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Chronic complications in newly diagnosed patients with type 2 diabetes mellitus in rural area of western Uttar Pradesh, India

Manoj Kumar, Ramakant Rawat, Vijay Kumar Verma, Khwaja Saifullah Zafar, Granth Kumar.

Background: Diabetes is a serious public health problem that threatens the quality of life. Studies have shown that its prevalence is rapidly increasing. In India many studies have been done on diabetes and its complications but most of the studies have been done in urban area. There is limited data on diabetes from rural area. Our study is an attempt to provide data on diabetes in rural area that will guide health care professionals in managing the disease appropriately. The aim of the study was to determine the prevalence of chronic complications in newly diagnosed type 2 diabetes mellitus (T2DM) patients from rural area of western Uttar Pradesh, India.
Methods: The study was conducted on 306 newly diagnosed type 2 diabetes mellitus patients. Each patient was screened for diabetic complications, hypertension, dyslipidemia, and body mass index. Standard protocols were used to make the diagnosis of retinopathy, neuropathy and nephropathy.
Results: There were 174 males and 132 females. Majority were less than 60 years of age. 20.26% of patients had neuropathy 15.36%, retinopathy and 5.56%, nephropathy. Risk factors of macro-vascular complication such as hypertension, obesity, and dyslipidemia were observed in 38.9, 55.9%, and 54.6% of patients respectively. Coronary artery disease was noticed in 9.15%.
Conclusions: Present study shows that high prevalence of micro vascular complications was present at diagnosis along with cardiovascular risk factors among T2DM patient from rural area of western Uttar Pradesh, India.

Key words: Retinopathy, Neuropathy, Nephropathy, Microvascular, Dyslipidemia

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