ISSN:1357-8170    

DOI:10.1002/pdi.1960160602

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160603

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160604

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractIn a pilot study, we have estimated the crude prevalence of asymptomatic peripheral arterial occlusive disease (PAOD) in diabetic patients attending a hospital clinic, using the sensitive Doppler ultrasound measurement of systolic ankle brachial pressure index (ABPI). This was compared with the available clinical methods of PAOD detection, ie peripheral pulse palpation. We have also investigated whether the measurement of toe systolic pressure (TSP) improved the detection rate of PAOD amongst those who had a normal ABPI. Of the 48 patients studied, 12 had palpable dorsalis pedis and posterior tibial pulse and 36 had absent pulse. Patients were of both types of diabetes mellitus, had no history of cardiovascular or cerebrovascular disease and did not have symptoms suggestive of intermittent claudication. An ABPI value of>0.9 was taken as normal. TSP was assessed by a strain gauge method. All patients who had palpable pulses had an ABPI>1.0 with median (range) 1.10(1.01–1.30). Of those who had impalpable pulses, 18 patients had evidence of significant peripheral arterial insufficiency with an ABPI median (range) of 0.76 (0.49–0.89) and 18 patients had a normal ABPI with median (range) of 1.08 (0.92–1.25). TSP measurements were not different from the ankle systolic pressure. The study groups were no different in terms of their duration of diabetes, smoking habit, Body Mass Index or glycated haemoglobin levels, but those in the group with a low ABPI were significantly older, p<0.05. The prevalence of asymptomatic PAOD in our study cohort was 33% We conclude that palpable pulses are a predictor of normal ABPI, but impalpable pulses are not a strong predictor of

ISSN:1357-8170    

DOI:10.1002/pdi.1960160605

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160606

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractIn a survey of 56 consecutive, non‐urgent referrals to a hospital diabetic clinic, the majority (57%) were because of unsatisfactory glycaemic control. Non‐urgent referrals of patients with ‘at‐risk’ feet (n = 6) were fewer than urgent referrals or admissions for acute foot problems (n = 11). There were very few referrals for proteinuria (n = 1) or dyslipidaemia, and none for inadequately controlled hypertension. There were only two (3.6%) referrals which were considered inappropriate. Extrapolation from these results, and those of a simultaneous district audit of diabetes care, indicates a considerable unmet need for referral for specialist care which, if implemented, would result in a three‐fold increase in non‐urg

ISSN:1357-8170    

DOI:10.1002/pdi.1960160607

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractThe characteristics and outcome of 100 consecutive cases of diabetic ketoacidosis (DKA) in Libyan diabetic patients studied over a six month period are reported. Moderate to severe diabetic ketoacidosis was included (M:51, F:49). Seventy‐eight percent of the episodes were in patients with known diabetes. Ninety‐five percent of patients with DKA were classified as having type 1 diabetes mellitus. Compared to female patients, the male patients had a significantly lower Body Mass Index (BMI) (20.9 vs 22.5 Kg/m2, p<0.001) and more clinically underweight male subjects were identified (20/51 vs 6/49, p<0.01). The most common cause of DKA was stopping insulin therapy, which occurred in 41% of the episodes, followed by first presentation and infection. A trend towards more male subjects stopping insulin was observed. Mortality was 2%. We conclude that the majority of cases of DKA in Libyan diabetic patients is potentially avoidable by simple education and is associated with a low mortality. Sex‐related features of patients with DKA are suggestive of a ‘male attitude diabetes sy

ISSN:1357-8170    

DOI:10.1002/pdi.1960160608

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160609

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractPsychiatric disorders are more common in diabetic than in non‐diabetic subjects. The purpose of the present study was to evaluate the effects of psychiatric disorders on the health‐related quality of life (HRQOL) of diabetic patients, using the Swedish Health‐Related Quality of Life Survey (SWED‐QUAL), a generic HRQOL questionnaire developed from the Medical Outcomes Study (MOS). A total of 413 diabetic patients (including both type 1 and type 2) were contacted, and 289 replied to the questionnaire.Diabetic patients with a psychiatric disorder (n = 38) showed a decreased HRQOL on three out of 13 scales (p<0.01) compared with diabetic patients with no psychiatric disorder (n = 251), ie on ‘role limitations due to emotional health’, ‘sleep problems’, and ‘cognitive functioning’. Compared with the standard population sample (SPS) controls, diabetic patients with psychiatric disorders showed a decreased HRQOL on ten scales, and patients with no psychiatric disease on six scales (p<0.01). The use of psycho‐active drugs was associated with a worse outcome with respect to the HRQOL, ie in 24.4% of the diabetic patients, compared with 14.8% with a psychiatric disorder.The conclusion is that patients with psychiatric disorders are a large subgroup in the diabetes population and that these disorders have a considerable impact on the HRQOL, thus demanding special effort

ISSN:1357-8170    

DOI:10.1002/pdi.1960160610

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160611

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY