[Self care behaviors of diabetic patients in Qom]

Diabetes is the most common metabolic disorder and is a major public health problem in the world. Patient participation in treatment of disease is one of the most effective factors in the control of disease. The present study aimed to determine Self Care Behaviors of Diabetic Patients. In this descriptive cross-sectional study, 250 patients who referred to the diabetes association of Qom in the age range of 17-75 years after at least one year from their diabetes diagnosis were selected using a simple sampling method. Data was collected by means of SDSCA [summary of diabetes self care activities] questionnaire as in-person interview. The questionnaire consists of two parts of demographic characteristics and self care behaviors questions. Data analysis performed using t-test and Pearson correlation test, p<0.05 was considered as statistically significant. Among studied patients, 96.4% had type 2 diabetes. The mean score of self-care behavior in patients with diabetes was 46.53 +/- 10.61. There was a significant relationship between fasting blood glucose and self care [p=0.008], physical activity and fasting blood glucose [p=0.001] level of education and self care [p=0.02]. Considering the result of this study, diabetes is one of the most important and complicated diseases that annually imposes heavy costs on patients. Therefore, necessary planning should be performed to continue education about self-care behavior of diabetes, its complications and ways of coping

[ case report of successful treatment of hellp syndrome and thrombotic thrombocytopenic purpura by plasmapheresis]

HELLP syndrome was described in 1982 by Weinstein as a triad of hemolysis, elevated liver enzymes and thrombocytopenia. This syndrome develops antepartum in 70% and postpartum in 30% of cases. HELLP syndrome occurs in 0.5 to 0.9% of all pregnancies and is accompanied by disseminated intravascular coagulation [DIC] in 38% of patients. Maternal mortality rate is reported to be 1.1%. Although thrombotic thrombocytopenic purpura [TTP] is rare, it is one of the most important differential diagnoses for HELLP syndrome, which may be lethal without appropriate treatment. Plasmapheresis is one of the recommended treatments in complicated and/or resistant to treatment cases. In this article we introduce a 22 years old primiparous woman with a term pregnancy that developed HELLP syndrome and DIC after delivery. Due to the lack of improvement, an accompany of TTP was diagnosed. So, she underwent plasmapheresis treatment and was discharged with full recovery after 22 sessions of treatments

[ case report of rare tracheal mucormycosis in a diabetic patient]

Mucormycosis is a systemic killer fungal disease in diabetes resulting in immune deficiency and malignancies that can lead to death if left untreated. Its treatment includes eliminating background diseases, performing surgery, and using anti- fungal drugs such as Amphotripcin B. The aim of this study was to report a Tracheal Mucormycosis which was treated with surgery and anti- fungal drug. The patient was a diabetic woman that had referred to the hospital complaining of dyspnea, nausea and vomiting. She had been suffering from fever, dyspnea, and vomiting for two weeks. She went to a public care center and was treated with Ceftriacxon, Dexamethasone and Diphenhydramin. Despite this treatment, her problem worsened, so she referred to the hospital again. On admission, she was suffering from fever, respiratory distress, tachycardia and tachypenea. Epiglottis was edematous and Erythematous. Diabetic ketoacidosis was diagnosed based on her laboratory tests. Because of worsening of the respiratory distress, tracheostomy was performed. Diagnostic Bronchoscopy and biopsy were on done on the patient on the second day of her admission and Mucormycosis was reported by the pathologist