A study of clinical profile and complications in patients with type 2 diabetes mellitus in a tertiary care centre

Oshin Mantro; Jagadeesan Mohanan; Mahendra Kumar K.; Kannan R.; Gowri Shankar A.; Damodharan J.; Magesh Kumar S.

doi:10.18203/2349-3933.ijam20190962

Authors

Oshin Mantro Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
Jagadeesan Mohanan Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
Mahendra Kumar K. Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
Kannan R. Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
Gowri Shankar A. Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
Damodharan J. Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
Magesh Kumar S. Department of General Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20190962

Keywords:

Autonomic neuropathy, Diabetes mellitus (DM), Macrovascular, Microvascular, Nephropathy, Neuropathy, Retinopathy

Abstract

Background: Diabetes is the most common non-communicable disease known today. This study was conducted to assess the clinical profile and complications in patients with type 2 diabetes mellitus.

Methods: A prospective study was carried out between April 2017 to April 2018 in patients attending a tertiary care hospital in Chennai. Patients with type 2 diabetes of age 25-80 years, minimum of 5 years duration were enrolled.

Results: Out of 66 patients, 23(34.8%) were males whereas 43 (65.2%) were females. Mean age in this study population was 55.36 years with a standard deviation of 11.362. In present study, the mean fasting blood sugar level was 196.12±77.180, mean postprandial blood sugar level was 303.26±115.385 and the mean HbA1C levels was 10.95±2.369. 77.3% were on oral hypoglycaemic agents, 13.6% on insulin and 9.1% on combined therapy with oral hypoglycemic agents and insulin. The complications associated with diabetes found in present study were microvascular complications which include peripheral neuropathy 41(62.1%), retinopathy 31(46.96%), nephropathy 28 (42.42%). Peripheral neuropathy was found to be most commonly associated. Macrovascular complications include cardiovascular disease in 12.12% (n=8) and cerebrovascular disease in 4.54% (n=3). Autonomic neuropathy was found in 69.69% (n=46).

Conclusions: The complications of DM are commonly seen in patients with poor glycaemic control. Among microvascular complications, peripheral neuropathy was most commonly seen. Autonomic neuropathy usually goes unnoticed and asymptomatic in most of the individuals. Increasing levels of HbA1c was found to be significantly correlated with neuropathy.

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