Research Article
Volume 6 Issue 1 - 2022
Clinical Characteristics of Diabetics in a Single Tertiary Center
Zafer Pekkolay1*, Pelin Köprücü Arslan2 and Alpaslan Kemal Tuzcu1
1Department of Endocrinology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
2Department of Internal Medicine, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
*Corresponding Author: Zafer Pekkolay, Department of Endocrinology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.
Received: June 08, 2022; Published: June 29, 2022




Abstract

Purpose: This study aims to investigate the metabolic parameters and complications of patients with diabetes mellitus followed in a tertiary endocrine and diabetes center.

Method: This prospective randomized study was conducted with the first 350 diabetes mellitus patients admitted to a tertiary endocrine center between 1 July and 31 September 2021. The patients included in the study were investigated in terms of gender, age, duration of diabetes, diabetes type, HbA1c level, lipid panel, and microvascular complications.

Results: A total of 350 (Type 1/Type 2: 78 (46,1% female)/272 (69,4% female), 77% of the patients had Type 2 diabetes) patients were included in the study. The mean age was 55 years in type 2 diabetes patients and 32 years in type 1 diabetes patients.

The mean duration of diabetes in type 1 diabetes and type 2 diabetes was 9,2 and 10,3 years, respectively. Mean HbA1c in type 1 and type 2 was 11,3 ± 3.2%, 10,9 ± 2,9% respectively. While there was no difference in HDL and LDL levels, mean triglyceride levels were higher in Type 2 DM (180,4 vs. 137,2 p < 0,05). Retinopathy was observed more frequently in Type 2 DM (58% vs 33,3% p < 0,05). Proteinuria was observed in 47,4% in Type 1 DM and 42,6% in Type 2 DM. Hypertension was found to be 48,8% in Type 2 DM and 20,5% in Type 1 DM (p < 0,05). The percentage of patients with HbA1c levels < 7 was 21,7% in Type 1 DM and 11% in Type 2 DM. The percentage of patients with Triple lipid control was 21,7% in Type 1 DM and 9,1% in Type 2 DM. The percentage of patients with metabolic control was 6,4% in Type 1 DM and 4,7% in Type 2 DM.

Conclusion: The rate of patients who cannot reach metabolic control targets in diabetic patients is still very high. About half of the patients have chronic complications. New strategies are needed to achieve metabolic controls and reduce complications.

 

Keywords: Type 1 Diabetes; Type 2 Diabetes; HbA1c; Metabolic Control; Complications

References

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Citation: Zafer Pekkolay., et al. “Clinical Characteristics of Diabetics in a Single Tertiary Center”. EC Diabetes and Metabolic Research 6.1 (2022): 17-23.

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