RESUMO
Background: Diabetes mellitus [DM] is a common and a high burden health issue. It can lead to various organ damages due to wide range of pathophysiological mechanisms. Good glycemic control is the best choice and self-monitoring of blood glucose [SMBG] seems an important step
Objective: To determine the frequency of patients doing self monitoring of blood glucose [SMBG] in cases with type II diabetes mellitus
Methodology: This cross sectional study was conducted from 1[st] June to 31[st] December 2016. There were total 100 cases of type II DM enrolled in this study. The SMBG was labeled on basis of documentation of fasting and postprandial blood glucose values with date and time of blood glucose testing and any action taken if needed [e.g. increase in dose of oral hypoglycemic agents, change in oral hypoglycemic agents], after seeing the blood glucose values, for at least once per day over the last 6 weeks. The data was entered and analyzed by using SPSS version 20
Results: In this study there were total 100 cases out of which 55 [55%] were females and 45 [45%] males. The mean age of study subjects and duration of type II DM were 45.31+/-7.13 year and 6.14+/-3 years respectively. The SMBG was done by 68 [68%] of cases. In this study, 29 [64.44%] out of 45 and 39 [70.91%] out of 55 females did SMBG with p= 0.74. There was significant association in terms of both residential status and education level with SMBG with p values of 0.01 and 0.001 respectively
Conclusion: Self monitoring of blood glucose was carried out in almost every 2/3[rd] of patients with type II diabetes mellitus and it is significantly higher in cases from that are urban area and having education level more than graduation
RESUMO
Background: Hepatitis C virus [HCV] infection is one of the leading causes of morbidity and mortality in the developing world and metabolic syndrome can further worsen the condition
Objective: To determine the frequency of metabolic syndrome in cases with hepatitis C virus infection
Methodology: A total of 90 patients diagnosed as cases of HCV infection either by PCR or ELISA were selected in this cross sectional study, from 1[st] July to 31[st] December 2016. Detailed sociodemographic data like age, gender, weight, height, BMI and clinical data like duration of HCV, and other data like waist circumference, lipid profile [fasting], blood sugar, blood pressure were also recorded. Metabolic syndrome was labelled as yes according to National Cholesterol Education Program Adult Treatment Panel III criteria for Asian-Americans. The data was analyzed by using SPSS version 21
Results: In this study there were 90 cases out of which were 60 [66.67%] were males and 30 [33.33%] females. The mean age was 41.23 +/- 7.16 years and mean duration of HCV was 7.41 +/- 3.24 years. Metabolic syndrome was seen in 16 [17.78%] of the cases. It was seen in 11 [18.33%] out of 60 males and 5 [16.67%] out of 30 females with p value of 1.12. On stratification of age groups, it was seen in 10 [19.23%] out of 42 cases in age group of 15 to 39 years [p= 0.89]. The results were significantly associated with metabolic syndrome and HCV where was maximum cases were seen in cases that had the duration of HCV more than 3 year where its was seen in 12 [27.27%] out of 32 cases with p value of 0.01
Conclusion: The prevalence of metabolic syndrome in cases with HCV infection is not uncommon and the duration of HCV infection more than 3 years is significantly associated with metabolic syndrome