Diabetes mellitus modifying factors; investigation among the inhabitants of Sargodha city, Pakistan

Diabetes mellitus is wide spread non transmissible disease but its prevalence is increasing everyday so this study was conducted with an aim to investigate the factors that are modifying diabetes mellitus among patients at DHQ [District Head Quarter] Hospital Sargodha. A prospective study was carried out by well-trained pharmacists in DHQ Sargodha, Pakistan to assess the factors modifying diabetes mellitus. Data was collected from 110 patients randomly by using convenience sampling method. A well structured questionnaire was designed to collect information from patients and entire procedure was conducted with the permission of concerned authorities of Hospital management. The factors that are considered in present study are medication, treatment, patient physician interaction and society attitude towards diabetic patients which are helpful in halting the progression of diabetes and prevention of co morbidities. The results of study disclose that 74.5% diabetic patients felt better after treatment whereas 56% diabetic patients were satisfied with the information provided by physician to them but still 70% patients were suffering from co morbidities. The survey indicated that 62.7% patients said that exercise proved to be healthy activity in improving diabetes. However 59% diabetic patients were following a proper diet plan which was helpful in modifying their diabetes. The diabetic patients must be informed about importance of regular follow-up in averting long-standing complications. Patients should be guided about importance of dietary recommendations, exercise and strict metabolic control, that can holdup or avert the series of complications allied with diabetes

Missed intrauterine contraceptive device presenting as urinary bladder stone

Presence of foreign body in urinary bladder is an uncommon condition. It often causes difficulty in diagnosis. A multiparous woman with history of intrauterine contraceptive device [copper T loop] placed two year back presented with urinary frequency, urgency, dysuria and suprapubic pain on frequent occasions. Investigation revealed a urinary bladder calculus encrusted upon displaced copper T loop. Cutaneous cystolithotomy was performed along with tubal ligation. Postoperative recovery was uneventful.