Kolamkar Yogesh, Lakhani Krishna, Panjwani Madhu, Hadiyel Ila
Abstract: Diabetes mellitus (DM) have various associated metabolic morbidities sharing phenotype of hyperglycemia. Complication that occurs as result of diabetes affects many organ systems and responsible for majority of morbidity and mortality. Furthermore, problem get worsened as the diagnosis of diabetes is often delayed from months to years due to lack of symptoms, lack of awareness and the fear of unknown in spite of awareness. Research aims to study the clinical profile of diabetic patients with its chronic complications, hence study was conducted at Sir T. Hospital, Government Medical College, Bhavnagar over a period of 8 months where 300 patients was screened for diabetic complications, hypertension, dyslipidemia, and body mass index. Standard protocols were used to make the diagnosis of retinopathy, neuropathy and nephropathy. Out of 300 newly detected diabetics, 180 men and 120 women patients were studied. Research revealed that 65 % of the patients presented with peripheral and autonomic neuropathy, 26 % of the patients presented with retinopathy, 32 % of the patients had nephropathy. 49 % had Hyperlipidemia (hypercholesterolemia 29 %, hypertryglyceridemia - 49 %, decreased HDL- 11 % and increased LDL-35 %). As duration of diabetes increases, there is increase in the risk of chronic complications and severity of disease.. This study enumerates the various clinical presentations of chronic complications in which some complications are reversible so early detection and proper treatment can avoid worst outcome (chronic complications) of the disease by early intervention.
Keywords: Retinopathy, Neuropathy, Nephropathy