RESUMO
Determine frequency of hypertension in type 2 diabetics. Determine pattern of hypertension in type 2 diabetics. Cross sectional survey. The study was conducted in the out patient department of Combined Military Hospital, Lahore. Study was carried out over a period of 01 year from July 2010 to July 2011. Total 700 cases were recruited in this study. Blood pressure of all the patients was recorded in a sitting position with a mercurial sphygmomanometer4-6 hours apart. It was interpreted as prehypertension, stage 1 and stage 2 according to operational definitions. Out of total 700 patients, 490 [70.0%] were hypertensive Pattern of hypertension showed 100 [20.4%] pre-hypertension, 160 [32.6%] stage-l and 230 [47.0%] stage-ll .Majority of the patients i.e. 245 [50.0%] were between 41-50 years and minimum 9 patients [1.8%] were 20-30 years old with mean age of 55.9_3.7 .Out of 700 patients, 350 [50.0%] were male while remaining 350 [50.0%] were females. Married patients were 400 [57.1%] and unmarried 300 [42.9%]. Patients with diabetes mellitus have increased risk of developing hypertension than normal population
RESUMO
A man aged 42 years, presented with 3 years history of paraesthesias in hands and feet and muscle cramps off and on, progressing to severe carpopedal spasm, a couple of times, relieved by intravenous calcium gluconate at the emergency reception of the hospital. On examination, Trousseau's sign and Chvostek's sign were positive. Thyroid gland was not enlarged. Right eye showed mature cataract. Total serum calcium, corrected serum calcium, serum phosphate, ionized serum calcium, serum alkaline phosphatase, serum parathormone [PTH] level were deranged favouring hypoparathyroidism. He was diagnosed to be suffering from isolated primary hypoparathyroidism and put on alfacalcidol and oral calcium carbonate, with which he is asymptomatic now