Objective: To describe the prevalence of complications of diabetes and to study the relationship between the prevalence of complications and the duration of diabetes in a subset of Sri Lankan population Study design: Cross sectional case analysis of 6765 patients at National Diabetes Centre, Rajagiriya, Sri Lanka.Data analysis: Data was analyzed with SPSS 11.
Results:The mean duration of diabetes in the study population was 7.9 years (SD=6.7). The results showed that the prevalence of micro vascular complications increased with increasing duration of diabetes. In patients with diabetes mellitus for less than 1 year, retinopathy prevalence was 6.8% and in those with 16-20 years diabetes duration it rose to 52.6%. Neuropathy prevalence at diagnosis was 11% and at 16-20 years it was 54.3%. Nephropathy prevalence at diagnosis and at 16-20 years was 18.8% and 23.8% respectively.
Conclusions:The study has demonstrated high prevalence of complications at the initial diagnosis. Hence, early screening techniques would be beneficial in order to prevent and retard the progression of the disease and to reduce the associated morbidity and mortality.
We report here the history of a 52-year old woman with diabetes mellitus for 10 years and secondary hypothyroidism (low TSH) who presented with chronic persistent headache for 6 years and sudden onset of complete blindness of 24 hours duration, admitted to our unit at National Hospital of Sri Lanka in July 2004 . On the first admission in 1998, a cranial CT scan demonstrated a lesion suggestive of a macroadenoma of the pituitary gland, with posterior extension of the tumour towards the petrous temporal bone (Figure 1). The tumour was not An unusual case of hypopituitarism and recurrent cranial nerve palsies BMAC Balasuriya,¹ NP Somasundaram² and R Gamage³ (Index words: Intracerebral vasculitis, magnetic resonance angiogram)
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