Online ISSN: 2515-8260

Keywords : insulin resistance


PREVALENCE OF DIABETES MELLITUS AMONG PATIENTS VISITING DIFFERENT OUTPATIENT DEPARTMENTS(OPDs) OF A PRIVATE DENTAL COLLEGE HOSPITAL, CHENNAI, INDIA - A RETROSPECTIVE STUDY

Vaishnavi Devi. B, Pratibha Ramani, Delphine Priscilla Antony. S

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3300-3316

Diabetes mellitus is a group of physiological dysfunctions characterised by increased blood
glucose level resulting directly from insulin resistance or impaired insulin secretion leading to
micro and macrovascular complications. The oral complications of diabetes mellitus includes
increased incidence of dental caries, dry mouth, burning mouth syndrome and periodontitis.
Assessment of blood glucose levels is essential prior to any specialised procedure to avert any
further oral and systemic complications. Screening of diabetes mellitus condition has become
a necessity in developing countries and study of this nature will have enormous public health
impact. The aim of this study is to assess the prevalence of diabetes mellitus in patients visiting
different outpatient departments of private dental college hospital, Chennai. All the cases
referred from the month of June 2019 to March 2020 for random blood sugar tests were
chosen for the study. Data was collected from the dental hospital record system. Result data
was tabulated in excel and imported to SPSS for correlation and association. P<0.05 was
considered to be the level of statistical significance in this study. Within the limits of the
present study, diabetes mellitus prevalence in random blood sugar tested patients is 33.3 %
with a higher male incidence and more prevalent among the age group of 41 to 60 years.
Knowledge about the prevalence of diabetes mellitus in the patients visiting dental hospital will
be helpful to the clinician to prevent any further complications before any specialised
procedure.

Comparative study of obesity between men and women: Review

Zainab khidhair hussain; Israa Hasan Ali

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 367-378

Obesity is disorder in a foremost nutritional health it’s developed with countries developing. Also is known as increasingin fat accumulation that lead toproblem in health, besidesmay coin one of the reasons lead toloss of life,the obesity not effect on adults just but effect onoffspringand juveniles. In some ofinhabitants the incidence of obesity is superior in female than in male; on the other hand, the variation degree of the between the genderdifferby country.Obesity is generally measured by body mass index and waist circumference, Obesity are classified according to body mass index into:Pre obesity sort 1 : (25 - 29.9) kg/m2, Obesity sort 2 : (30 - 34.9 kg/m2) and extreme obesity sort 3: (40 kg/m2) or greater. Obesity is described by a pathologic condition with augmented overall of cholesterol, triglycerides, LDL cholesterol while reduced of HDL levels.There are many hormones causes pathophysiology of fatness such as adipokines, gutcorrelated hormones and ghrelin, numerous studies have revealed that the association among fatness and the metabolic sickness such as Insulin resistance, activity of lipoprotein lipase in muscle reduction and free fatty acids increasing. Conclusion: Obesity and overweight different between men am women according to quality of life in different population and countries

Features of the Metabolic Syndrome and Type 2 Diabetes Mellitus in Schizotypal Disorder

Oleg V. Ermilov; Andrey Yu. Tretyakov; Lyubov V. Romasenko; Nina I. Zhernakova; Elizaveta S. Rudycheva; Inna V. Tikhonova; Irina A. Misan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 122-127

Objective: To describe the features and mechanisms of development of metabolic
syndrome (MS), type 2 diabetes melitus (DM2) and intermediate states of glycemia in
psychosis the occurrence of these disorders, the values of total cholesterol (TC),
fractions of high density lipoproteins (HDL), very low density lipoproteins (VLDL),
triglycerides (TG), values of atherogenic coefficient (AC), insulinemia, С-peptidemia,
insulin resistance (IR) the level of glycated hemoglobin (HbA1c) in a sample of patients
with schizophrenia and in mentally healthy individuals.
Materials and methods: The frequency of carbohydrate metabolism disorders (CMD) was
studied. Fasting glycemia was determined, and in the presence of its violation, a glucose
tolerance test was performed. MS components were studied in patients with DM2,
plasma concentrations of TC, HDL, VLDL, TG, C-peptide (CP), insulin and HbA1c were
determined in patients with DM2, AC values and IR indices were calculated using
HOMA-IR and CARO criteria.
Results: CMD in schizophrenia are more common than among mentally healthy subjects,
amounting to 13.1% (p=0.02), and the main condition here is a significant number of
individuals with impaired fasting glycemia (IFG) and impaired glucose tolerance (IGT)
among women (CMD p=0.01; IGT p<0.001; IFG p=0.03). A feature of psychiatric
sampling is a decrease in HDL by 16.4% (p=0.03) and an increase in AC by 52%
(p=0.02). Mentally ill men with MS are characterized by a significantly large value of AC
(p=0.019), insulinemia (p=0.02), CP level (p=0.02), HOMA-IR (p=0.01) and CARO
(p=0.04) values than in mentally ill patients with DM2 without MS. In comparison with
the control, regardless of gender, the schizophrenic patients with DM2 have significantly
lower values of insulin (p=0.03), C-peptidemia (p=0.04) and IR, according to the criteria of
HOMA-IR (p=0.01) and CARO (p=0.03).