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Category: Volume 06 Issue 08 August 2018
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Title: Study of Cardiovascular Complications in Long Term Diabetes Mellitus- An Indian Perspective

Authors: Kausik Maji, Chandra Narayan Gupta, Sukanta Sen

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.195

Abstract

Background: Diabetes mellitus is a disorder in which the body is unable to metabolize carbohydrates properly. In view of the above facts the study was undertaken to know the incidence of cardiovascular complications, to establish its relationship with duration of disease; severity of diabetes mellitus; its state of control, the body weight and the type of treatment patient was receiving. An attempt was also taken to find out the interrelationship between different complications.

Materials & Methods: The present study includes adult cases of diabetics who were attended and /or admitted to Medicine and Cardiology wards of a tertiary care teaching hospital, Haldia, West Bengal. All the known cases of diabetics of more than 5 years duration on antidiabetic treatment were included in the study. Fasting blood sugar, post prandial blood sugar, serum cholesterol routine urine examination for reducing substances, albumin, ketone bodies and microalbuminuria were examined. Measurement of HbA1C done in all 106 cases and categorized into good controlled, moderately controlled and poorly controlled. The patients of more than 5 years duration with diabetes were taken as long term diabetics and the long diabetics were divided into two groups as diabetics <10 yrs and diabetics of >10 yrs.

Results: It was observed from table 4 that out of 106 cases, 25 (23.8%) were of severe variety, 35 cases (33%) were of moderate variety and 46 cases (43.2%) were of mild variety. In all instances males were outnumbered females. The incidence of hypertension in good, moderate and poor controlled groups was 12.5%, 18.85 and 66.75% respectively.

Conclusion: Good control of diabetes decreased the incidence of micro and macrovascular complications. Obesity, IHD and hypertension are interrelated. Severity of diabetes was not related to incidence of IHD, hypertension and PVD. CVA and cardiomyopathy showed a more incidence in severe diabetics with an incidence of 58% and 50% respectively.

Keywords: Diabetes Mellitus; Cardiovascular complications, Outcome.

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Corresponding Author

Dr Chandra Narayan Gupta

Associate Professor, Department of General Medicine, ICARE Institute of Medical Sciences and Research, Haldia, West Bengal 721645, India

Ph: +91- 9832197488 (M), Email: This email address is being protected from spambots. You need JavaScript enabled to view it.