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1.
Pakistan Journal of Medical Sciences. 2017; 33 (3): 747-751
in English | IMEMR | ID: emr-188063

ABSTRACT

Objective: To evaluate the impact and effectiveness of 24-hour helpline service in providing information and educating patients about self-management of diabetes


Method: The study was conducted at Baqai Institute of Diabetology and Endocrinology [BIDE], a tertiary diabetes care center, Karachi, Pakistan. People with diabetes attending the outpatient department from November 2012 to October 2014 were included in this study. After providing diabetes education, a helpline number was provided for emergency situations. Calls of registered patients were received by diabetes educators stationed at the BIDE around the clock. Data was collected through specially designed interface of HMS [health management system] in which the current complaint of caller and the advice of educator was recorded


Result: A total of 4842 calls were received. Out of those, 4268 [88%] were made by Type-2 diabetics and 526 calls [10%] were made by Type-1 diabetics. The average age of patients was 47.6 years. Three seventy four calls [7.7%] were received with complaint of Hypoglycemia [72-80mg/dl]. Six hundred and ninety eight calls [14.4%] were received with complaint of hyperglycemia [>200mg/dl]. Insulin dose was adjusted on 935 calls [19.3%]. Calls regarding other special situations such as [insulin handling, technique, medicine information] 2014 [41.6%] were received


Conclusion: Station based 24-hour telephonic helpline service is an effective tool for providing continuous support to people with diabetes and their families, for the self-management of diabetes. It can help in the management of various acute complication of diabetes, thereby preventing unnecessary hospital visits and admission

2.
Pakistan Journal of Medical Sciences. 2010; 26 (4): 791-794
in English | IMEMR | ID: emr-145198

ABSTRACT

To assess frequency of insulin resistance [IR] in patients, presenting with polycystic ovarian syndrome using simple indices of insulin resistance and to determine the association of clinical manifestations of PCOS with insulin resistance indices. This cross sectional study was carried out at Baqai Institute of Diabetology and Endocrinology [BIDE]. One hundred patients fulfilling the revised 2003 Rotterdam diagnostic criteria for PCOS were included. Descriptive statistics were calculated using frequency and mean with standard deviation. Insulin resistance [IR] was calculated using fasting insulin levels [> 10 IU/ml], fasting glucose: insulin ratio [> 4.5]. Different surrogate marker of IR like HOMA-IR [> 2.6], QUICKI [< 0.357] and McAuley [< 5.8] were calculated. The value for HOMA-IR, QUICKI and McAuley in patients of PCOS were 65%, 88% and 51.2% respectively. Patients having fasting insulin level [> 10 iu/ml] were 75.32%. Menstrual irregularities were the commonest presentation followed by obesity, hirsutism and infertility. There was a strong association of BMI with various menstrual irregularities, hyperinsulinemia and insulin resistance. A significant high rate of hyperinsulinemia and insulin resistance has been observed in our patients of polycystic ovarian syndrome. Majority of clinical manifestation are found to be associated with insulin resistance indices


Subject(s)
Humans , Female , Adolescent , Adult , Polycystic Ovary Syndrome , Cross-Sectional Studies
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