Clinic follow-up compliance of persons with type1 diabetes in tertiary care hospital

Objective: The objective of the study was to assess the compliance with clinic follow up in people with type I diabetes mellitus and its relation with their glycemic control

Methods: Total of 97 subjects with type 1 Diabetes Mellitus were included in this cross sectional study. In addition to the scheduled follow up, the patients were telephonically called by the clinic reception to make an additional appointment. We compared the glycemic control amongst the clinic follow up compliant and non-compliant group. To data was analyzed on SPSS 18.0 version

Results: Out of 97 subjects, 48 [49.5%] were male and 49 [50.5%] were female. The mean age of subjects was 17.03 +/- 6.54 years. Mean duration of diabetes was 4.61 +/- 5.2 years. Mean hemoglobin A1C [HbA1c] was 10.59 +/- 3.09%. There was a significant difference in glycemic control of subjects who were compliant towards clinic follow up as compared to those who were non-compliant. The turn up of people with type 1 Diabetes Mellitus who were asked for an additional appointment, was only 15%

Conclusion: It was concluded that there was a strong relation between compliance towards follow up visit and the glycemic control. It was also observed that majority of the subjects with type 1 Diabetes Mellitus responded to the phone calls however did not turn up

Nutritional status of patients admitted in a general surgical ward at a tertiary hospital of Punjab

Nutritional assessment, as a method to identify malnourishment, has long been documented as an essential component of patient management which predicts adverse outcomes. The objective of the study was to find out the frequency of malnutrition and its association with the frequency of complications and deaths postoperatively. This study included all patients who were operated upon in a general surgical unit of Mayo Hospital, Lahore from June to August, 2013. Evaluation of 280 patients showed that 112 [40%] of the patients were malnourished, 90 [32%] were at risk of being malnourished and remaining 78 [28%] of the patients had normal nutritional status, according to the Subjective Global Assessment. Thirteen percent [13%] malnourished and 2 [3%] of the normally nourished patients died within 30 days of operation [p=0.001]. Incidence of complications in malnourished patients was 23 [20.53%] as compared to normally nourished patients [5.12%, p=0.006]. Malnutrition is very common in patients admitted to surgery wards of our hospitals. It adversely effects the outcome of surgical operations by increasing complications and mortality