Online ISSN: 2515-8260

Keywords : Diabetes


Clinical & histological profile of patients with nonalcoholic fatty liver disease

B. Pramida, Amreen Unnisa, Seema Khan, Khatija Shameem, Rida Fatima, Afroze Shameem, M Bhavani

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 4013-4019

Background: The estimated prevalence of fatty liver in the general population averages around 14-25 % with rising prevalence in the presence of risk factors. Liver biopsy continues to be the ultimate and specific investigation for assessing the nature and severity of a spectrum of liver diseases. Present study was aimed to study clinical & histological profile of patients with nonalcoholic fatty liver disease.
Material and Methods: This study was retrospective and prospective, observational study, conducted in patients with increased echo texture of liver on routine ultra-sound scan, suggestive of fatty liver disease, prior to performing percutaneous liver biopsy, the proper preparation of a patient is important, with attention to a detailed knowledge of the procedure, a complete history and physical evaluation, medication use, and fresh clotting parameters.
Results: In present study, among 60 patients, 36 (60%) were females and 24(40%) were males. Majority were from the age group of 41- 50 years (36.66%), followed by 51-60 years (30 %).  Commonest symptom was fatigability and malaise (66.66%), followed by right upper abdominal discomfort (46.66%), Jaundice (10%), ascites (10%), UGI Bleed (8.3%) patients and 20 (33.33%) patients were asymptomatic at the time of diagnosis. The commonest clinical sign was of hepatomegaly or palpable liver (90%), edema (35 %), abdominal distension (18.33 %), splenomegaly (16.67 %) & icterus (13.33 %). Various risk factors noted were dyslipidemia (61.67 %), diabetes mellites (58.33 %), hypertension (53.33 %), overweight (50 %), obese (46.67 %) & coronary artery disease (40 %). 7 patients underwent biopsy. Of these 4.28% patient showed steatohepatitis, 42.86% patients showed simple fatty change and 14.28% patient had cirrhosis. Other 28.57% had no specific changes.
Conclusion: Our findings were consistent with the earlier concept that non-alcoholic steatohepatitis was prevalent in obese females with diabetes and hyperlipidemia.

Assessment of ECG abnormalities and treadmill test findings in patients with type 2 diabetes mellitus

Abhishek, Jaikirat Singh Gugnani, Harkamalpreet Kaur, Dr. Reuben Gurung, Mahum Ali, Mansour Shirzai

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 1007-1011

Background: Diabetes is the commonest endocrine disease affecting mankind. The present study was conducted to assess ECG abnormalities and treadmill test findings in patients with type 2 diabetes mellitus.
Materials & Methods: 80 diabetic and 50 non-diabetic subjects of both genders were enrolled. All the subjects underwent fasting and postprandial blood sugar, glycosylated haemoglobin (HbA1c), lipid profile (fasting and post-prandial), electrocardiography (ECG), and treadmill test (TMT) monitoring.
Results: Group I had 50 males and 30 females and group II had 20 males and 30 females. Out of 80 diabetes patients, ST depression & T wave inversion was found in 24, 10 had  Left atrial enlargement(LAE), 6 had left ventricular hypertrophy(LVH), 4 had Right bundle branch block (RBBB) and 2 had left bundle branch block (LBBB). The difference was significant (P< 0.05). 52% had abnormal triglyceride (TG), 54% abnormal total cholesterol(TC), 55% abnormal high-density lipids (HDL), and 56% abnormal low-density lipids (LDL) having positive TMT test. The difference was significant (P< 0.05).
Conclusion: Patients with T2DM had a higher prevalence of ECG abnormality. T2DM patients are also found to be more TMT-positive.

To Study the Awareness About the Complications of Diabetes among patients of Type 2 Diabetes in a Tertiary Health Care Centre

Puneeta Gupta, Rohit Raina

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 338-354

Objectives: To study the awareness about the disease related complications in the diabetic patients who are, as yet, not suffering from any long-term complication.
Methods: A cross-sectional observational study was conducted involving 389 patients of type 2 diabetes for a period of two years, from March 2018 to March 2020 in a tertiary care centre. The patients having disease diagnosed with in last five years and not suffering from any diabetic related complication were included in the study. The questions pertaining to the knowledge about complications related to eyes, kidneys, nerves, brain and heart were asked and recorded. The data was entered in MS EXCEL spreadsheet and analysis was done using Statistical Package for Social Sciences (SPSS) version 21.0.
Results: The most common complication known was retinopathy (45.48%), followed by nephropathy (38,69%), peripheral neuropathy (33.42); cardiac complications (26.13%) and stroke (37.19%). The factors associated with good knowledge and awareness were advanced age, higher socioeconomic status, male gender and presence of positive family history of diabetes.
Conclusion: There is a wide gap in the knowledge of Diabetes and its related complications among the patients which may prevent them from taking good care about their glycaemic levels. It demands a bidirectional approach by the treating doctor and the patient himself to update the knowledge about the chronic debilitating nature of the disease to better the outcomes of the patients in terms of associated morbidity and mortality.

Prevalence and associated risk factors of hypertension among adults in Rajasthan, India

Dr. AjeshKumar Damor; Dr. Guru Kumar Sain; Mahesh Kumar Kharadi; Dr. PrafulBala Honta

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 1823-1828

Background::Hypertension is a major public health problem among India. It is a important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications.

Incidence and Potential Co-Morbidities in Facial Pigmentary Demarcation Lines in Indian Populations

Lakkireddygari Sujana, Savitha L Beergouder, Alekhya Rallapalli, Sujatha Alla, Prasanthi Chidipudi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 5, Pages 138-145

Background: The most noticeable part of human body is face. The obvious boundaries on the skin known as Pigmentary Demarcation Lines (PDL) found over face and have clear borders of abrupt transition between more hyper-pigmented skin and areas of normal skin pigmentation due to differences in melanocyte distribution that may be influenced by multiple factors. Facial pigmentary demarcation lines (PDL) directly reflect on patient’s physical appearance and self-image as they may contribute to dysmorphism and even central to depressive illness in susceptible individuals posing cosmetic concern for the patient and a challenge for dermatologist. Therefore, it is important for early identification and management of facial skin disorders. Until now, nine different types of PDLs have been described which are designated as Type A to I of which Type F to H PDLs are most common on the face. Etiology involving the whole spectrum of PDL continues to be an enigma and needs further research among Indian population.
Materials and Methods: Total 304 patients between 15 to 75 years of age range were included in study lead between May 2018 to May 2020 after thorough examination for inclusion and exclusion criteria, informed consent and Ethics committee approval. Statistical analysis was done using descriptive and inferential statistical approach using Chi-square test and Fisher’s exact test and p value was calculated and considered to be significant if <0.05.
Results: Out of 304 study subjects the frequency of facial PDL type H (50.65%) was most common than type G (29.60%) and type F (19.73%) with male predisposition (79.60%) with agricultural occupations (59.86%) than females and with significant family history from father (41.44%). Most of the present study subjects were of Fitzpatrick skin type IV (50.01%) with hyper-pigmented macules (12.5%) and shown unilateral PDL symmetry (58.22%) with sharp PDL line margins (81.25%). The most common aggravating factor was prolonged exposure to sun light (56.90%) and most of (25.98%) the subjects experienced periorbital melanosis at different times. Diabetes (38.15%) and hypertension (29.60%) were the most common co morbidities observed in study subjects. Using Fishers exact test, p value was calculated and it was found to be highly significant (p=0.003).
Conclusion: Present study pronounces the incidence of facial PDL (types F-H) are sharply common especially amongst the males who are in agricultural occupations with prolonged sun exposure and with other co morbidities like diabetes, hypertension and tuberculosis. In females the prevalent type was Type H PDL during and after pregnancy. The agricultural occupations with prolonged sun exposure, diabetes, hypertension, tuberculosis and positive paternal family history were shown strong correlation with facial PDL among Indian population irrespective of gender and it was found to be highly significant (p=0.003).

A CROSS SECTIONAL COMPARITIVE STUDY OF METABOLIC SYNDROME IN PSORIASIS AND CHRONIC ECZEMA IN A TERTIARY CARE HOSPITAL OF ODISHA, A STATE IN EASTERN INDIA

Dr Kiran Vinayak, Dr J R Dash, Dr C R Srinivas,Dr Farzana N, Dr Hemanta Kumar Kar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1641-1649

Introduction: Psoriasis is a chronic inflammatory disease of skin and joint associated with cardiovascular morbidity.Previous studies have shown higher prevalence of metabolic syndrome in psoriasis patients.
Material & Methods: In this study 60 adult patients from each group with psoriasis and chronic eczemawere included for assessment of metabolic syndrome.Metabolic syndrome was diagnosed based on the presence of three or more criteria of the National Cholesterol Education Program, Adult Panel III (ATP III) with Asian modification for waist circumference.
Results: Metabolic syndrome was significantly more common in psoriatic patients than in eczema patients ((23)38.3% VS (13) 21.6%) P=0.046. Psoriatic patients had a higher prevalence of triglyceridemia, low HDL levels and elevated blood sugaras compared to those findings in chronic eczema group of patients.
Conclusion: In view of our study showing strong association between metabolic syndrome and psoriasis, it is recommended that all psoriasis patients should be screened for early detection of metabolic syndrome so as to prevent mortality and morbidity related to metabolic syndrome. In eczema, the prevalence of metabolic syndrome is comparable to that observed in normal population of this region.

STUDY OF LIPID PROFILE AND MACRO MINERALS -CALCIUM, MAGNESIUM ANDPHOSPHOROUS IN SERUM IN CASES OF TYPE II DIABETES MILLETUS

N. Chandralekha, P. V. Rajini, N. Jyothi, T. Arunmanas, T. Krishnasri Vathsav

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1211-1221

Background:Diabetes Mellitus is the most common metabolic disease and is posing as a major public health problem in the world, developing countries like India in particular. India has the second highest number of diabetics worldwide after China. Diabetes Mellitus is characterized by chronic hyperglycemia due to defective insulin secretion and / or insulin resistance. Non-insulin dependent diabetes mellitus (NIDDM) or type 2 diabetes mellitus accounts for more than 85% of the all the diabetics. It can occur at any age but is most common between 40 to 80 years of age. Macro minerals (calcium, magnesium, chloride, sulphur and phosphorus) play an important role in intermediary metabolism and cellular function, including enzyme activities and electrical gradients. The present study of these parameters is essential in clinically diagnosed patients of type 2 diabetes mellitus to show their role in the pathogenesis and to ascertain their role as possible biochemical markers of the disease progress.
Materials and Methods: Observational cross-sectional study was done. STUDY SUBJECT AND SIZEA total of one hundred patients aged between 30 years to 60 years, both male and female patients were selected from King George Hospital attached to Andhra Medical College, Visakhapatnam. Fifty patients diagnosed with type 2 diabetes mellitus attending OP at Department of Endocrinology and fifty healthy non-diabetic subjects were selected. The subjects are divided into two groups, fulfilling the inclusion and exclusion criteria. Group A (Cases): consisting of 50, type 2 diabetes mellitus diagnosed patients Group B (Controls): consisting of 50 healthy non diabetic subjects. Study Period: This study was conducted between December 2020 to November 2021 in the Department of Biochemistry, King George Hospital, Visakhapatnam. Sample Collection: After 12 hours of fasting, 5ml of venous blood is collected from the antecubital vein from each subject under aseptic conditions. Blood was collected in a clot activator vacutainer (red cap tubes) and allowed to clot spontaneously in the tube, and then centrifuged for about 10 minutes at 3000rpm. In case of delay, the sample was stored at -20 degree Celsius for further analysis on the next working day. Carewas taken to prevent hemolysis.The findings were recorded and then tabulated in excel sheets, statistically analyzed using SPSS software. Unpaired t-test was done and expressed in terms of mean and standard deviation. A p-value of < 0.05 is considered as statistically significant.
Results: The (mean±SD) serum triglyceride levels in T2DM cases were 228±116.03 mg/dl and in healthy controls 103±18.23 mg/dl. The (Mean±SD) serum total cholesterol levels in T2DM cases were 208.26±48.14 mg/dl and in controls 164.18±12.71 mg/dl. The (mean±SD) serum HDL-C levels in T2DM cases were 33.82±7.89 mg/dl and in controls 45.16±3.35 mg/dl. The (mean±SD) serumLDL-C levels in T2DM cases were 128.36±44.80 mg/dl and in controls 99.74±9.23 mg/dl. The (mean±SD) serum VLDL-C levels in T2DM cases were 45.68±23.20 mg/dl and in controls 20.47±3.31 mg/dl. The (mean±SD) serum calcium levels in T2DM cases were 9.12±0.79 mg/dl and in controls 9.83±0.53 mg/dl. The (mean±SD) serum magnesium levels in T2DM cases were 1.87±0.35 mg/dl and in controls 2.30±0.36 mg/dl. The (mean±SD) serum phosphoruslevels in T2DM cases were 2.92±0.64 mg/dl and in controls 3.06±0.70 mg/dl. There is no statistical significance in the serum phosphorus levels in between the two groups.
Conclusion: in this present study. The serum triglyceride (TG) levels, serum total cholesterol levels, serum LDL-C Levels,VLDL-C Levels were significantly increased in the T2DM cases compared to the controls. The serum HDL-C levels were significantly decreased in the T2DM cases when compared to the controls. The serum calcium levels, Serum magnesium levels and serum phosphorous levels were significantly decreased in the T2DM cases when compared to the controls.
 

Association of autonomic imbalance with cardiovascular risk in diabetic patients of a tertiary care setting: An observational study

K Amrutha, Dr. JM Harsoda

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 3624-3627

Background and Aims: The significant and rising incidence of type 2 diabetes and the associated vascular complications have been a growing concern. Cardiovascular complications are neglected and are the leading causes of deaths in the diabetic population. Autonomic Imbalance (AI) is a bother complication of the diabetes mellitus, related to aggravated risk of morbidity as well as mortality. Nevertheless, there are not many studies assessing this relationship and there are no studies especially of rural setting, hence we have undertaken this study for assessing the need of this association from an Indian rural setting.
Methods: A detailed questionnaire including the socio-demographic details, anthropometric data, history, clinical examination, investigations performed, and treatment undergoing was gathered from each patient. Special attention was extended for identifying the cardiovascular risk factors like hypertension, alcohol intake or smoking, family history of cardiovascular disease (CVD), Heart rate, etc.
Results: Autonomic Imbalance have been studied among the 158 diabetic patients, of which the mean age was 58 years, with male preponderance of around 58%. Good Glycaemic control was observed in one-fourth (40 patients) and 102 out of 158 of the study participants (type 2 diabetics) were hypertensives.The prevalence of autonomic imbalance identified using tests for autonomic function ranges from 50-70%, where the diagnosis of autonomic imbalance is achieved based on the outcomes of multiple autonomic tests with various components instead of a single test. The prevalence of autonomic neuropathy was on the rise as people got older.
Conclusions: Screening for autonomic function and the patient education could be the key factors among the patients with autonomic imbalance in order to prevent devastating events further.

Hyperhomocysteinemia in diabetic and/or hypertensive patients with CKD: A cross sectional study

Dr. Mohan CN, Dr. Arvind MN, Dr. Harsha V Patel

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 3657-3664

Background & Objectives: Chronic kidney disease (CKD) is a commonly seen clinical condition resulting from different etiologies, diabetes and hypertension contributing to majority of CKD. Hyperhomocysteinemia is observed in CKD, which contributes to increased cardiovascular morbidity and mortalities according to many studies. Reduction of homocysteine level may help to decrease the cardiovascular morbidity and mortality which are leading cause of death in CKD patients.
Material and Methods: 90 patients with diabetes and/or hypertension, diagnosed as CKD with eGFR <90ml/min visiting the hospitals attached to BMCRI were chosen and their fasting plasma homocysteine level were measured. Patients less than 18 years age and had history of cerebral vascular disease, coagulopathy, Alzheimer’s disease were excluded from the study. The data was summarized using mean, standard deviation for parametric data and median, interquartile range for non-parametric data and chi-square test was used for analyzing categorical variables.
Results: Hyperhomocysteinemia was observed in 63.33% of patients with CKD, majority of patients (26.3%) belonged to 50-59 years age group with a significant male (73.7%) preponderance in CKD with hyperhomocysteinemia group. Prevalence of Diabetes and Hypertension in CKD with hyperhomocysteinemia were 73.7% and 82.5% respectively and with a mean duration of Diabetes and Hypertension of 9.82 ± 7.073 years and 7.3 ± 6.545 years respectively. 12.3% patients in CKD with hyperhomocysteinemia were found to have underlying causes for CKD, among them around 57.1% of them had Chronic Interstitial Nephritis. Prevalence of hyperhomocysteinemia was more in end stages of CKD i.e. stage 3B (8.8%), stage 4 (15.8%) & stage 5 (75.4%). Homocysteine elevation was found in both CKD without dialysis and with intermittent hemodialysis.
Conclusion: Serum homocysteine levels appear to be closely associated with CKD and serum homocysteine levels are negatively associated with GFR. Thereby, serum homocysteine levels can be used as a marker of renal dysfunction in patients with diabetes and hypertension.

Anaemia and Its Associated Factors Among Type 2 Diabetes Mellitus Patients in Eastern India: A Cross Sectional Study

Shaibal Guha, Amit Kumar Das

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5591-5598

Background: Anaemia is a common diabetes mellitus (DM) consequence that has a
negative impact on the progression and development of other diabetes-related
problems. Despite this, little is known about the prevalence of anaemia and its
associated variables in type 2 diabetes mellitus (T2DM) patients. As a result, the
purpose of this study was to look at the prevalence of anaemia and its associated
variables in T2DM patients.
Methods: A hospital-based cross-sectional study was carried out on 249 T2DM patients
who were chosen by a systematic random sample procedure. Face-to-face interviews,
anthropometric measurements, and laboratory testing such as haemoglobin
measurements, red blood indices, and serum creatinine analysis were used to collect
data. The data were coded and entered into Epi-data management version 4.4.1.0 before
being analysed using SPSS version 22. Bivariate and multivariate logistic regression
analysis were used to discover the determinants of anaemia. P-values less than 0.05 were
considered statistically significant.
Results: According to the findings of the study, 20.1 percent of the individuals were
anaemic. Age >60 years (AOR=3.06, 95 percent CI: 1.32–7.11), poor glycemic control
(AOR=2.95, 95 percent CI: 1.22–7.15), eGFR 60–89.9 mL/min/1.73m2 (AOR=2.91, 95
percent CI: 1.15–7.37), eGFR 10 years (AOR=2.75, 95 percent CI: 1.17–6.48), and
experiencing diabetic complications (AOR=3.81, 95% CI: 1.65–8.81) were significantly
associated with anaemia.

Influence of resistance training on the metabolic profile of type-2 diabetes patients

Gopi Nath Dubey, Sushil Kumar, Sanjay Nath Jha, Sudhir Chndra Jha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 596-601

Background & objectives: The quantity of diabetes in India is expanding at a disturbing
rate. The impacts of active work as obstruction preparing or oxygen-consuming
activities on type 2 diabetes have not been examined in the Indian populace. The goal of
this study was to break down the impacts of about two months of Physical Readiness
Tests (PRT) contrasted and aerobic exercise (AE) on glycaemic control, metabolic
profile, cardiovascular wellness boundaries and general prosperity in grown-ups with
type 2 diabetes.
Methods: Thirty grown-ups (14 females and 16 males mean; age 53.8 ± 8.8 years) with
type 2 diabetes were arbitrarily allotted to an 8-week regulated PRT (n=10) or AE
(n=10) or control group (n=10). Glycosylated haemoglobin (HbA1c), lipid profile, blood
pressure, pulse, body mass index (BMI) and general prosperity were estimated before
preparing (for example 0 weeks) and after 8 weeks of preparing period.
Results: Plasma glycosylated haemoglobin levels diminished altogether (P<0.05) both in
the PRT group (7.57 ± 2.4% to 6.23 ± 0.8%) and in the AE group (8.11±0.9% to 6.66 ±
0.9%). Total cholesterol levels diminished essentially (P<0.05) by 13.3 percent in the
PRT group and by 6.1 percent in the AE group. Both exercise groups showed an
essentially decrease in systolic circulatory strain (P<0.05). General prosperity
improvement was significantly more in PRT (8.6%) when contrasted with the AE group
(2.7%).
Conclusions: Our discoveries showed that both PRT and AE were successful in working
on the metabolic profile of grown-ups with type 2 diabetes however the rate
improvement in fatty oils, complete cholesterol levels and general prosperity with PRT
was more contrasted with AE. Further investigations on a bigger example should be
done to affirm these discoveries.

Influence Of COVID19 Vaccines On Diabetes Management

Mohammad Abuzaid1 , Waleed Badawyeh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2682-2693

The availability of different vaccines plays a crucial role in bringing the COVID-19 pandemic to a standstill. All the vaccines with two initial and a booster dose have reduced the mortality rate and do not elicit serious symptoms or illness. However, the clinical trials on different vulnerable populations are still not reliable. In particular, COVID-19 patients belonging to the diabetic population exhibited higher morbidity and mortality. Therefore, the prioritization of vaccination for these populations may reduce further complications. Yet, the hesitancy toward vaccines hinders the process of vaccination campaigns. Hence, this review focuses on the availability of different vaccines against COVID-19 and their role in eradicating previous epidemics. The effect of this vaccination on the diabetic group and the management of chronic illness have been emphasized.

A comparative study of changes in central macular thickness in diabetic and non-diabetic subjects following uncomplicated cataract surgery using optical coherence tomography

Dr. Ishwar Singh, Dr. Anil Pathak, Dr. Harsimran Singh, Dr. Akash, Dr. Anand Aggarwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 772-781

Background: Diabetes mellitus is a chronic, multi-system metabolic disorder which gives
rise to ernestful ocular complications. Cataract is believed to be the second most common
of these complications, next to diabetic retinopathy, and it poses special challenges to the
surgeon both in terms of management and post-operative outcomes. Materials and
methods: This was a comparative, prospective, interventional study to assess and compare
preoperative and postoperative central macular thickness at weeks 1 and 12 after
uncomplicated cataract surgery among 50 well-controlled diabetic subjects with no
evidence of diabetic retinopathy and 50 non-diabetic subjects, using Optical Coherence
Tomography (OCT).Results: Majority patients of the diabetic group (42%) belonged to the
age-group of 51 to 60 years, while the majority in the control group (36%) belonged to the
age-group of 61 to 70 years. 54% of the patients had duration of diabetes between 5 to 10
years, while 44% of the patients had duration of diabetes less than 5 years. Significant
increase in central macular thickness (CMT) from baseline was seen postoperatively at
weeks 1 and 12 in both the groups, but while making inter-group comparison, the changes
in macular thickness were not found to be significant. Also, the incidence of post-operative
complications was observed to be higher in the diabetic group in comparison to the control
group.Conclusion: Uncomplicated cataract surgery in diabetics with well-controlled
glycaemic profile and without any evidence of diabetic retinopathy yielded similar
outcomes as non-diabetics in terms of rise in post-operative macular thickness. However,
in terms of post-operative complications, diabetic group showed a slightly higher incidence.

Surveillance of microorganisms and their drug sensitivity patterns in diabetic UTI patient at a tertiary care teaching hospital

Santosh Singh, Rajashree Panigrahi, Ishwara Chandra Behera, Dr. Debasmita Dubey

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1952-1966

Background: Urinary Tract Infection (UTI) is one of the common infections affecting people, both from the community and hospital. The causative pathogens for UTI and their drug sensitivity patterns vary from region to region. Changes in their genetic constituents with time might be the reason.
Aim: In this study, we aimed investigate the profile of common uropathogens and assess their antibiotic sensitivity patterns with commonly used drugs for UTI patients.
Materials and methods: In this study, 153 urine samples were analyzed with routine microscopy, culture and sensitivity for a period of six months at Institute of Medical Science and SUM Hospital, Bhubaneswar, Odisha. Both bacteria and fungi were used for drug sensitivity test.
Result: A total no. of 54Gram positive bacteria and 40 Gram Negative bacteria were isolated. S. aureus was the most common GPC isolated and P. aeruginosa was the most common GNB. E. coli was the second most GNB which showed resistance to Cephalosporins and Aminocoumarin group. 4 Candida species were isolated, to which Clotrimazole was the most susceptible antifungal agent. Staphylococcus sp. showed resistance to β-lactams and Macrolides group of antibiotics. Shigella sp. showed resistance to β-lactams. C. albicans was found to be the common Fungi isolated, followed by C. krusei.
Conclusion: Since the drug sensitivity pattern changes from place to place and varies from time to time. The culture sensitivity therapy should be practiced before empirical administration of antibiotics.

Haematological parameters in type 2 diabetes mellitus, controlled and uncontrolled

Akhouri Sukrit Prakash

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10078-10084

Aims: To compare HbA1c levels with inflammatory markers that include a neutrophilto-
lymphocyte ratio (NLR) and monocyteto-lymphocyte ratio (MLR) in controlled and
uncontrolled diabetics.
Materials and methods: Two hundred type 2 diabetes mellitus (T2DM) patients were
separated into two groups of managed (HbA1c 7%) diabetics. HbA1c (glycated
haemoglobin) levels, leukocyte count (WBC), haemoglobin (Hb), hematocrit (Hct), red
blood cell distribution width (RDW), neutrophils, lymphocytes, and monocytes were all
measured using recent laboratory data. The laboratory results were used to determine
the NLR and MLR.
Results:Controlled diabetics had a mean age of 58.30 years, while uncontrolled diabetics
had a mean age of 55.62 years. The mean NLR in diabetics with and without diabetes
was 2.61 and 4.88, respectively. The distinction was discovered to be statistically
significant (p < 0.05). The mean MLR in diabetics with and without diabetes was 0.2
and 0.24, respectively, however the difference was not statistically significant (p > 0.05).
The data showed a modest positive connection between HbA1c levels and the
haematological indices, but it was statistically insignificant.
Conclusion: The study found a substantial difference in NLR between diabetics who
were well-controlled and those who were not. Although only a slight positive connection
was detected between glycated Hb levels and the haematological indices, the results
revealed a substantial difference in NLR between the two groups. This demonstrates
that these ratios have the potential to be used as inflammatory indicators in T2DM.

A study of nail growth in diabetics

Dr. Anwarul Kabir, Dr. Amit Upadhyay, Dr. Rashmi Prakash, Dr. Ankita Prakash

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1746-1750

Background: It has been reported in many studies that nail growth is affected in Diabetes. A recent study was done in India which has postulated that the nail growth in Diabetes was more when compared to the normal subjects. This study puts in an effort to find the answers.
Aims and Objectives: To determine the nail growth rate in diabetics.
Materials and Methods: This study was started in Feb 2019 to Jan 2022 Mata Guruji Memorial Medical College and Hospital, Kishanganj, Bihar and Hind Institute of Medical Sciences, Mau, Ataria, Sitapur. Chitrapati Shahu Ji Maharaj University, Kanpur.
Total of 211 patients were studied and have been reported.
This study is a cross sectional study.
Two hundred eleven patients were studied. Out of this 100 were from Mata Guruji Memorial Medical College and Hospital, Kishanganj, Bihar and the rest of them were from Hind Institute of Medical Sciences, Mau, Ataria, Sitapur. Chitrapati Shahu Ji Maharaj University, Kanpur.
Results: The rates of the nail growth were found to be less when compared with normal rates of growth that has been given in the textbooks.
Conclusion: This can be considered as a useful tool in the hands of paramedical workers especially in the underprivileged areas.

Acute kidney injury in patients hospitalised with acute decompensated heart failure

Dr.Harender Kumar, Dr.AmitJohari, Dr.Nikita Gupta, Dr. P S NAYYER

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 562-570

Background
Cardiorenal syndrome (CRS) is not a newly discovered syndrome. The adverse outcomes of
the renal impairment in patients with Heart failure were known since long. Our aim in this
study was to evaluate the occurrence of AKI, to determine the outcome (morbidity and
mortality) in patients suffering with AKI.
Methods
The present observational prospective study was conducted for a duration of 1 yearamong
100 patients (age 18 years or more) admitted to hospital with acute decompensated heart
failure.A written informed consent taken from each patient and were then screened for
cardiac dysfunction by a detailed history, clinical examination and
echocardiography.Univariate logistic regression was used to find out association of various
outcomes with AKI. A p value of <0.05 was considered statistically significant.
Results
The mean age of the study population was 58.98 ± 17.16 years. The mean Boston criteria for
the population was 9.87 ± 1.36. Baseline S. creatinine, eGFR and even B. Urea were strongly
associated with the occurrence of AKI. Presence of diastolic dysfunction was associated with
AKI. Mortality and readmission were significantly higher in AKI group as compared to non-
AKI group.The predictive value of AKI was maximum with the baseline S. creatinine.
Conclusion
Cardio-renal syndrome is a commonly seen in patients admitted in hospital. AKI can lead to
poor cardiac output or pre-renal failure as a result of overuse of diuretics. The mechanism
involved is complex. AKI in patients admitted with ADHF has poor prognosis with increased
mortality and longer duration of hospital stay.

EFFECT OF GLYCEMIC CONTROL ON VITAMIN B12 METABOLISM IN TYPE 2 DIABETES MELLITUS PATIENTS

Dhiraj Mahaseth, Vikas Kumar Gupta, Bijay Kumar Mahaseth, Ashish Kumar Sharma .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 4981-4987

Background: Diabetes mellitus is a metabolic disorder due to absolute or relative insulin deficiency. Polyuria in type 2 DM leads to loss of important water soluble nutrients in urine. In view of widespread deficiency of vitamin B12 in our country and increasing prevalence of diabetes mellitus type 2, it is considered worthwhile to assess vitamin B12 status of patients with diabetes mellitus type 2.
Material and methods: Present study comprises of 60 subjects of both sexes whom 30 are healthy controls and 30 are clinically confirmed cases of diabetes mellitus, age group ranges from 40-70 yrs. Serum separated from plain vial after centrifugation was used for estimation of serum vitamin B12 by ELISA, Plasma glucose estimation by GOD-POD Method, End Point, Glycated hemoglobin by Boronate Affinity chromatography (NycoCard).
Result: In our study it was found that serum vitamin B12 (218.24 ± 68.31 pg/ml) was significantly lower in type2 diabetes mellitus patients compared to serum vitamin B12 (254.20 ± 64.89 pg/ml) of controls. Serum vitamin B12 level (190.20 ± 19.44 pg/ml) is significantly lower in diabetes mellitus patients who were suffering from the disease for more than 3.5 years as compared to serum vitamin B12 level (257.18 ± 88.74 pg/ml) of diabetes mellitus patients who were suffering from the disease for less than 3.5 years.
Conclusion: Thus, it can be concluded that there is significant vitamin B12 deficiency in type 2 diabetes mellitus patients.

The associated risk factors and the prevalence of diabetic foot ulcer - A cross sectional study

Dr.UroojNajami, Dr. Faisal Mumtaz, Dr.PrabodhBansal, Dr Gopal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2824-2830

Background: Diabetes Mellitus is a worldwide epidemic, affecting over 346 million people globally, with India ranking second with 65.1 million diabetic patients. Foot ulceration is the most common consequence of diabetes mellitus.It affects about 15% of diabetic individuals over the course of their lives and is quite frequent.To a considerable extent, it is preventable if the risk factors are identified early. The aim of present study is to evaluate the association of risk factorswith diabetic foot ulcer and to estimate prevalence of diabetic foot ulcer (DFU).
Material and Methods: A systematic random sample of 500 diabetic patients was selected from patients attending the outpatient department of General Surgery, National Capital Region Institute of Medical Sciences, Meerut. A standardized form was used to record data obtained from reviewing the medical records, interviewing, and examining the patients.
Results:The sample had a male-to-female ratio of 48 percent. The average age of the participants was 55 years, and they had diabetes for an average of 8.9 years. The prevalence of diabetic foot ulcers was 4.8%, sensory neuropathy was 15.3%, lower limb ischemia was 8.2%,and amputation was 2%. Ulceration was linked to male gender, neuropathy, and having diabetes for a longer period of time.
Conclusion:Future efforts should focus on educating both healthcare professionals and patients about proper foot care. To ascertain the true prevalence of diabetic foot problems, community-based research is also required.

A PROSPECTIVE STUDY OF VITAMIN D LEVELS IN POSTMENOPAUSAL WOMEN

Dr.Borra Dharmendhar, Dr.Ketham Veera Sudhakar, Dr.Laxmi Chapidi, Dr.Kankata Jhansi Rani

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1323-1327

Introduction: Vitamin D belongs to a group of fat-soluble secosteroids which helps in increasing intestinal absorption of calcium, iron, magnesium, phosphate, and zinc. In humans, vitamin D3 (also known as cholecalciferol) and vitamin D2 (ergocalciferol) are important compounds. Cholecalciferol and ergocalciferol can be ingested from the diet and from supplements.
Materials and Methods: This was a prospective observational study of postmenopausal women attending gynaec OPD department of Obstetrics and Gynecology, Kakatiya Medical College and MGM hospital, Warangal from1st October 2021 to 30th September 2022 (1 year). Apparently healthy postmenopausal women without any prolonged medical illness like diabetes, thyroid, hepato-renal disease, malignancy, or without any surgical illness were selected. Besides patients on HRT, steroids, bisphosphonates or any drugs affecting bone metabolism, smokers and alcoholics were excluded.
Results: Out of total 206 postmenopausal women attending gynaec OPD during the study period, only 122 women were found eligible for study after satisfying inclusion-exclusion criteria. We divided these postmenopausal women according to their age into five years age-groups, starting from 50 years to 70 years of age. Most common age-group was 55-60 years accounting for 49% followed by 50-55 years age-group making 41%, thus together adding up to 90% of study population. This shows the authenticity of study population. Mean age of study group was 56.9 years.
Conclusion: There is high prevalence of vitamin D deficiency among Indian postmenopausal women, but our study shows no correlation between hypovitaminosis D and fasting blood sugar. Besides, the cut-off level for vitamin D deficiency should be reviewed in Indian population looking at the scenario of adequate sunlight exposure, to prevent it from overtreatment and also for dietary modification. The role of bioavailable 25(OH) vitamin D should be ascertained.

Comparative study of staplersvs simple interrupted vs sub-cuticular method of skin closure of surgical wounds

Dr. Ankit Mohan Das, Dr. JagadambaSharan, Dr. MohitBiswas

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1926-1933

Aim: To compare staplers vs simple interrupted vs sub-cuticular method of skin closure of
surgical wounds.
Material and method:The present randomized prospective study was conducted in the
Department of Surgery at Rohilkhand Medical College and Hospital, Bareilly from January
2020 to October 2021 among 150 subjects who underwent surgical procedures. Equal number
of patients was allotted to 3 groups by random envelope allocation method i.e. Group
A(Stapled skin closure), Group B(Interrupted skin closure) and Group C(Sub cuticular skin
closure). Following the completion of closure, an antiseptic medicated cream was applied
followed with a protective dressing for the first 24–72 h. Subcutaneous Drains were placed in
selective cases according to infection and were kept till the drain content was minimal. All
patients were given IV antibiotics for 5–7 days postoperatively. The closures were removed
after an interval of 10–14 days, first removing the alternate sutures and then the remaining
sutures after few days and pain on removal was recorded using VAS.
Results: Postoperative pain score at discharge was least in sub-cuticular group followed by
stapled and interrupted skin closure group, though statistically there was no difference.
Conclusion: In this we found that time required for skin closure (in seconds) was least in
stapled skin closure group while pain and POSAS score was minimum in sub-cuticular skin
closure group. Wound infection was present maximum and minimum among sub-cuticular
and interrupted skin closure group respectively

A cross sectional study to assess sensitivity of Indian diabetes risk score as a screening test tool of diabetes mellitus among adult population in Jodhpur, Rajasthan

Dr. Naval Kishor Jangir, Dr. Archana Dubey, Dr. Gunvi Ohari, Dr. Khushant

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1492-1498

Objective: To find out the sensitivity of Indian diabetes risk score as a screening test tool of diabetes mellitus among adult population by comparing the result of IDRS with ADA diabetes diagnostic criteria (fasting blood glucose/postprandial blood glucose).As adult population is at risk for developing diabetes mellitus. Early diagnosis and treatment may reduce the morbidity and mortality.
Methodology: The study was conducted on 600 patients of Dr. Sampurnanand Medical College and Associated Hospital, Jodhpur included all individuals > 20 years of age, a verbal consent taken from all individuals entering in to the study. IDRS will be applied to all individuals, then all subjects will tested for fasting (8 hours fasting) blood glucose level and, or 2 hours postprandial blood glucose level population attending the outdoor clinics, indoor wards and general population (attendants, accompanying peoples) using venous blood sample in fluoride vial.
Conclusion: In our study it can be concluded that IDRS can be applied as a screening test in our country regardless of the demographic variation in the prevalence of diabetes. Thus IDRS is a simple, reliable and easy to use tool for mass screening of the high risk individual of Diabetes mellitus.

Comparison of fasting and postprandial lipid profile in diabetic patients

Dr Ashok Kumar Mishra, Dr Rashmi Mishra, Dr Indu K Pisharody

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11910-11914

Background:Diabetes mellitus (DM) referred as a group of metabolic disorders
characterized by high blood sugar levels over an extended period. The present study
was conducted to assess fasting and postprandial lipid profile in diabetic patient.
Materials & Methods:60type II diabetes patients of both genders were enrolled in group
I and 60 control in group II. Parameters such as HbA1c, FBS, PBS, total cholesterol
(TC), triglycerides (TG), high density lipoprotein – cholesterol (HDL-C), very-lowdensity
lipoprotein cholesterol (VLDL) and low-density lipoprotein cholesterol (LDL)
were assessed.
Results: Group I had 35 males and 25 females and group II had 28 males and 32
females. In group I and group II, mean PBS was 145.2 and 131.4, HbA1c was 9.4% and
4.5%, TG (mg/dl) was 184.2 and 150.3, TC (mg/dl) was 215.8 and 178.4, HDL- C (mg/dl)
was 44.2 and 58.2, VLDL (mg/dl) was 36.3 and 30.6 and LDL (mg/dl) was 170.4 and
85.2. The difference was significant (P< 0.05). The mean fasting and postprandial TG
value was 215.2 and 240.6, TC was 183.2 and 190.1, HDL- C was 44.2 and 37.3, VLDL
was 37.5 and 38.2 and LDL was 170.5 and 176.2 respectively. The difference was
significant (P< 0.05).
Conclusion: Postprandial lipid profile significantly increased when compared to fasting
lipid profile among type 2 DM patients.

Role of Parenteral Amino Acid in Patients of Diabetic Foot Ulcer

Dr. Ankit Mohan Das,Dr. Jagadamba Sharan, Dr. Mohit Biswas

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2071-2079

Aim: To analyse the role of amino acids among subjects with type 2 diabetes having foot
ulcer.
Material and method: The present study was conducted in the Department of Surgery,
Rohilkhand Medical College and Hospital, Bareilly from February 2020 to March 2021. The
study comprised of 60 patients, aged 18 years and above, suffering from diabetic foot ulcer.
Patients were divided into two groups i.e. group A and B. Patients of group A continued to
take diabetic diet as they were taking before while patients of group B were given IV amino
acid (200ml) on alternate day till 15th day in addition to the diet they were taking before.
Ulcers of all patients were properly cleaned and dressed under aseptic condition with normal
saline and povidone iodine everyday, wound debridement was done as required. Ulcers were
assessed on day 0, 5, 10 and 15.
Results: Mean cholesterol increased in group A while it decreased in group B at different
intervals with statistically insignificant difference as p>0.05. At the end of study, normal
healing was found among 26.67% and 66.67% of the subjects in group A and B respectively.
Major haematoma was reported only in group A and that among 10% of subjects. Hence
healing was observed better among group B subjects.
Conclusion: It can be concluded from the results that among subjects with diabetic foot
ulcers, amino acid administration leads to better healing and satisfaction among the patients.
Therefore, amino acids supplement should be given to diabetic foot ulcer subjects

An evaluation of dyslipidemia in type 2 diabetes patients: North Indian teaching hospital based study

Dr. Gautam Gupta

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1020-1023

Background:Dyslipidemia was defined as a combination of high serum triglyceride ≥ 1.7
mmol/L, high serum LDL cholesterol ≥ 2.6 mmol/L and low serum HDL cholesterol <
1mmol/L for men and < 1.30 mmol/L for women. Non-HDL cholesterol ≥ 3.37mmol/Land
atherogenic index ≥ 0.11, were also considered abnormalType II diabetes mellitus (T2DM),
characterized by chronic hyperglycemia, and impaired insulin secretion and insulin
resistance. The objective of the present study was to study the lipid profile among type 2
diabetes mellitus patients.
Materials & Methods: The present study was conducted in the department of general
medicine. It comprised of 62 T2DM patients of both genders. Fasting blood sugar and lipid
profile such as serum cholesterol, serum triglycerides, HDL, LDL and VLDL was assessed.
Results and Observations:There were 31 males and females each. The mean serum
cholesterol level was 228.76 mg/dl, serum TG level was 202.6 mg/dl, HDL level was 39.8
mg/dl, LDL was 142.64 mg/dl and VLDL level was 43.5 mg/dl.
Conclusion: The diabetes has a significant role in alteration of lipoprotein levels. There is
significant alteration in lipid profile levels.

Assessment of correlation between obesity and glycated haemoglobin in type 2 diabetic patients

Abhishek, Jaikirat Singh Gugnani, Harkamalpreet Kaur

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1711-1714

Background: To assess the correlation between obesity and glycated haemoglobin in type 2 diabetic patients.
Materials & methods: 50 patients were enrolled. The categorisation of patients was done based on BMI. Blood samples were obtained and sent to the laboratory where HbA1c values were assessed. Further evaluation of the correlation between obesity and glycated haemoglobin in type 2 diabetic patients was done.
Results: Mean HbA1c among diabetic subjects with normal BMI, overweight and obese status was 7.2%, 8.9% and 10.1% respectively. Significant results were obtained while correlating obesity and glycated haemoglobin in type 2 diabetic patients.
Conclusion: There exists a significant correlation between obesity and glycated haemoglobin in type 2 diabetic patients.  

Efficacy of Saroglitazarin patients with diabetic dyslipidemia

Surendra Kumar Ghintala, Pradeep Kumar, Ajeetkumar Gadhwal, Ratan Kumar Agarwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 243-247

Background:Type 2 diabetes mellitus (T2DM) is a complex metabolic disorder
characterized by persistent hyperglycaemia due to relative insulin deficiency, insulin
resistance. This study assessed efficacy of Saroglitazar in patients with diabetic
dyslipidemia
Materials & Methods:120 patients with type 2 diabetes mellitus of both genders were
assessed for serum fasting plasma glucose, post prandial glucose, glycated hemoglobin
(HbA1c), blood urea, serum creatinine, S.G.O.T, S.G.P.T and lipid profile. Patients were
treated with Saroglitazar 4 mg once daily and the follow-up data were available for 12
months.
Results: Out of 120 patients, males were 80 and females were 40. The mean triglyceride
level was 610.4, 208.4 and 224.4, total cholesterol was 312.2, 244.7 and 172.1, non- HDLC
was 274.8, 199.6 and 126.3, LDL- C was 165.6, 116.8 and 104.17, HDL- C was 41.4, 42.1
and 42.5, HbA1C was 8.02, 7.8 and 7.1, FPG was 156.2, 130.5 and 120.4, PPG was
234.6, 172.1 and 160.5, SGOT was 46.6, 42.3 and 40.3, SGPT was 34.2, 38.4 and 37.4, S.
Creatinine was 0.7 and CPK was 74.3, 71.6 and 68.3 at baseline, 12 wees and 52 weeks
respectively. The difference was significant (P<0.05).
Conclusion: Saroglitazar is a very effective therapeutic option in diabetic dyslipidemia with
very high triglycerides level.

Gender wise association between diabetes mellitus and hearing loss in western Rajasthan population

Rukmini Sharma, Dr. Raghuveer Choudhary, Dr. Rajendra K Teharia

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 766-771

Background: Diabetes mellitus is a non-communicable chronic metabolic disorder. The
association between sensorineural hearing loss and diabetes has become an important subject
of research. Correlation of hearing loss with genders is not still clear so we have aimed our
study to explore the same.
Objective: To examine the gender-specific association between diabetes and hearing loss.
Methods: This study was conducted on a total number of 150 (78 male & 72 female) selected
diabetic patients from November 2018 to December 2020. The correlation of hearing loss
between male and female diabetic patients was compared by getting a pure tone audiogram.
Results: Out of a total of 150 patients, only 42 patients (28%) were suffered from hearing
loss. Sensorineural hearing loss was present 25.6% in males and 30.5% in females which was
not significantly different (p >0.05).
Conclusion: We concluded that hearing loss has no significant association with genders in
diabetic patients, but early diagnosis and screening of diabetic paints for hearing loss help in a
better quality of life.

Risk Scoring for Burst Abdomen Prediction in Patients with Midline Laparotomy

Wael E. Lotfy; Ramadan M. Ali; Hassan R. Ashour; Mohamed Osama Elhady; Ahmed Raafat Abdel Fattah

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 984-990

 Burst Abdomen is a preventable condition in which many risk factors play their role and lead to life threatening complications. The aim of the present study is to identify the different risk factors and high risk patients for burst abdomen for decreasing the rate of burst abdomen post operatively. Patients and methods: An observational analytical study included 110 patients and carried out in General Surgery Department, Faculty of Medicine, Zagazig University Hospitals. The patients were divided into 2 main groups: post-midline laparotomy burst abdomen patients and postmidline non complicated laparotomy with burst abdomen patients. Evaluation of different risk factors between the two groups was performed. Results: There is statistically significant relation between occurrence of burst abdomen and both smoking and obesity. There is statistically significant relation between occurrence of burst abdomen and all of direct trauma, diabetes, intraabdominal infection and jaundice. There is non-significant relation between occurrence of burst abdomen and other risk factors. There is statistically significant relation between occurrence of burst abdomen and postoperative ileus, pulmonary complications and wound infection. Diabetes, wound infection, smoking and direct trauma increased risk of burst abdomen by 47.205, 58.547, 40.559 and 39.874 folds respectively. Conclusion: Intra-abdominal infection is the most important factor in predicting burst abdomen. Patient factors like anemia, diabetes, smoking, peritonitis due to bowel perforation act as determinant for wound dehiscence. Postoperatively abdominal burst can be prevented by improving the nutritional status of the patient, early mobilization of the patient and simple investigations like Hemogram, RBS, RFT, LFT, chest x-ray may help to detect predisposing factors

INFLUENCE OF SERUM MAGNESIUM LEVELS ON PRIMARY HYPERTENSIVE CASES AND ITS ASSOCIATION WITH CARDIOVASCULAR CHANGES AND RETINOPATHY

Ravi N Sangapur Anusha N Sangapur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1514-1518

 
Background: Hypertension is a growing concern in the Indian population with urbanization and developments in work culture and treatment methods.
Aim and objective: To evaluate the influence of serum magnesium levels in gradations of primary hypertension and evaluate its impact on co-morbid conditions.
Methods: Hypertensive patients were screened and included in the study by categorizing them in to grade I and II based on blood pressure levels. Socio-demographic, physical and systemic examination details were recorded with pre-designed questionnaire; electrolyte levels, fasting blood sugar, status of retina and heart were assessed and analyzed using t-test and logistic regression.
Results:Total 100 patients in the study, mean age was 59.3±14.79 years; male predominance (61%); normal retina (83%) and presence of pre-diabetic conditions (67%) was observed, with normal serum magnesium levels in majority (76%). Serum magnesium levels were significantly associated with grade I (P = 0.0173) patients; influencing systolic and diastolic blood pressure values (r = -0.3552, P = 0.003; r = -0.2160, P = 0.0309, respectively).
Conclusion:The optimal values can be further established by evaluation of large sample size, quality of life during treatment, and influence of co-morbidities/complications of hypertension, among others.
 

A Prospective, randomized double-blind, placebo controlled study of safety and efficacy of HFSM-02 in reducing stress and anxiety in subjects with chronic medical condition and perceived stress

Dr. Veena Deo , Bharatbhushan Shrikhande , Dr. Gayatri Ganu, Dr. Nilesh chandrawanshi .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2119-2129

Objective: Stress is a feeling of emotional or physical tension. It has now become a part of modern lifestyle. At some point in life, everyone must have encountered with some degrees of stress. It has negative impact of life and certain complications associated which includes increased risk of cardiovascular disease, elevating certain medical conditions like asthma, diabetes, hypertension, etc. Considering the increasing prevalence of stress and anxiety through multiple factors, there is a great need to find a solution to the existing problem. The current research depicts the safety and efficacy of HFSM-02 in reducing stress and anxiety in subjects with chronic medical condition and perceived stress. Material and methods: 120 subjects were enrolled in the study. Subjects were undergoing clinical examination. Vitals were recorded. Blood samples were collected for biochemical tests like change in serum cortisol levels. Subjective questionnaire scores evaluation were performed like POMS-2, and GHQ-28, questionnaire. Changes in symptoms severity were noted like disturbed sleep, and day time mood swings.

Comparative evaluation of complications and mortality in ST-segment elevation acute myocardial infarction (STEMI) in diabetic and nondiabetic patients

Dr. Shakeel Akhter

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1183-1187

Background: Diabetes is a universal problem and is becoming a major concern at old age
especially in obese people and in people with sedentary life style. The present study was
conducted to assess complications and mortality in ST-segment elevation acute myocardial
infarction in diabetic and non-diabetic patients.
Materials & Methods:160 consecutive patients of diabetic (group I) and non-diabetic
(group II) having acute ST-segment elevation myocardial infarction (STEMI) of both
genders were included. Treatment was given to all patients.
Results: Age group <44 years had 15 diabetic and 10 non- diabetic, 45-54 years had 25
diabetic and 12 non- diabetic, 55-64 years had 10 diabetic and 20 non- diabetic and >65
years had 40 diabetic and 28 non- diabetics. The site was anterior in 26 and 20, inferior in
38 and 40, inferior+ right ventricular in 20 and 10 and lateral in 6. Mortality was seen in
those in which streptokinase was given in 7 and 3 and streptokinase not given in 15 and 10
in group I and group II respectively (P< 0.05).
Conclusion: With streptokinase administration there was reduction in mortality in diabetic
as well as in non- diabetic. However, diabetics not on streptokinase had higher mortality as
compared to non- diabetics.

Evaluation of Risk Factors for Dry Socket

Archana Kumari, Sonali Roy, Praveen Chandra

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1292-1295

Background:Dry socket (DS), also referred to as alveolar or fibrinolytic osteitis, is a major
complication that follows extraction of tooth/teeth in oral surgery. The present study was
conducted to assess the risk factors for Dry socket.
Materials & Methods: 340 patients requiring extraction of mandibular third molars of both
genders were included. Risk factors such as smoking status, indication of exodontia and
systemic diseases etc. were recorded.
Results: Out of 340 patients, males were 210 and females were 130. Out of 210 males, 20
developed DS and out of 130 females, 24 had DS. The difference was significant (P< 0.05).
Diabetes was seen in 32, smoking in 14, pericoronitis in 22 and systemic disease in 35. The
difference was significant (P< 0.05).
Conclusion: Risk factors for dry socket were systemic disease, diabetes and smoking.

Frequency of Diabetic Nephropathy in Diabetic Children and Adolescents at Children Hospital of Zagazig University

Shimaa Saad Mohammed Emam, Rabab Mohammed El -Behiedy,Aml Saeed Elshal, Mayy Abd-AlFatah Mohammed

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2850-2861

Background:Diabetic kidney disease (DKD) is defined as kidney disease attributed
to diabetes. Diabetic nephropathy (DN) is a common micro vascular complication
of diabetes .DN develops in 15-20% of subjects with T1DM and in similar or higher
percentage of T2DM patients, causing increased morbidity and premature
mortality. American Diabetes Association (ADA) recommends screening for
nephropathy 5 years after diagnosis for type 1 diabetes and at diagnosis for type 2
diabetes.Aim: To estimate the occurrence of diabetic nephropathy in children and
adolescent diagnosed with diabetes Method: A case control study was carried on
one hundred and fifty of children went to pediatrics clinics of zagazig university
hospital. They were classified in to 75 diabetic children who were type 1DM for
more than 4 years and their age less than 18 years old and 75 non diabetic children
of the same gender and age. Both groups under go full history, clinical and
laboratory investigations during the period from December 2018 to November 2019.
Result: frequency of persistent microalbuminuria and hypertension among diabetic
patients were 293 per 1000 and 160 per 1000patient respectively.Conclusion: Type1
diabetic children and adolescent are liable for the occurrence of early diabetic
nephropathy so intensive diabetes therapy is needed, regular screening for MA and
measurement and interpretation of BP and GFR

Assessment Of Cases Of Type I Diabetes And Oral Health Status In Children- A Clinical Study

Garima Dayal; Vipin Aggarwal; Charu Aggarwal; Mandira Gulati; Ejya Mathur; Abhishek Mathur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 1, Pages 1059-1063

Background: Diabetes mellitus (DM) is a chronic systemic metabolic disease characterized by abnormally high blood glucose levels. The present study was conducted to assess cases of type I diabetes mellitus and oral health status in children. Materials & Methods: 82 children age ranged 8-16 years of both genders were selected. Diagnosis of dental caries decayed, missing, and filled surfaces/decayed and filled surfaces was done. Blood samples were collected and HbA1c values measured. Results: There were 14 controlled diabetics and 68 uncontrolled diabetics. The mean dfs score in diabetics was 0.612 and in uncontrolled diabetics was 0.431, mean plaque score was 0.71 and 0.89 in controlled and uncontrolled diabetics and mean gingival score was 0.056 and 0.215 in controlled and uncontrolled diabetics. The difference was non- significant (P> 0.05). Conclusion: No difference in dfs score, plaque score and gingival score in controlled and uncontrolled diabetics was observed.

Determination of cardiovascular autonomic neuropathy in type II DM patients

Amit Varshney; Vidya Sagar Ram; Kanhaiya Prasad

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 3788-3792

Background: The diabetic neuropathy, including the cardiovascular autonomic neuropathy
(CAN), is a common complication of type 1 and 2 diabetes that leads to high mortality and
morbidity. The present study was conducted to determine CAN in type II DM patients.
Materials & Methods: 168 type II DM patients of both genders were recruited. Resting
heart rate, blood pressure, and body mass index (BMI), systolic blood pressure (SBP) ≥140
mmHg or diastolic blood pressure (DBP) ≥90 mmHg, fasting lipid profile (low-density
lipoprotein/LDL, high-density lipoprotein/HDL, triglycerides/TG) and cardiac autonomic
function was evaluated with the CAN system analyzer as early, definite and advanced
CAN.
Results: CAN was seen in 66 patients. The mean age (years) was 45.2 and 44.5, duration of
diabetes (years) was 6.1 and 12.3, SBP (mm Hg) was 130.4 and 134.5, DBP (mm Hg) was
86.2 and 87.6, resting heart rate (beats/min) was 76.3 and 87.4, LDL (mg/dl) was 102.4 and
98.6, HDL (mg/dl) was 40.5 and 38.1 and TG (mg/dl) was 165.2 and 184.6 in CAN- and
CAN+ patients. The difference was non- significant (P> 0.05). Severity of CAN found to be
early in 20%, definitive in 45% and advanced in 35%. The difference was significant (P<
0.05).
Conclusion: Type II diabetes patients had high prevalence of cardiac autonomic
neuropathy.

Evaluation Of Effect Of Diabetes AndSmoking On Prognosis Of Dental Implants- AClinicalStudy

Dr.SumitSShetgar,Dr.SanketIngale,Dr.VinayakShukla,Dr.ShripalOswal,Dr. VikramTodkar5,Dr. Rutuja Todkar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 9179-9183

Background:Theriskfactorsforimplantareduetosurgicalprocedureandpatientcharacteristics.
The present study was conducted to assess effect of diabetes and smokingonprognosis of
dentalimplants.
Materials & Methods: 120 patients who received dental implants in last 2 years
weredivided into 4 groups of 30 each. Group I were smokers and non- diabetic, group II
werediabetic and non- smokers, group III were smokers and diabetics and group IV
werecontrols.Success rate of dental implants wereassessed.
Results: There were 18 males and 12 females in group I, 14 males and 16 females in
groupII, 13 males and 17 females in group III and 15 males and 15 females in group IV.
Therewere 24 successful implants in group I, 23 in group II, 23 in group III and 28 in
group IV.Thedifferencewas significant (P< 0.05).
Conclusion:Successratewashighestamonghealthyascomparedtodiabeticsandsmokers

The Oxidative Effect Of Nlrp3 And Cyp2e1 In Development Of Renal Failure Associated With Hypertension And Diabetes Mellitus Diseases

Alyaa Abdulhadi Salih; Kareem Hamadx Kareem Hamad Ghali2

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 636-644

Renal Failure (RF) is devastating pathology with several causative factors, resulting in dialysis or kidney transplantation needed by end-stage renal disease (ESRD. The progression of RF is closely related to systemic oxidative stress, which causes various complications such as hypertension and diabetic mellitus . The current study was focusing on the oxidative effects of NLRP3 and CYP2E1 gene expression in the pathological development of renal failure disease with hypertension and diabetic mellitus as complications associated diseases. This study involved 100 patients diagnosed clinically and seriologicaly with renal failure 52 males and 48 females, their age from 17 to 80 years . Also the study comprise (18 males and 12 females) healthy volunteers as control group. RNA extracted from blood samples and converted to cDNA which subjected to real-time PCR for detection gene expression . The results detected that Hypertension and diabetic mellitus are the important risk factors that causes and advances renal failure disease . NLRP3 and CYP2E1 have significantly overexpression (1.60 folds and 5.37 folds ) respectively in RF patients compared with healthy group ( p <0.05). However, the expression of NLRP3 and CYP2E1 increase in diabetic mellitus (2.16 and 1.58 ) respectively than hypertension in RF patients with and control group (p<0.05). Diabetic mellitus generate free radical consequently causes ROS, hence elevated expression in oxidative NLRP3 and CYP2E1 genes in diabetic RF patients .

Pharmacogenomic Advancements For The Management Of Diabetes Mellitus

Paranjeet Kaur; Vishal singh; Amit Mittal; Sanjeev Kumar Sahu

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2607-2616

Pharmacogenomics (PGx), likewise perceived as pharmacogenetics, is a branch about pharmacologyor genomics. It is an ongoing abstention that examination the results about genomic, yet hereditary variety about the assimilation, digestion, working effectiveness, antagonistic responses of pills between the ethnic body, in this way the improvement of advance medications have been incorporated. The PGx thought has been proposed since 1950s, alongside the primary reason for distinguishing significant hereditary forms up to desire to fix ailment between people. As of now PGx is the former decision as a result of coordinating genomic records into clinical practice and offering therapeutic choice help. PGx inquire about indicated amazing accomplishments for different sickness. Among them, Diabetes is a most plentifully influenced by quality inconstancies. Diabetes is infection characterized dependent on hyperglycemia. There are monogenics of diabetes where characterizing the hereditary reason dramatically affects treatment with patients having the option to move from insulin to sulfonylureas. Be that as it may, most of diabetes is type-2 diabetes. Until this point in time, clinically significant pharmacogenomics has to a great extent been restricted to extreme eccentric antagonistic medication responses, to variety in sedate digestion, and to treatment result in malignant growth chemotherapeutics where the physical transformations drive the decision of focused intercession. In this review article, we concentrate on pharmacogenomics in type-2 diabetes and utilize this not exclusively to layout the ongoing advances in the field however to address the difficulties that are confronted while thinking about hereditary qualities of treatment adequacy and symptoms in like manner complex illness status of diabetes.

Advanced Glycation End-Products In Diabetes Complications

Anush N; Bineesh C. P.; Jeena Gupta; Pranav Kumar Prabhakar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2190-2198

Diabetic complications, such as, retinopathy, nephropathy lead to blindness and end stage renal failure respectively, various neuropathies, and ultimately increased mortality. While the exact mechanisms that lie behind the pathological changes associated with diabetes remain obscure, however, it is widely believed that chronic or intermittent hyperglycemia may alter various metabolic pathways at the tissue level, for instance, increased flux through the polyol and the hexosamine pathways as well as a persistent activation of protein kinase C (PKC). Reducing sugars such as glucose and fructose may react non-enzymatically through their carbonyl groups with free amino groups of proteins (commonly the Ɛ amino group of lysine) to form a Schiff base intermediate which then rearranges to a more stable structure known as Amadori product. The Amadori products generated by the aforementioned Maillard reaction may then undergo further reactions, including dehydration, oxidation and rearrangement resulting in the irreversible formation of heterogeneous advanced glycation end products (AGEs)

Evaluation Of Hba1c As A Valid Tool For Risk Assessment In Ischemic Stroke And TIA

Prof. Dr. Pravati Tripathy, Debjani Nayak, Pratibha Khosla; Sahil Kumar; Anshul Bhateja; Ravneet Kaur; Sukhminder Singh; Gurinder Kaur

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 4773-4777

Background: Stroke is the second leading cause of death in the world in the last two decades. The present study was conducted to evaluate HbA1C as a valid tool for risk assessment in ischemic stroke and TIA.
Materials & Methods: 50 patients who were diagnosed with acute ischemic stroke or TIA, were included. Diagnosis of acute ischemic stroke was made on CT/MRI scan. Estimation of HbA1C was done by photometric test using ion exchange resin. Estimation of blood glucose level was done by glucose oxidase method.
Results: Group I was non- diabetic having 10, group II was pre- diabetic having 8 and group III was diabetic having 22 patients. There were 30 (60%) males and 20 (40%) females. In group A there were 6 males and 4 females, group B had 10 males and 8 females while in group C there were 14 males and 8 females. The sex distribution amongst the three groups did not reveal any statistical difference, and hence all the three groups were comparable.
Conclusion: HbA1C is a novel marker for determining the glycaemic status of a person. In cases of acute ischemic stroke and TIA, HbA1C should be used as a screening tool in determining the previous glycaemic status, prevalence of prediabetes and differentiate it from stress hyperglycaemia.

Stem Cell Therapy: A Breakthrough in Diabetes Mellitus

Aathira Viswam; Roshni P R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 1253-1265

Diabetes mellitus regardless of the type, its associated complications and the tendency to inherit the condition due to genetic reasons have affected world wide and is increasing at a rapid pace. Although there are effective ways to manage this condition, none of them stops the progressive decline of the beta cell functioning. The existing treatment modalities only delays the complications. Pancreatic islet transplantation have been promising with patients being insulin independent for initial few years post transplant, but over the period of time they restart their daily insulin injections. Even though stem cell therapy for diabetes is currently being investigated, its recent progress has been assuring one. Stem cell therapy does not face risk like graft rejection requiring immunosuppression or complications associated with the procedure and post transplant unlike the pancreatic islet transplantation, since they can withdrawn from the diabetic patient and injected back, thus eliminating issues like lack of donors. This review shows the potential of hematopoeitic stem cell and mesenchymal stem cell therapy as a good alternative approach in treating diabetes.

Study on Trichomonas vaginalis infection in women with type-2 diabetes mellitus and vaginal discharge in Thi-Qar Government

Huda Kaduim Kareem; Mushreq Mezaal Hamad; Mohammed A. Hasan; Methaq A. Abd alsammed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 4471-4478

There is a wide variation in the prevalence of Trichomonas vaginalis in Iraqi women. There are no data on prevalence in Iraq women with diabetes, a known risk factor for increased genital infection. We wished to ascertain the prevalence of Trichomonas vaginalis infection in diabetic women with vaginal discharge in Thi-Qar, Iraq. A cross-sectional study was performed at one specialized polyclinic between November 2019 and December 2020. One hundred and ten pregnant and non-pregnant diabetic women aged 17-52 years who complain of vaginal discharge were interviewed and high vaginal swabs were taken and tested with wet mount and culture to detect Trichomonas vaginalis, candida and bacteria. Random blood glucose levels and VDRL tests were also done for all patients. Twenty seven out of 110 vaginal swabs (24.5%) were positive for Trichomonas vaginalis. The age of the patient, color and smell of the vaginal discharge significantly concurred with the Trichomonas vaginalis infection status. Highest rate of infection (50%) observed in diabetic women over 40 years of age. Non-pregnant diabetic women had a slightly higher prevalence (27.7%) than pregnant diabetic women (22.2 %). Eighteen of all vaginal discharge (16.4%) were positive for Candida albicans. Bacterial vaginosis was mostly due to Staphylococcus spp (100%). Additionally, 4 patients (3.6%) had a positive VDRL test.
Conclusion: Nearly quarter of women with type 2 diabetes mellitus presenting with vaginal discharge in Thi-Qar had Trichomonas vaginalis infection. This is markedly higher than previously reported rates in the general female population of the city.

Role of Serum Albumin as a Prognostic marker of mortality and duration of hospital stay among Diabetic Ketoacidosis Patients.

Vinay Verma; Shilpa Gaidhane; Anuj Varma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2580-2584

Abstract: Background: Diabetic Ketoacidosis (DKA) is an critical and menacing problem
of Type 1 as well as type 2 diabetes mellitus (T2DM). DKA is associated with high amount
of risk of mortality and morbidity (hospital stay). The prognostic factors of DKA are
important factors affecting the outcome of the patients (as treated or death). S. Albumin is
one of the prognostic factor less studied up till now.
Objectives: To determine Clinical profile of DKA patients: aetiologies, precipitating
factors, biochemical parameters and other complications of T2DM patients and to corelate
serum albumin level with mortality, duration of stay among DKA patients.
Methodology: This cross sectional study will be conducted among 100 diabetic patients
with and without ketoacidosis from May 2019 to May 2021. Biochemical parameters:
glycated Haemoglobin, urine ketones and serum albumin will be gathered to determine the
prognosis. Controls will be adult diabetic patients without ketoacidosis. Data from Cases
and controls will be statistically analysed and then compared accordingly.
Expected Results: It is expected that decreased Sr. albumin will be associated with poor
prognosis in DKA patients. Sr. Albumin might be an indirect prognostic marker of diabetes
control due anabolic effect of Insulin, which affects both ketosis possibility and glucose
levels.

Deep Learning Techniques based Non-invasive detection of fasting Blood Glucose Level measurement using Electrochemical Saliva

D. Arul Kumar; Dr.T. Jayanthy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1598-1607

In Deep learning methods such as automatic encoder, long-term short-term memory (LSTM) and repetitive neural network (RNN), in mixed group of population, fasting blood glucose level (FBGL) was used to detect the BG level. The Indian population is healthy and sick. The appearance of high FBGL from the electrochemical parameters of human saliva, redox potential, pH, concentration of sodium, and calcium ions was evaluated. Samples were taken from 175 randomly particular persons, half of healthy patients and half of those with diabetes. Models were trained with 70% of all data and tested in the remaining set. In every algorithm, the data points were randomly crossed three times before the model was implemented. The effectiveness of machine learning techniques is presented in terms of the four parameters that are statistically significant, the accuracy, the sensitivity, and the F1 score. The proposed analysis shows that the RNN-based deep learning method yields better results. This deep learning technique to measure blood glucose level non-invasively using electrochemical saliva will helps the society to control the diabetes effectively.

Comparative Evaluation Of Glycemic Status, Levels Of Superoxide Dismutase, Catalase, Lipid Peroxidase And Osteocalcin In Gcf In Type-Ii Diabetes Patients With Chronic Periodontitis Under Ayurvedic Treatment.

Dr. Nubesh Khan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3192-3199

Background: Nishamalaki or Nisha Amalaki representing various combination formulations of Turmeric and Indian gooseberry is recommended in Ayurveda, proven efficacious and widely practiced in the management and prevention of complications of Madhumeha (Diabetes).
Aims: To assess the effectiveness of scaling and root planing on the glycemic status and gingival crevicular fluid (GCF) levels of Malondialdehyde, Superoxide Dismutase, Catalase and Osteocalcin in Type II diabetes patients with chronic periodontitis under systemic administration of Nishamalaki, an ayurvedic hypoglycemic formulation.
Material and methods: The study included 90 newly diagnosed Type II diabetic patients in the age group between 30 to 50 years with mild to moderate chronic periodontitis and was randomly divided into 45 patients of two groups each. Group A were Type II diabetic patients with mild to moderate chronic periodontitis taking supplements of Nishamalaki 1 gram twice daily for 3 months and Group B were Type II diabetic patients with mild to moderate chronic periodontitis undergoing scaling and root planing and receiving supplements of Nishamalaki 1 gram twice daily for 3 months.
Results: Independent t-test has been applied to compare the two groups. It has been observed there is no significant difference exists between the two groups. However administration of Nishamalaki and scaling has been all effective in group B parameters.
Conclusion: Nishamalaki showed protective effect and appeared to be useful in reducing the glycemic status, levels of superoxide dismutase, catalase, lipid peroxidase and osteocalcin in GCF in type-2 diabetes patients with chronic periodontitis.

Analyzing Diabetic Data Using Naive-Bayes Classifier

A. Sharmila Agnal; E. Saraswathi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 2687-2699

Approximately 422 million people across the world have diabetes, particularly in countries where the average income is in the middle and lower end of the economic spectrum. Statistics reveal that every year, about 1.6 million deaths are recorded which can be directly attributed to diabetes. The graph suggests that number of cases as well as the prevalence of diabetes have been steadily incrementing over the past few decades. Through this new implementation of the Bayesian Classifier, raw medical data is analyzed and the risk of diabetes diagnosis based on each patient’s medical information can be calculated. The raw data is converted into class labels and the likelihood of a positive potential diabetes case is derived, as a probability (≤1). This can not only be used by healthcare professionals but also by common users, and can be useful in detecting the risk and preventing it in time without taking any medical tests. This classifier uses very basic information that would be known to each patient or can easily be obtained.

An Exploratory Study on Ketogenic Diet and Nutrition

Dr.Magesh V; Dr.Mutharasu C

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5716-5722

In the US, dietary recommendations in >50 y centered on reducing saturated and total fat intakes. During this time, however, obesity and diabetes rates have dramatically increased, with potentially devastating consequences for public and economic health. Ketogenic diets have recently gained extensive media interest and nutrition studies. During this time, however, obesity and diabetes rates have dramatically increased, with potentially devastating consequences for public and economic health. Ketogenic diets have recently gained extensive media interest and nutrition studies. In addition to decreases in blood glucose and insulin, which can be accomplished by reducing carbohydrates, persistent ketosis could convey specific metabolic advantages that are important for cancer, neurodegenerative disorders and other insulin resistance conditions. Based on existing data, a well-formulated ketogenic diet does not seem to have significant public safety issues and should be seen as a key solution to obesity and diabetes. Medical studies of good consistency.

Correlation Of Hba1c With Lipid Profile In Patients Of Ischemic Stroke Or TIA

Sahil Kumar; Sukhminder Singh; Gurinder Kaur; Ravneet Kaur; Anshul Bhateja; Aprajita Sharma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 4778-4785

Background: Stroke is the second leading cause of death in the world in the last two decades. The present study was conducted to evaluate correlation of HbA1C with lipid profile in patients of ischemic stroke or TIA.
Materials & Methods: 50 patients of acute ischemic stroke or TIA, were assessed for glycosylated blood glucose and lipid profile level.
Results: There were 10 patients in age group of <50years, 6 patients in age group of 50-60 years, 16 patients in age group 60-70 years, 11 patient in age group of 70-80 years and 7 patients in age group >80 years. The mean FBS (mg/dl) in group I was 96.6, in group II was 116 and in (%) group III was 163, RBS (mg/dl) was 132.1, 157 and 205.6 in group I, II and III respectively, HbA1C (%) was 5.3, 6.15 and 8.43, mean cholesterol level (mg/dl) was 148.6, 151.1 and 220.5, LDL (mg/dl) was 91.6, 97.5 and 154.21, HDL (mg/dl) was 41, 39.8 and 37.6, TG (mg/dl) was 106.9, 192.2 and 175.5 in group I, II and III respectively. The difference was significant (P< 0.05).
Conclusion: HbA1C can be helpful in the management and outcome of patients of ischemic stroke and TIA.

Therapeutic Effect of Luteolin in Diabetic Wounds: Minireview

Amnah Asiri

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 692-698

Diabetic wounds are a popular health problem affecting 15% of diabetic individuals. Traditional treatment depends on understanding the relationship between diabetes and wound healing mechanisms. Recent studies tend to use natural products that possess active components for treatments. Luteolin is the most common flavonoids found in many medicinal plants. The study has also highlighted the recent advances in the therapeutic effect of luteolin, particularly, on diabetic wounds healing. Luteolin has demonstrated its anti-inflammatory effect through its impact on fibroblast cell proliferation and migration. Further studies are highly recommended to focus on luteolin as an anti-inflammatory agent in human diabetic wounds healing.

Diabetes Data Prediction in healthcare Using Hadoop over Big Data

Gajanand Sharma; Ashutosh Kumar; Himanshu Sharma; Ashok Kumar Saini; Priyanka .; S.R. Dogiwal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1423-1432

Diabetes mellitus is one of the major non-communicable diseases which have great impact on human life today. A huge amount of data is generated including a wide variety of the Electronic Medical Record (EMR), pharmacy reports, and laboratory reports, among other data related to patients. Big data analytics can be applied to this data to generate useful patterns and relation between different factors which affects diabetes. The results obtained from this analysis shows relation between different attributes which can be used to improve healthcare system. In this paper the analysis of the diabetes dataset is done using Hadoop framework, which is a distributive framework and can be used to analysis large amount of data. The dataset is taken from PIMA Indian Database, which includes different factors that affect diabetes like age, blood pressure, BMI (Body-Mass Index), skin thickness etc. Results produced by the analysis of data are projects on Power BI.

PREVALENCE AND IMPACT OF STRESS AND DEPRESSION IN ADULTS WITH DIABETES - A SURVEY

Preety Rajesh; Karthik Ganesh Mohanraj; Manjari Chaudhary

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 799-809

Depression occurrence is found to be three times higher in people with diabetes mellitus. Sometimes the majority of the cases with depression are under diagnosed. According to the International diabetes federation, diabetes is the largest global health emergency of the 21st century. A questionnaire was created with a set of ten questions related to diabetic patients and depression. 100 random participants of the age 25- 50 years took the survey and a random sampling method was done. More than half the participants are well aware that depression is common in adults with diabetes (57.5%). 71.3% think that diabetic patients are more anxious than a normal person, 54.5% are aware that using antidepressants in diabetic adults can be risky, 51% think that diabetes can be under diagnosed during treatment and 70% are aware that glucose metabolism will be altered if the doabetic patient is under depression or stress. Awareness about diabetic patients who could possibly be dealing with stress and depression was created.

Analysis Of The Assessment Of The Attitude To The State Of Its Health Among The Inorgonized Population

Jo‘rayeva Hafiza Iskandarovna; Soliyev Alisher Urakovich; Djumayev Karomat Shoyimovich; Khusenov Olim Nutfilloyevich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 3346-3352

Analysis of the assessment of attitudes towards their health among the unorganized population. With the important role of timely and adequate detection of various diseases and pathological conditions by doctors of the health facility, the adequacy of assessing patients health is of particular importance. An adequate assessment of the patient's own health is an important help in the timely referral to the doctor and the conduct of the preventive measures. In this regard, the frequency of the main components of the metabolic syndrome among people who differ in assessing their health was analyzed.
Among the unorganized population of Bukhara there is an inadequate assessment of the state of health among patients with arterial hypertension, with body mass index and obesity and a violation of carbohydrate metabolism.

SALIVA IN DIABETES-A REVIEW

Danisca Uthayasankar; Gifrina Jayaraj; Gayathri R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1395-1403

Saliva is a unique fluid which plays an important role in maintaining the normal oral health of an individual. Diabetes is the major factor that leads to the changes in the salivary pH, salivary flow and dental caries. 32 articles were collected from the pubmed website and were included as citations in our present review. Salivary glucose and blood glucose level are directly proportional to each other. Normal level of salivary glucose is 0.5-1.00 mg/ml. Salivary hypofunction in diabetic individuals is observed. Diabetes leads to the reduction of salivary pPH and salivary flow. It also helps in multiplication of harmful microorganisms in the oral cavity.

PREVALENCE OF DENTURE STOMATITIS AMONG DENTURE WEARERS IN PATIENTS REPORTED TO A PRIVATE DENTAL HOSPITAL.

Sharon keziah.V Sharon keziah.V1; Dr. Deepika Rajendran; Dr. R. Pradeep Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1237-1246

Denture Stomatitis( DS) is one of the common denture related complications in patients wearing dentures after years of denture use. There have been various studies on its prevalence despite the fact that its exact etiology is still unknown. Removable dentures have served as an important prosthesis in dentistry, whereby it helps in regaining the phonetics and masticatory functions as well as esthetics in edentulous patients. The aim of this study was to determine the prevalence and risk factors that can cause denture stomatitis in denture wearers. This study was designed as a retrospective clinical study. All the patients with removable dentures (Complete dentures , Removable Partial dentures , Cast partial denture ) were taken into account and the data was retrieved. The data was analysed and results were recorded.Out of the 1415 subjects wearing dentures (complete or partial ) , 80 were found to have denture stomatitis in which 57.4% were women and 42.6% were men. The majority of the DS patients were in the age group range of 51-80 years. Temporary partial dentures (50%) were the most prevalent type of prosthesis in patients with denture stomatitis. When the medical history was reviewed most of the patients did not have any underlying systemic diseases(61.1%) did not have any medical condition, (18.5%) were diabetic, (11.1 %) were hypertensive. When all the diabetic patients(2577) were evaluated , 9.32% had denture stomatitis .In the study, it was observed that denture stomatitis was prevalent in elderly patients with slight female predilection. Diabetes was the most prevalent systemic illness associated with denture stomatitis

A Study of skin manifestations in type 2 diabetes mellitus

Dr. Laxminarayana Bhat

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 589-592

Background: It is estimated that 30% of patients with diabetes mellitus will experience a skin problem at some stage throughout the course of their disease. Several skin disorders are more common in diabetic patients, particularly those due to infection such as candida and impetigo. Patients with type 2 diabetes also have twice the risk of developing the common scaly disease, psoriasis, as non-diabetics. This study is a sincere effort to study the skin lesions in Diabetes Mellitus.
Aims and Objectives: To study the skin lesions in Diabetes Mellitus.
Methods: Three hundred seventy seven patients were included for the study.
Results: A surprising 54.64 percent of the patients complained of some skin manifestations and the fungal infections were seen in majority of the cases.
Conclusion: Skin lesions in diabetics are fairly common and utmost care has to be taken to immediately identify and treat accordingly.