Category: Diabetes/Prediabetes/Hypoglycemia

Monitor: 27

27 - HIGH PREVALENCE OF MICRO AND MACRO VASCULAR COMPLICATIONS IN YOUNG PATIENTS WITH DIABETES MELLITUS IN NORTH WEST INDIA

Thursday, Apr 25
11:00 AM – 11:30 AM

Objective : To assess clinical profiles of young patients with diabetes mellitus in North West India and inclusive pattern of micro and macro vascular complications


Methods : Five thousand five hundred and thirty seven patients with diabetes mellitus were evaluated at tertiary care centre, in north west India. The  microvascular and macrovascular complications were assessed using standard definitions. Descriptive statistics are reported


Results :

Risk factors in the study cohort were dyslipidemia (81%), overweight and obesity (79%) and Hypertension (63%)  Most of the patients had relatively poor glycemic control (HbA1c 8.4%) and presented with multiple complications (78% of patients had one or more complication). Common diabetic complications observed are coronary artery disease (9%) retinopathy (10%), nephropathy (4%) and neuropathy (3%). 
Common complications in the patients of <35 years of age (n=280) were coronary artery disease(CAD) (5%) and retinopathy (13%), while in the age group of 35-60 years (n=3192) common complications were  CAD (5%), retinopathy (6%) and nephropathy (3%). However common complications in the patients of >60 years (n=2065) the complications found were CAD (16%) and retinopathy (17%), nephropthy (7%) and neuropathy (3%).


Discussion : Patients with diabetes mellitus in the India frequently present with comorbidities and complications very early as compared to their counterparts in the west. This may be due poor glycemic control, limited resource setting in a developing country or clinical inertia of the treating primary care physicians.


Conclusion :

Our study shows high prevalence of comorbidities and complications in young patients with diabetes mellitus. Most frequent complications noted in young patients were retinopathy. This emphasizes the need for early screening and prevention program.

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.Arvind Gupta

Director and consultant Physician
Jaipur Diabetes Research Centre
Jaipur, Rajasthan, India

Practicing Diabetologist at Jaipur

Arvind Sharma

Assistant Professor
Rajasthan University of Health Sciences, Jaipur, India
Jaipur, Rajasthan, India

MD in community medicine from All India Institute of Medical Sciences, NewDelhi and at present working as Assistant Professor in community medicine in RUHS, Jaipur , Rajasthan India

Rajeev Gupta

Chairman, Preventive Cardiology and Internal Medicine
Eternal Heart Care Centre and Research Institute, Jaipur, Rajasthan, India
Jaipur, Rajasthan, India

MD from Post graguate Institute of Medical Scince, Chandigarh and PhD from University of Rajasthan, Jaipur.He has published more than 600 articles in peer reviewed international journals and active in the epidemiological research in hypertesion, diabetes and lipids.

.Arvind Gupta

Director and consultant Physician
Jaipur Diabetes Research Centre
Jaipur, Rajasthan, India

Practicing Diabetologist at Jaipur