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Blood Glucose Control, Ophthalmology Referral & Microalbuminuria In Patients With Insulin Dependent (Type 1) Diabetes Mellitus | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 20, Issue 2, 2007, Pages 313-318 | ||
| Authors | ||
| Adiba M. Murad; Basim H. AL- Hakeem; Mahdi M. Murad; Ahlam M. Jawad | ||
| Abstract | ||
| Abstract: Objective: To review the blood glucose level, duration of illness, referral for ophthalmologic assessment & microalbuminuria among patients with insulin dependent (type 1) diabetes mellitus. methods: A retrospective review of randomly chosen medical records for 100 patients with type 1 insulin dependent diabetes mellitus was done in national diabetic center (NDC) of AL-Mustansiriya University from the 1st March 1999 to the 1st March 2004. Review for age, sex, duration of illness FBG, HbA1C, Micral test, blood pressure, and blood urea & creatinine levels, also review of the patient's files for ophthalmologic referral. Results: Insulin dependent (type 1) diabetes mellitus were more in female with peak incidence between10-14 yr of age. FBG > 10 mmol/ l in 57%, 38% having the disease ≤ 5 yrs of which 52.6% were referred to ophthalmologist, 10% who had diabetes for 7-17yrs developed cataract & no one had retinopathy. 36% were having HbA1C more than 8%. Micral test were (+ve) in 23.5% of patients, none of them had developed renal failure. 44.5% developed diastolic blood pressure between 90-100 mmHg and the mount of microalbuminuria was directly related to elevation of HbA1C. Conclusion: Better control of blood glucose and shared care with ophthalmologists are important steps to improve the quality of care provided to diabetic patients. . Key words: Insulin dependent diabetes mellitus, diabetic nephropathy, diabetic cataract. | ||
| Keywords | ||
| Insulin dependent diabetes mellitus; diabetic nephropathy; diabetic cataract | ||
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