Objective: To determine frequency of microalbuminuria and relative determination of glycated hemoglobin (HBA1C) in Type II diabetes mellitus patients. Study Design: Descriptive Cross Sectional. Study Setting: Three Different Hospitals Based in Sindh Pakistan. Study Period: March-August 2021. Material & Methods: After selection through non-probability purposive sample technique, demographic details of all patients were noted in a written questionnaire. All the confirmed patients of type-II diabetes mellitus were then tested for microalbuminuria and glycated hemoglobin in parallel with the disease progression. All the collected information was analyzed in SPSS ver. 22. Results: Among 165 enrolled cases, 89 (54%) type II diabetic patients were normoalbuminuric, 53 (32 %) Microalbuminuria and 14 % macroalbuminuria. Males were at greater risk (65%) of developing type II diabetes mellitus in comparison to females (35%). In total 46 type II diabetes mellitus cases with microalbuminuria represent raised HBA1C levels AT95% CI. Conclusion: Prevalence of microalbuminuria among type II diabetic patients visiting the tertiary care hospital is 32.1%. Patients with higher HbA1c or poor glycemic control are present with microalbuminuria.
Objective: To evaluate the influence of thyroid hormones as well as the effect of treatment choice on the quality of life of patients visiting / admitted in tertiary healthcare centers in Karachi, Sindh Pakistan. Study Design: Cross-sectional study. Setting: Rafae Aam General Hospital Federal Area Karachi, Sindh, Pakistan. Period: March 2022 to June 2022. Material & Methods: Patient’s data related to their socio-demographic and clinical details was collected by using a pre-tested written questionnaire. Brazilian version of 36-Item Short Form Health Survey questionnaire was completed by all the study participants. Results: Total 337 participants were included in the study. Mean age of the study participants was 34.03 ± 10.06. Majority of them were females while most of them belonged to the age group of 18-29 years. Most of our study participants were urban residents, married, having no any formal education and suffering from comorbidities. Based on clinical examination, 272 (80.7%) patients were found euthyroidism while 65 (19.3%) were hyperthyroid. Thus, hyperthyroid patients displayed a greater toll on the quality of life, particularly in areas of physical (59.62 vs. 82.81; p<0.05) as well as emotional (61.54 vs. 82.81; p<0.05) functioning. Conclusion: This study concludes that hyperthyroid patients have a significant quality of life impairment, particularly in the physical and emotional domains. Moreover, regardless of the findings of the serum thyroid hormone levels, quality of life of hyperthyroid patients is compromised.
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