Print ISSN: 1683-3589

Online ISSN: 2409-501X

Keywords : DIABETIC PATIENTS


THE FACTORS THAT INFLUENCE ON NERVE CONDUCTION IN DIABETIC PATIENTS

Abdul Al-Razzaq N Khudair; Thamer A Hamdan; Oras Kadhim Baqer

Basrah Journal of Surgery, 2015, Volume 21, Issue 2, Pages 7-13
DOI: 10.33762/bsurg.2015.107876

Abstract
The alteration in nerve conduction is considered one of the important complaints of patients who are suffering from diabetes mellitus nowadays. Therefore, we conduct this study which aimed to evaluate the nerve conduction velocity and amplitude in diabetic patients and assess the effects of the patients’ age, severity and duration of diabetes on nerve conduction impairment. A case control study, the studied sample were 200 persons, 150 diabetic patients (93 males and 57 females) and the control group consisted of 50 participants (32 males and 38 females). All the patients attended the neurophysiology outpatient department of Al-Sader Teaching Hospital in Basrah city. The diabetic participants were selected at random from age, diabetes duration, and sex. Regarding the ages and exclusion criteria of the controls were ranged same as the diabetic. All participants were interviewed and a questionnaire form was filled prior to examination. Both the diabetic patients and the controls were subjected to the same electrophysiological and laboratory investigations.
The results of the study showed a significant decrease in nerve conduction velocity and amplitude in diabetic patients comparing to controls in all the examined nerves. Furthermore, there was a significant association between advancing age and longer-duration of diabetes with the reduction of conduction velocity and amplitude. Also, a significant inverse correlation between increased severity of diabetes disease (HbA1c level) and decreasing of both conduction velocity and amplitude. However, the study demonstrated no statistical significant difference between patients and controls regarding the gender. In conclusion, the age of the patients, duration of the disease and the severity of diabetes (hyperglycemia control) are playing a crucial role as risk factors in developing of peripheral neuropathy in diabetic patients.

ASYMPTOMATIC GALLSTONES IN DIABETIC PATIENTS

Shukrya K Khalaf

Basrah Journal of Surgery, 2015, Volume 21, Issue 1, Pages 63-68
DOI: 10.33762/bsurg.2015.102893

Diabetes was reported to be frequently associated with inflammation of biliary tract and cholelithiasis. The definite cause of gallstones in diabetics is not well clarified. However, due to autonomic neuropathy, the contraction of gallbladder is poor resulting in hypomotility, impaired gallbladder emptying and biliary stasis resulting in increased gallbladder volume, which to predispose to gallstone formation.
This study aimed to determine the prevalence of asymptomatic gallstones and its associated factors among diabetic patients in Basrah.
This cross sectional study was carried out in diabetic Centre in Al-Fayhaa Hospital, Basrah, Iraq from November 2014 to February 2015. We recruited 210 patients with diabetes (type1 and 2), 89 males and 121 females, questionnaire used to include the sociodemographic features. BMI measurement and ultrasound examination to find gallstone was done.
Blood samples were taken for HbA1C, FBS, Lipid profile and the association between duration of diabetes, lipid levels, FBS, with gallstone was evaluated.
Gallstone was seen in 25.2% of diabetic patients. Gallstone was higher in patients with increased duration of diabetes, in patients with BMI more than 25kg/m, with increased cholesterol and triglycerides levels and with high level of HbA1C.
In conclusion, the prevalence of asymptomatic gallstones in diabetic patients in Basrah increases with increased duration of DM, high level of HbA1C, BMI, cholesterol, and triglyceride levels and with hyperglycemia. No significant association was found with; age, parity, gender and type of diabetes.