Complications and Cardiovascular Risk Factors among Newly-Diagnosed Type 2 Diabetics in Manila
Philippine Journals Online
View Archive Info| Field | Value | |
| Title |
Complications and Cardiovascular Risk Factors among Newly-Diagnosed Type 2 Diabetics in Manila
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| Creator |
Mia C Fojas; Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines-Philippine General Hospital
Frances Lina Lantion-Ang; Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines-Philippine General Hospital Cecilia A Jimeno; Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines-Philippine General Hospital Darby Santiago; Sentro Oftalmologico Jose Rizal, University of the Philippines- Philippine General Hospital Milagros Arroyo; Sentro Oftalmologico Jose Rizal, University of the Philippines- Philippine General Hospital Aurora Laurel; College of Medicine, University of the Philippines-Philippine General Hospital Huestein Sy; Department of Medicine, University of the Philippines- Philippine General Hospital Jason See; Department of Medicine, University of the Philippines- Philippine General Hospital |
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| Subject |
Endocrinology
Diabetes mellitus; Complications; Neuropathy; Hypertension; Insulin resistant |
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| Description |
Objective: To determine the prevalence of complications and cardiovascular risk factors among newly-diagnosed type 2 diabetic patients in Manila. Research Design and Methods: This was a crosssectional survey of type 2 diabetic patients, diagnosed within 3 months or less from time of screening. Each patient was interviewed and screened for angina, hypertension, peripheral vascular disease, and peripheral neuropathy using questionnaires, electrocardiographic studies, ankle-brachial index and 10 g monofilament testing. Physical and dilated funduscopic examinations were also done. Laboratory tests included glycosylated hemoglobin, lipid profile and urine microalbumin. Data analysis was done using means and standard deviations. Results: A total of 172 patients were screened. At the time of the study, 20% (n=34) already had peripheral neuropathy. Proteinuria was seen in 42% (n=72), while 12% (n=20) of patients had diabetic retinopathy. The ankle-brachial index was abnormal in 76% of patients. Electrocardiographic findings showed that 2% already had myocardial infarcts, 3% had ischemic changes, 6% had left ventricular hypertrophy. Mean body mass index was 25.42 kg/m2 and the mean waist circumference at 86.87cm. The prevalence of hypertension was 42% with the mean blood pressure at 144/88. Mean total cholesterol was 231.12 mg/dL. Mean LDL was 149.27 mg/dL. Mean Triglyceride was 139.37 mg/dL. Mean HDL was 54.47 mg/dL. Conclusion: Screening of newly-diagnosed diabetic patients in Manila demonstrated a high prevalence of diabetic complications and cardiovascular risk factors. Because of the high social and economic cost of caring for these patients, it is recommended that a screening program to detect diabetes and even pre-diabetes must be instituted. Keywords: Diabetes mellitus; Complications; Neuropathy; Hypertension; Insulin resistant DOI: 10.3860/pjim.v47i3.1651 Phil. J. Internal Medicine, 47: 99-105, May-June, 2009
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| Publisher |
The Philippine College of Physicians
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| Date |
2010-07-23
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| Type |
Peer-Reviewed Article
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| Format |
application/pdf
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| Identifier |
http://www.philjol.info/index.php/PJIM/article/view/1651
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| Source |
Philippine Journal of Internal Medicine; Vol 47, No 3 (2009); 99-105
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| Language |
en
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| Coverage |
Philippines
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