in MPV between diabetics with and without vascular complications, and to determine the correlation of MPV with fasting blood glucose, glycosylated hemoglobin (HbA1c), body-mass index, and duration of diabetes in the diabetic patients. Materials and Methods: platelet counts and MPV were measured in 300 Type 2 diabetic patients and 300 nondiabetic subjects using an automated blood cell counter. The blood glucose levels and HbA1c levels were also measured. Statistical evaluation was performed by SPSS using Student’s t test and Pearson correlation tests. Results: the mean platelet counts and MPV were higher in diabetics compared to the nondiabetic subjects [277.46 ± 81 X 109/l vs. 269.79 ± 78 X 109/l (P= 0.256)], 8.29 ± 0.74 fl versus 7.47 ± 0.73 fl (P= 0.001), respectively. MPV showed a strong positive correlation with fasting blood glucose, postprandial glucose and HbA1C levels (P=0.001). Conclusions: our results showed significantly higher MPV in diabetic patients than in the nondiabetic subjects. This indicates that elevated MPV could be either the cause for or due to the effect of the vascular complications. Hence, platelets may play a role and MPV can be used as a simple parameter to assess the vascular events in diabetes.
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Hafeez, Arsalan, Kashif Rehman, Aqib Rehman, and Abdul Hafeez Ch. "DIABETES MELLITUS." Professional Medical Journal 25, no. 09 (September 10, 2018): 1406–12. http://dx.doi.org/10.29309/tpmj/2018.25.09.143.

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Background: Diabetes mellitus is associated with significant morbidity andmortality worldwide and Pakistan is no exception. Objectives: To determine the morbidity andmortality in patients admitted with Diabetes Mellitus in a teaching hospital of Pakistan, throughretrospective analysis of admission and patient file records. Study Design: Retrospectivelyanalyzed. Setting: Independent University Hospital, a Teaching Hospital, Faisalabad. Period:1st January 2016 to 31st December 2017. Patients and Methods: Data included age, gender,total numbers of admissions and those due to Diabetes Mellitus, the indications for admissions,presenting symptoms and method of diagnoses in diabetic patients, mortality rates and causesof death. Data obtained were analyzed using chi square. Results: Out of 10490 medicaladmissions, 5706 (54.4%) were males and 4784 (45.6%) females. Diabetes was detected in 1450(13.8%) patients [810 (55.9%) males, 640 (44.13%) females]. The mean age of diabetic patientswas 53.6+16.1 years (range 18 – 94 years). Poor glycemic control (29%) and diabetic footsyndrome (23.4%) were the most common reasons for admission in diabetic cases. The overallmortality rate among medical admissions was 21.8%, with diabetes accounting for 6.7% deaths.Within the cohort of diabetic cases, mortality was 15.9%, with significantly higher mortalityin those aged > 65 years (p < 0.05). The most common causes of death in diabetic caseswere cerebrovascular disease and complications associated with the diabetic foot syndrome,accounting for 26.1% and 21.7% of deaths respectively; the least common causes of death indiabetic patients were pulmonary tuberculosis, meningitis, malaria and hepatic encephalopathyaccounting for 4.4% of deaths. Conclusions: Cerebrovascular disease was the most frequentcause of mortality among admitted diabetic patients with diabetic foot syndrome (a preventablecomplication) as the second most frequent cause of mortality. Increased screening for diabetesmellitus morbidities in the clinic and community settings and adequate health education isrequired to reduce morbidity and mortality associated with diabetes mellitus.
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42

Nistiandani, Ana, Achmad Zulfa Juniarto, and Niken Safitri Dyan. "The Description Of Diabetics’ Acceptance Stage Toward Diabetes Mellitus’ Diagnoses." Jurnal Ners dan Kebidanan Indonesia 6, no. 1 (March 29, 2019): 25. http://dx.doi.org/10.21927/jnki.2018.6(1).25-31.

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<p class="Normal1" align="center"><strong>Abstract</strong></p><p class="Normal1" align="center"><strong> </strong></p><p>Diabetes Mellitus (DM) is a chronic condition which requires various kinds of lifetime treatment which cause grief. Grief has stages which can be passed though normally with the attainment of acceptance stage. Acceptance attainment renders a description maintaining that grief in its process is undergone normally through uncomplicated grief reaction and emotional responsiveness. A diabetics who manages to attain the acceptance stage will have a better glycemic control, while a diabetics with a low acceptance stage may experience an ineffective coping, improper self-treatment, and distress increase, all of which end up in a bad glycemic control which causes physical complications. This suggests that a description of s’ acceptance stage is important to identify. Accordingly, the aim of this research is to identify and analyze the description of diabetics’ acceptance of DM diagnoses. The method utilized is descriptive-observational, the data collected using the ‘Acceptance of Disease and Impairments Questionnaire’ (ADIQ). The analysis employed in this research is a descriptive analysis. The sampling technique used is consecutive sampling. The research result shows that, based on the diagram of ADIQ administered on 20 s, there are 30% found to be in the stage of acceptance, while there exist 70% to be in the stage of not yet attaining acceptance, which comprises denial (20%), resistance (10%), and sorrow (40%). Failure in attaining the acceptance stage is caused by the s’ still being in the states of denial, resistance, and sorrow. Based on the research result, it can be concluded that the s dominantly stay at the stage of not yet attaining acceptance. The diabetics who have attained acceptance may still be exposed to the risk of undergoing a maladaptive response which may trigger depression, anxiety, worsened physical health, self-treatment discontinuation, powerlessness, low self-esteem, social isolation, even suicidal drive. This is all caused by grief which constitutes a fluctuate condition where every diabetes can contribute to describing his or her condition at every stage.</p><p> </p><strong><em>Keywords</em></strong><em>: stages of grief, acceptance, denial, resistance, sorrow</em>
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43

Kreutz, Reinhold, A. John Camm, and Peter Rossing. "Concomitant diabetes with atrial fibrillation and anticoagulation management considerations." European Heart Journal Supplements 22, Supplement_O (December 2020): O78—O86. http://dx.doi.org/10.1093/eurheartj/suaa182.

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Abstract Atrial fibrillation is a highly prevalent cardiac arrhythmia. It is associated with numerous co mobilities. Approximately 30% of diabetic patients have atrial fibrillation and 15% of atrial fibrillation regulation patients have diabetes mellitus. Diabetes increases the likelihood of the development of atrial fibrillation and contributes to the high risk of thromboembolism seen in patients with both diabetes and atrial fibrillation. Chronic kidney disease is often a consequence of diabetes and presents an additional challenge to the management of patients with both atrial fibrillation and diabetes. All non-vitamin K oral anticoagulants are partially eliminated via the kidney and must be carefully prescribed according to strict dosing schedules to avoid anticoagulation overdose. However, NOACs have the advantage of being associated with less progressive impairment of renal function compared with vitamin K antagonist therapy in both diabetics and non-diabetics. Otherwise, diabetic patients benefit from NOAC therapy as opposed to vitamin K antagonists to a similar extent as patients without diabetes. This review deals with anticoagulation treatment in patients with fibrillation and diabetes mellitus, often complicated by progressive renal impairment.
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44

Kudryakova, S. V., and Yu I. Suntsov. "Some data of diabetes mellitus register." Problems of Endocrinology 40, no. 1 (February 15, 1994): 4–6. http://dx.doi.org/10.14341/probl11282.

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Data on lethal cases of diabetes mellitus which occurred before January 1, 1992 were recorded. The total number of diabetics in Leninsky district of Moscow was 1729, 86 of them with insulin-dependent and 1643 with noninsulindependent disease. Diabetes prevalence in the district was 2.4 %, that of insulin-dependent condition being 0.12 % and of noninsulin-dependent one 2.3 %. Various complications were detected in the majority of diabetics, microangiopathies (retinopathies, neuropathies) being the most incident in patients with insulin-dependent disease and macroangiopathies (coronary disease, arterial hypertension, myocardial infarction, brain stroke) predominating in patients with noninsulin-dependent disease. Cardiovascular diseases and involvement of the peripheral vessels were the most frequent causes of death of patients with both conditions.
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45

Begum, SA, R. Afroz, Q. Khanam, A. Khanom, and TS Choudhury. "Diabetes Mellitus and Gestational Diabetes Mellitus." Journal of Paediatric Surgeons of Bangladesh 5, no. 1 (June 30, 2015): 30–35. http://dx.doi.org/10.3329/jpsb.v5i1.23887.

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Diabetes mellitus (DM), also known as simply diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period. Worldwide in 2012 and 2013 diabetes resulted in 1.5 to 5.1 million deaths per year, making it the 8th leading cause of death. Diabetes overall at least doubles the risk of death. This high blood sugar produces the symptoms of frequent urination, increased thirst, and increased hunger. Untreated, diabetes can cause many complications. Acute complications include diabetic ketoacidosis and nonketotic hyperosmolar coma. Serious long-term complications include heart disease, stroke, kidney failure, foot ulcers and damage to the eyes. The number of people with diabetes is expected to rise to 592 million by 2035. The economic costs of diabetes globally were estimated in 2013 at $548 billion and in the United States in 2012 $245 billion. [3]Globally, as of 2013, an estimated 382 million people have diabetes worldwide, with type 2 diabetes making up about 90% of the cases. This is equal to 8.3% of the adults’ population, with equal rates in both women and men. There are three main types of diabetes mellitus: In case of type 1 Diabetes mellitus, results from the body’s failure to produce enough insulin. This form was previously referred to as “insulin-dependent diabetes mellitus” (IDDM) or “juvenile diabetes”. The cause is unknown. Another type is type 2 diabetes mellitus begins with insulin resistance, a condition in which cells fail to respond to insulin properly. As the disease progresses a lack of insulin may also develop. This form was previously referred to as “non insulin-dependent diabetes mellitus” (NIDDM) or “adult-onset diabetes”. The primary cause is excessive body weight and not enough exercise. Gestational diabetes is the third main form and occurs when pregnant women without a previous history of diabetes develop a high blood glucose level. Gestational diabetes usually resolves after the birth of the baby. It occurs in about 2–10% of all pregnancies and may improve or disappear after delivery. However, after pregnancy approximately 5–10% of women with gestational diabetes are found to have diabetes mellitus, most commonly type 2. Gestational diabetes is fully treatable, but requires careful medical supervision throughout the pregnancy.J. Paediatr. Surg. Bangladesh 5(1): 30-35, 2014 (January)
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Fomina, A. P. "DIABETES MELLITUS, DIABETIC NEPHROPATHY, CHILDREN: CERTAINISSUES." Ukrainian Journal of Nephrology and Dialysis, no. 1(53) (March 3, 2017): 58–69. http://dx.doi.org/10.31450/ukrjnd.1(53).2017.09.

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The report presented the current approach to diabetes and chronic kidney disease relationship, the problem of nutritional carbohydrates and their role in the diabetes epidemiological situation. The relevant diagnostic and genetic tests in diabetic nephropathy, particularly in children, were outlined. Evidence based treatment was considered according to renal function and pediatric specification.
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Chandrika A., Mary, and B. Shanthi. "A study of insulin resistance and pancreatic beta cell function in diabetics and non-diabetics." Biomedicine 39, no. 3 (November 14, 2020): 497–502. http://dx.doi.org/10.51248/.v39i3.178.

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Introduction and Aim: The most common non-communicable disease affecting large population is type 2 diabetes mellitus. This metabolic disorder is characterized by hyperglycemia with disturbances of carbohydrate, fat and protein metabolism. The causes of diabetes mellitus can vary greatly but always include either defects in insulin secretion of the pancreas or the cells of the body not responding properly to the insulin produced or in both at some point in the course of the disease. Materials and Methods: 200 participants who were divided into two groups, non-diabetics with and without family history of diabetes were involved in this study. The outcomes of fasting plasma glucose, postprandial plasma glucose, glycated hemoglobin, fasting plasma insulin, serum c-peptide, HOMA -IR, HOMA-B were compared between both the groups. Results: All these parameters were significantly correlated between the groups with the level of significance p<0.05%. Non-diabetic off-springs of type 2 diabetes were found to have hyperinsulinemia, increased level of serum c-peptide level, moderate insulin resistance and pancreatic beta cell dysfunction than non-diabetics without the family history of diabetes. The fasting hyperinsulinemia, known to reflect decreased insulin sensitivity constitute the strongest independent predictor of type 2 diabetes. Conclusion: The above findings show that insulin resistance is the primary abnormality in type 2 Diabetes Mellitus.
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V., Benil, and Dheepan Nayagam B. "Awareness and knowledge of diabetes mellitus among diabetic patients in Puducherry, India." International Journal of Basic & Clinical Pharmacology 6, no. 5 (April 24, 2017): 1211. http://dx.doi.org/10.18203/2319-2003.ijbcp20171678.

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Background: Diabetes prevalence is high in India and the numbers are increasing every year. Many patients are aware that they have diabetes only when they develop one of its complications. Since there is a paucity of literature on the level of awareness and knowledge about diabetes, this study was done.Methods: It is a cross-sectional study conducted on diabetic patients attending Sri Lakshmi Narayana Institute of Medical Sciences and Hospital, Puducherry over a period of two months, using questionnaire. The demographic data were analyzed using descriptive statistics. Quantitative data were expressed as percentages.Results: Among 104 diabetics, 60%, 49% and 66% of the patients answered high sugar intake as the cause of diabetes, loss of vision as its complication and diet control as the important measure of treatment of diabetes respectively. Only 30.67% of the patients were aware of the name of the medicine they consume.Conclusions: Awareness and knowledge about diabetes were less in our study populations. Hence it is important to extend the diabetic health programs in mass campaigns to improve their knowledge.
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49

Sheth, Neeti R., Nabilah A. Sareshwala, Sushil G. Chaudhary, and Hiren D. Matai. "Awareness about diabetes mellitus and diabetic retinopathy in patients with diabetes mellitus." International Journal of Research in Medical Sciences 5, no. 8 (July 26, 2017): 3570. http://dx.doi.org/10.18203/2320-6012.ijrms20173564.

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Background: Awareness about diabetes mellitus and diabetic retinopathy in patients with diabetes mellitus.Methods: 50 patients of diabetes mellitus attending Pandit Deendayal Upadhyay Medical College, Rajkot, Gujarat, India, were randomly selected during January 2017 to March 2017. 11-point questionnaire obtained on detailed search of literature on published reports were administered by interviewers well versed in English and Gujarati.Results: Total of 50 patients were randomly selected.42%- females and 58% - males. Mean age - 58.5 years. Age range 40 to 71 years. Patients with good sugar control -26% and poor control - 74%. 94% of the patients were taking treatment for DM and 6% were not on any treatment. 48 % of the patients were illiterate, 10% were graduate and 42% had education below 12th standard. 50% were aware about DM affecting the eye .38% had taken eye treatment and 62% had not. 26% were aware of DM affecting eye inspite of good control and 26 % aware of the need of check-up in poor control. 40% aware of the complications related to DM.Conclusions: Better literacy rates is contributory to public awareness, however trend for poor practice needs to be radically changed with aggressive public motivation emphasizing the necessity of screening and follow ups.
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50

Rathod, Hetal, Sanjay Darade, Uday Chitnis, Jitendra Bhawalkar, Sudhir Jadhav, and Amitav Banerjee. "Rural prevalence of type 2 diabetes mellitus: A cross sectional study." Journal of Social Health and Diabetes 02, no. 02 (December 2014): 082–86. http://dx.doi.org/10.4103/2321-0656.130792.

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Abstract Background: Recent studies in India indicate rising trends of diabetes even in rural areas. Continuous monitoring of the diabetes situation is required by repeated cross sectional studies in different parts of the country both urban rural to plan control measures. Aim: To estimate the prevalence of Type 2 diabetes in a sample of rural population and explore associations between diabetes and known risk factors. Materials and Methods: A cross sectional study was carried out in 3 villages in the rural field practice area of a medical college in Pune, India. All eligible adults of both genders were included and screened for diabetes by house to house survey. A total of 1000 subjects were examined. Physical examination included measuring height, weight, and waist hip ratio. Blood glucose was estimated using glucometer. Family history of diabetes was also elicited. Data was analysed by descriptive statistics using proportions with 95% confidence intervals. Various associations were explored using using Odds Ratio with 95% confidence intervals as applicable. Results: The prevalence of diabetes mellitus was 9.1% (91/1000; 95% CI 7.4, 11). Most cases of newly detected diabetics were in the age group 36 - 40 years. There was no association between gender and diabetes (OR = 1.38, 95% CI 0.88, 2.17). Overweight status was associated with diabetes: 38.5% (35/91) of diabetics were overweight compared to 18.6% (169/909) of non-diabetics (OR = 2.74, 95% CI 1.69, 4.41). Similarly abnormal waist hip ratio was associated with diabetes: 47.25% (43/91) of diabetics had high waist hip ratio compared with 29.59% (269/909) of non-diabetics (OR = 2.13, 95% CI 1.35, 3.37). Also family history was strongly associated with diabetes: 27.5% (25/91) of diabetics gave positive family history compared with 9.4% (85/909) of non-diabetics (OR = 3.67, 95% CI = 2.13, 6.30). Conclusion: The burden of diabetes was present in the rural population studied. The associated known risk factors were also prevalent and showed strong relationship with diabetes. Diabetes mellitus erstwhile thought to be a disease of urban life appears to be equally prevalent in the rural setting.
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