Abstract

ASSESSMENT AND EVALUATION OF COMPLICATIONS IN DIABETES MELLITUS AND ITS MANAGEMENT

Indumathi H.*, Mahadevamma L., Gautam Anand, Akshatha G. and
Soumya Sagar

ABSTRACT

Diabetes mellitus (DM) is a cluster of metabolic disorders characterized by hyperglycemia and abnormalities in carbohydrates, fat, and protein metabolism. It results from the defects in secretion of insulin, insulin sensitivity, or both. DM is a pandemic unwellness that has smitten each and every corner of the world. To study the assessment and evaluation of complication of Diabetes mellitus and its Management. This was a prospective and observational study that was performed on 108 patients, by enrolling the subjects based on the inclusion and exclusion criteria using a statistical method. Among 108 prescription assessed, majority (61) were males. Most of the patient (35.8%) were in the age group ranging from 61-70 years. In microvascular complications Chronic Kidney Disease (32.1%) was most ordinarily noted, which was preponderantly seen in male gender (17.4%). In macrovascular complications Ischemic Heart Disease (21.3%) was most commonly noted, which was predominantly seen in male gender (15.6%). About 87.2% had HbA1C level greater than 7% and 62.4% had GRBS level greater than 200mg/dl. Most of the patients were treated with short acting insulin (Inj. Human Insulin) and Biguanides. In the treatment of macrovascular and microvascular compications, rosuvastatin and cilnidipine was highest prescribed in IHD and anti-diuretics were mostly prescribed drugs in CKD respectively. In our study macrovascular complication was most commonly found complication when compared to microvascular complication. Male gender was more prone to acquire DM complications compared to females because of various risk and genetic factors.

Keywords: Diabetes mellitus, Macrovascular Complication, Microvascular complication.