GLYCEMIC STATUS AND SHORT TERM OUTCOME IN PATIENTS WITH DIABETES MELLITUS ADMITTED WITH ACUTE MACROVASCULAR COMPLICATION IN A TERTIARY CARE HOSPITAL IN INDIA

Abstract

Introduction: Diabetes is a global endemic with rapidly increasing prevalence in both developing and developed countries. Over the past two decades the prevalence of diabetes has risen from an estimated 30 million cases in 1985 to 415 million in 2017. Aims & objectives: To study HbA1c and other biochemical & clinical parameters of acute ischemic cerebrovascular accident, acute coronary syndrome and acute limb ischemia in diabetic patients. Specific objectives: · To estimate 72 hrs mortality in hospitalized patient with diabetes mellitus with acute ischemic cerebrovascular accident. · To estimate 72 hrs mortality in hospitalized patient with diabetes mellitus with acute coronary syndrome · To estimate 72 hrs mortality in hospitalized patient with diabetes mellitus with acute limb ischemia · To study correlation between HbA1C and 72 hours mortality of patients with acute macrovascular events among diabetics. Materials & methods: Department of general medicine, R.G.Kar Medical College and Hospital.Cases were selected from medicine inpatients department of R.G.Kar Medical College and Hospital. 1st July, 2018-30th June 2019. This is an observational prospective study Conclusion: In our study we found that higher HbA1C is associated with statistically signicant increase in 72 hour mortality in patients with acute ischemic stroke and trend of increased mortality (though not statistically signicant) in patients (p=0.0002 & 0.056 respectively)