PREVALENCE OF COMPLICATIONS ASSOCIATED WITH TYPE II DIABETES MELLITUS AMONG PATIENTS FROM TRIBAL AREAS OF CHHATTISGARH PRESENTING TO A TERTIARY CARE HOSPITAL.

Aim: To determine the prevalence of complications (Retinopathy, Nephropathy, Neuropathy, Dermatopathy) in 50 patients with Type II Diabetes Mellitus. Materials and Methods: 50 patients with Type II Diabetes Mellitus hospitalized in Department of Medicine, Pt.J.N.M. Medical College and B.R.A.M. Hospital, Raipur were studied and were subjected to complete hematological examination, Renal Function Tests, Electrolytes, Urinalysis, Neurological and Fundus Examination. Results: 70% patients were males and 30% patients were females. The prevalence of any of the complications of Diabetes was 77% in males and 66% in females. 30% patients were less than 50 years of age and 70% patients were more than 50 years of age. Among patients less than 50 years age, 73% had one of the complications and among more than 50 years age, 91% had one of the complications. 62% of patients had duration of diabetes less than 15 years and 90% of them had one of the complications. 38% of patients had duration of diabetes more than 15 years and 94% of them had one of the complications. 36% of patients were non proteinuric and 64% were proteinuric (>200 mg per 24 hours). 70%patients had Retinopathy, of which 86% were proteinuric and 14% non proteinuric. 14% patients had neuropathy, of which 71% were proteinuric and 29% non proteinuric. 16% patients had dermatopathy, of which 75% were proteinuric and 25% non proteinuric. 32% patients had hypertension, of which 75% were proteinuric and 25% non proteinuric. 4% patients had amputation and all of them were proteinuric. 64% patients had diabetic kidney disease. Conclusion: The complications of Diabetes Mellitus (Type II) are more common in males as compared to females. The prevalence of complications of Diabetes is higher in patients more than 50 years of age. 94% of patients with duration of Diabetes more than 15 years had one of the complications. Proteinuria is more commonly associated with Diabetic patients having retinopathy as compared to those having neuropathy or dermatopathy. The most common complications is retinopathy followed by nephropathy. The prevalence of diabetic kidney disease in Diabetes Mellitus (Type II) was found to be 64%. Prevalence of other complications of Diabetes is more common in proteinuric patients. 1. The degree of MA at the end of the first day may delineate the critically ill patients with sepsis, where prompt and targeted therapy is of utmost importance. 2. Serial measurements of MA, a simple and inexpensive test, is of help in stratifying patients according to severity of illness (assessed by the APACHE IV scoring system), in the ICU. 3. Trend of MA may help to predict mortality in critically ill patients. [ABSTRACT FROM AUTHOR]