Microvascular Complications in Patients of Diabetes Mellitus

Abstract

BACKGROUND Diabetes mellitus is defined as metabolic disorder of multiple aetiology which is characterized by chronic hyperglycaemia along with disturbance of carbohydrate , fat and protein metabolism resulting from defects in insulin secretion , insulin action or both. In diabetes mellitus presented with symptoms of polyuria , polydipsia, fatigue, weight loss, weakness, blurred vision, recurrents infections and etc. patients suffering from diabetes mellitus are having more chances to develop complications like microvascular complications (retinopathy, neuropathy, nephropathy) and macrovascular complications. Diabetes related complications are associated with significant morbidity, mortality and economic burden. Aims and objectives : To study the microvascular complications of diabetes mellitus in the progression of the disease. To correlate the chronology of development of nephropathy , neuropathy , and retinopathy in patients of long standing diabetes attending Dhiraj General. Method : A Prospective observational study in diabetes mellitus patients. Results: Total (n=35) patients of diabetes mellitus were included in the analysis , out of which 66.7% were males and 34.3% were females.48.6% of patients were diagnosed with diabetic retinopathy,62% of patients were diagnosed with peripheral neuropathy and 45.7% of patients were diagnosed with diabetic nephropathy. out of 35 patients 28 patients (80%) had developed one or more microvascular complications in our analysis. Conclusion: In our study Neuropathy was found to be the commonest microvascular complication followed by diabetic retinopathy and diabetic nephropathy. HbA1c is a better predictor of microvascular complications in diabetics out of 35 patients 28 patients were presented with microvascular complications.