To evaluate the prevalence and microvascular complication of type 2 diabetes mellitus patients. METHODOLOGY A detailed history, clinical examination and investigative procedure were used. RESULTS Pearson correlation coefficient, t-test and Fisher exact test were applied for statistical analysis. And P value was taken less than 0.05 for significant differences. Conclusions: Microvascular complication was more common in higher age group patients; its prevalence was 39%. And dyslipidaemia was present in 36% patients and, the most common pattern of dyslipidaemia was increased TG with reduced HDL-C with or without elevated LDL-C.
Background: Patients with end stage renal disease are at increased risk of cardiovascular morbidity and mortality. Dyslipidemia is an important risk factor of mortality and morbidity due to cardiovascular disease. The aim of the study was to evaluate the lipid profile in dialysis dependent chronic kidney disease.
Methodology:The study included 30 consecutive cases of dialysis dependent chronic kidney disease and 30 controls matched for age and sex. The patients were investigated for serum electrolytes, haemoglobin, fasting blood sugar, glycosylated haemoglobin, serum electrolytes and fasting lipid profile. Results: The age and gender of the patient was comparable in both the groups (p>0.05). The majority of the patient in both cases and controls were in the age group of 51-65 year. Males predominated over females but distribution of both sexes was comparable in both the groups. Patients with CKD had a significantly higher number of patients with diabetes mellitus (10/30; 33%) compared to three (10%) in controls. 57% of the cases with CKD were hypertensive and significantly higher compared to 10% in controls. On ultrasonography, kidney size was found to be significantly reduced in size in 13 cases (43%) as a consequence of CKD. The eGFR was 6.67+3.03 in cases which was significantly lower compared to 76.73+25.35 in controls (p<0.05). Serum cholesterol was found to be within normal limit and comparable among cases and controls (p>0.05). Serum LDL was raised in 1 case of CKD and none in controls (p>0.05). Serum HDL cholesterol was found to be significantly lower than expected value in 19 cases (63%) compared to 8 controls (27%) (p<0.05). Serum TG level was significantly increased in 20 cases (67%) compared to 7% of controls. Serum VLDL was comparable in both groups (p>0.05). Conclusion: CKD patients on hemodialysis are predisposed to dyslipidemia. Dyslipidemia may further aggravate renal failure and cardiovascular events. Hence it is important to treat dyslipidemia in these patients
Ayurveda is a ‘science of life’ which provides not only curative but also preventive principles for healthy and long life. Ayurveda is a life style, a science and an art of appropriate living that ensures health and longevity of human being. Abhyanga (oil massage) which is one among the Dinacharya, is also a part of pre therapeutic procedures of Panchakarma. Abhyanga is to be considered in Snehana therapy. As it nourishes the senses of mind and gives the strength. but if done in any region like localised in head, neck, legs etc then it is termed as Shiroabhyanga, Padabhyanga etc. Full body massage gives strength to whole body but localised massage gives strength to that particular part of the body. Localised massage can be practised by oneself. Thus it is easy to practise. But for Abhyanga one need to be dependent on massage trainer. The instructions to be followed under localised massage also. It gives its benefits; when it is done in right manner only.
Diabetes mellitus is an important global health concern of the present era and needs immediate attention. It is a common and very prevalent disease affecting about 25 % of world population. The term diabetes mellitus describes a metabolic disorder of multiple aetiology characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both Ayurveda is a holistic health care system of medicine which is more than 5000 years old & it describes diabetes under the heading Prameha. Among all Samtarpana (enriching) janya vyadhi Prameha has been explained first. Inclusion of Prameha (Diabetes mellitus) among the eight major disorders shows the significance of the disease was given by the seer. Apatarpana (depleting) is the first line of treatment affected in santarpanajanya vyadhi. Shodhana (purification) is cleansing of body according to Ayurveda. Shodhana karma (purification procedure) is planned for ablution of the body, by which the piled up gruesome humors culpable for disease drive-out to produce an ideal status for legitimate functioning of body. These purification methods are essential components of the curative management of those diseases that are not controlled by palliative management.
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