Indian Write- Ups

Diabetes mellitus, a metabolic disorder, is characterized by various microvascular and macrovascular complications, particularly of heart, kidney, brain, peripheral nerves and retina. Skin, in diabetes, also shows a number of lesions, some of which are directly related to it like, diabetic dermopathy, diabetic bullae, xanthomatosis, neuropathy and PVD. Skin lesions are also described to be due to diabetic therapy.

Diabetes is the leading causes of non-traumatic amputation of the lower limb, all over the world. The lifetime risk for foot ulcers in patients with diabetes is estimated at 15%. One of the common reasons for hospitalization in a diabetic patient, is either a foot ulcer or foot infection.

Pregnancy is a diabetogenic state characterized by fasting hypoglymcemia and post prandial hyperglycemia. Gestational diabetes mellitus is a common medical complication and metabolic disorder in pregnancy occurring in 1-4% of patients depending on the population described and the criteria used for diagnosis.

Whether hypertension is the prime cause or secondary to metabolic defect remains still unclear. Therefore this study was undertaken to evaluate the fructosamine and FFA level in Hypertensive patients with Myocardial Infarction (MI) in non-insulin dependent diabetes mellitus (NIDDM).

Screening for G. D. M.

Several Indian investigators have characterized “lean Type 2 diabetes” patients seen in their practice and have advised more research to fully characterize this state which is rarely reported in western literature.