Comparison between New-Onset and Old-Diagnosed Type 2 Diabetes with Ketosis in Rural Regions of China

Abstract

Objectives. Type 2 diabetes (T2D) with ketosis was common because of late diagnosis and lacking adequate treatment in rural regions of China. This study aimed to provide the data of T2D with ketosis among inpatients in a south-west border city of China. Methods. Data of 371 patients of T2D with ketosis who were hospitalized between January 2011 and July 2015 in Baoshan People's Hospital, Yunnan, China, were analyzed. New-onset and old-diagnosed T2D patients presenting with ketosis were compared according to clinical characteristics, laboratory results, and chronic diabetic complications. Results. Overall, the blood glucose control was poor in our study subjects. Male predominated in both groups (male prevalence was 68% in new-onset and 64% in old-diagnosed groups). Overweight and obesity accounted for 50% in new-onset and 46% in old-diagnosed cases. Inducements of ketosis were 13.8% in new-onset and 38.7% in old-diagnosed patients. Infections were the first inducements in both groups. The prevalence of chronic complications of diabetes was common in both groups. Conclusions. More medical supports were needed for the early detection and adequate treatment of diabetes in rural areas of China.

A systematic analysis on prevalence and sub-regional distribution of undiagnosed diabetes mellitus among adults in African countries

“…Risk factors for micro and macrovascular complications in undiagnosed diabetes are very common and are as frequent as in diagnosed diabetes. In addition to an increased risk of hyperglycemia, the patient with undiagnosed diabetes is more prone to hypertension, hypercholesterolemia, LDL cholesterol, hypertriglyceridemia and obesity [58,65]. Early detection and treatment can improve the outlook for people with Type 2 Diabetes and other chronic diseases, since timely control decreases the risk of complications [66,67].…”

“…Risk factors for micro and macrovascular complications in undiagnosed diabetes are very common and are as frequent as in diagnosed diabetes. In addition to an increased risk of hyperglycemia, the patient with undiagnosed diabetes is more prone to hypertension, hypercholesterolemia, LDL cholesterol, hypertriglyceridemia and obesity [ 58 , 65 ].…”

The Influencing Factors Associated with Ketosis-Prone Type 2 Diabetes Mellitus: A Syndrome of Diabetes Mellitus

“…A considerable lot of the examinations directed to date propose there is a connection amongst heftiness and ketosis-inclined compose 2 diabetes [7,11,20,[38][39]. 49.1% of the concentrated patient had BMI more than 30 and had a place with type 2 diabetes [18,38]. In an examination done in Japan, Maximal BMI (30.4±6.8 kg/m 2 ) in patients with T 2 DK was substantially more than those without ketosis (25.1±6.8 kg/m 2 ) in the organization [21].…”

“…Concentrates found that most sort 2 diabetic patients sporadically or never got treatment after their first diabetic determination [18,50]. In their examination, they uncovered most patients 83% had from time to time or never got standard medical treatment for diabetes, and almost nobody <1% had satisfactory glycemic control [18,38]. In another examination, 25.5% of the concentrated patient had rebelliousness with antidiabetic treatment.…”