Prevalence of Hypertension and Impaired Renal Function in Diabetic Patients Attending Ahmadu Bello University Teaching Hospital (Abuth), Shika, Zaria, Kaduna State, Nigeria

2013 ◽  
Vol 13 (5) ◽  
pp. 346-352
Author(s):  
M.A. Abdulazeez ◽  
A.I. Busari ◽  
S. Yakubu ◽  
K.M. Anigo ◽  
H.O. Idris ◽  
...  
2012 ◽  
Vol 2 (3) ◽  
pp. 34
Author(s):  
Venkatramana Manda ◽  
Jayadevan Sreedharan ◽  
Jayakumary Muttappallymyalil ◽  
Rajdeep Das ◽  
Emi Hisamatsu

Life Sciences ◽  
2014 ◽  
Vol 118 (2) ◽  
pp. 440-445 ◽  
Author(s):  
Fabian Heunisch ◽  
Gina von Einem ◽  
Markus Alter ◽  
Andreas Weist ◽  
Thomas Dschietzig ◽  
...  

2018 ◽  
Vol 65 (3) ◽  
pp. 281-290 ◽  
Author(s):  
Yongmei Li ◽  
Xing Fan ◽  
Chunjun Li ◽  
Xinyue Zhi ◽  
Liyuan Peng ◽  
...  

Introduction: The prevalence of diabetes mellitus has risen exponentially over the last three decades, with resultant increase in morbidity and mortality mainly due to its complications. The study aimed to assess the knowledge about the complications of diabetes in diabetic patients. Methods: A cross-sectional observational study was conducted among 100 diabetic patients who attended general health check-up clinic of Tribhuvan University Teaching Hospital. Results: Majority of the female patients (78.8%) had the knowledge of diabetes mellitus. Among them, over half had knowledge that diabetes can cause the problem of cardiovascular, kidney failure and retinopathy .Similarly, four-fifths (80%) of the patients above 40 years of age and majority (92.3%) of the patients with more than 5 years duration of diabetes had knowledge about diabetic complications. Conclusion: Female diabetic patients had slightly more knowledge of complication of diabetes in comparison to their male counterparts. The knowledge of diabetic complication was generally high among the patients above 40 years of age and the patients with more than 5 years duration of diabetes. Even then, sex and age was not associated with the knowledge of the need for annual eye checkup and specific diabetic complications such as, kidney and cardiovascular problem, hypoglycemia, neuropathy, foot problem, retinopathy, diabetic ketoacidosis and stroke. However, duration of patient’s diabetics was associated with their knowledge regarding cardiovascular problem, eye check-up annual and retinopathy but was not associated with kidney problem, hypoglycemia, neuropathy, foot problem, diabetic ketoacidosis and stroke. In order to make patient along with their family knowledgeable about the diabetes and its complications, there is need to incorporate diabetes counseling and education activities in General Health Check Up Clinic.


VASA ◽  
2001 ◽  
Vol 30 (Supplement 58) ◽  
pp. 40-43 ◽  
Author(s):  
Woelfle ◽  
Bruijnen ◽  
Loeprecht

Background: The underlying cause for severe ischaemic foot lesions in diabetics is not infrequently a specific occlusion pattern exclusively involving infrapopliteal arteries. To attain limb salvage in this setting, since the early eighties short vein grafts originating from infragenicular arteries (distal-origin bypasses) were used to bypass the occluded crural vessels. This presentation describes our 15-year experience with this strategy and, in addition, assesses the outcome in patients suffering from end stage renal disease (ESRD). Patients and methods: Since May 1986, 135 diabetic patients underwent 143 so-called "distal-origin bypasses" in the presence of extended infrapopliteal arterial occlusions and critical foot ischaemia (rest pain 3, tissue loss 140). The mean age in this group was 70,1 years. 43 patients had impaired renal function including 16 cases with ESRD. Results: The 30 day mortality in our series was 2.1%. During the follow-up a total of 82 patients died, mainly from cardiovascular causes. Using life-table analysis, primary and secondary patency rates for these bypasses with distal graft origination were 90% and 97% at 30 days, 76% and 83% at 1 year and 46% and 51% at 7 years, respectively. The corresponding limb salvage rates for the whole group amounted to 94%, 80% and 64%. Comparing patients having normal or slightly impaired renal function with those diagnosed of ESRD, a significantly different result with higher limb salvage rates in favour of the first patient subgroup was noted after 5 years (77% vs. 39%; p = 0.0023). Conclusion: In our series, the importance of short vein grafts to avoid limb loss in diabetic patients with infrapopliteal artery occlusions and critical foot ischaemia has been well established. Despite poorer limb salvage rates achieved in ESRD-patients, our results suggest, that even these high risk patients should not be denied arterial reconstruction.


2012 ◽  
Vol 2 (3) ◽  
pp. 34-38 ◽  
Author(s):  
Venkatramana Manda ◽  
Jayadevan Sreedharan ◽  
Jayakumary Muttappallymyalil ◽  
Rajdeep Das ◽  
Emi Hisamatsu

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