Abstract

Diabetes mellitus refers to group of common metabolic disorders that share the phenotype of hyperglycemia. Diabetes Mellitus (DM) is one of the commonest diseases in world. India has earned the dubious distinction of being termed the “Diabetic capital of the world” with prevalence of DM in India was 9.3%. The prevalence varies widely among different states of India because of various reasons. The presentation of diabetes is usually delayed depending upon the awareness, screening, health infrastructure and educational background of people in the region. Delayed diagnosis of diabetes contributes to increased morbidity and mortality due to presence of chronic complications associated with same. We tried to bring out this data from Central part of India which happens to be among poor state in terms of health infrastructure. Objective: This study was aimed at assessing the presentation and clinical profile of newly detected type 2 DM patients in a tertiary care hospital in central India. This also included the screening of the chronic complications already present at the time of diagnosis. Material & methods: The present cross sectional study was done at L.N. Medical College and J.K. Hospital, Kolar Road Bhopal (M.P) India. A standard Performa for recording the clinical profile was used. After written consent, all patients were subjected to detailed history and clinical examination. Patient’s data were collected over a period of two years. Data are presented as a mean, using SPSS software version 15. Results : Out of 410 study participants, 53.4% were males and 46.6% were females. Majority of the patients about 65.2% belong to age group between 31-50 years. Mean age of study participants was 38.24±7.24 years. Urban participants were 53.7% and in rural was 46.3%. Mean HbA1c in rural and urban was 10.33% and 10.99%, respectively. Family history of diabetes was among 57.6% participants while 42.5% were not having any family history. The common presenting symptoms in this study was frequent urination (62.19%), increased thirst (49.02%), weight loss (44.87%), tingling (32.2 %), polyphagia (22.92%), dry skin (13.17%), numbness (11.7%), burning feet (10.97%), sexual dysfunction (7.07%) along with dizziness (5.85%). The common chronic complication in present study was neuropathy (52%), nephropathy (28.78%), cardiovascular disease (23.9%)

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