Clinical Status of Patients with Type 2 Diabetes Patients at the Time of the Diagnosis

Abstract

Background: Since patients with type 2diabetes are frequently misdiagnosed, provided inappropriate management, or poorly controlled, it is important to comprehend the wide range of clinical signs and symptoms associated with diabetes. Therefore, this study evaluated the overall clinical manifestations of patients with type 2 diabetes patients at the time of the diagnosis. Methods: This cross-sectional analytical study, conducted from January 2019 to December 2019, was a collaborative effort between the Department of Physiology at Rajshahi Medical College and Diabetic Association Hospital in Rajshahi. The primary aim was to investigate diabetes mellitus (DM) among patients presenting clinical symptoms suggestive of DM at the hospital's outpatient department (OPD). Following initial assessment, patients underwent an oral glucose tolerance test (OGTT) for definitive diagnosis. Once DM was confirmed, subjects were meticulously screened based on specific inclusion and exclusion criteria. Study group A comprised 80 diabetic subjects, while study group B included an equal number of age- and sex-matched non-diabetic subjects, drawn from hospital staff, patients' relatives, and volunteers, resulting in 80 participants in each group. Results: The study findings showed that overall mean age of the respondents were 52.61±7.70 years and majority were female. In DM2 group among all, a little higher of 4/5th (85%) of the respondents were non smoker and 4/5th (80%) were non tobacco user. Among the respondents only 4 of them were alcoholic. In DM group, the mean SBP was 128.88 mm HG with SD of 10.93 and the mean DBP was 78.25 with SD of 10.70. Plus, according to the measured systolic blood pressure 39 of the respondents belonged to normal, 95 showed prehypertensive and 26 showed hypertensive systolic blood pressure were found DM2 group. Besides that, high level of serum creatinine and serum uric level are seen in DM2 group comparing healthy group. Conclusion: This study ...........