In 1998, 12 Asian countries with 230 centers had involved in a study on diabetic care that was supported by Novo Nordisk. This study had enrolled 21.806 patients. The results showed that the age of type II diabetes onset is 52.213.1 in VietNam, higher significantly than other countries. The incidence of type II diabetes in VietNam is lower than other countries. Using HBA1C as a marker for monitoring, it was found that only 5-10% of patients were receiving optimal management, 20% receiving good and 70-75% receiving not so good management.
Diabetes Mellitus ; Community Health Services

The coma is a common symptom of type 1 diabetes but is rare symptom of type 2 diabetes. Although it is a rare symptom, the ceto-acidosic coma can occur, even mild, moderate diabetes that not to be diagnosed the clinical and paraclinical features of ceto-acidosic coma in type 2 diabetes is not difference with this in ceto -acidosic coma in type 1 diabetes.
Diabetes Mellitus, Type 2 ; Coma

Participants were 79 patients with type 2 diabetes, included 25 men and 54 women. Mean age of male patients was 62+/-9 years and of female patients was 65.7+/-9.2 years (mean 64.6+/-9.3 for whole group). Controls were 95 age-matched individuals without diabetes. The type II diabetic incidence increases with age and higher in 50 years of age group. Among patients with type II diabetes, 61.2% of the patients developed disorders in one or more blood lipid parameters. Type of hyperlipidemia in type 2 diabetics is mixed. Dyslipidemia would be more serious if it combined with hypertension. Total cholesterol, LDL, HDL cholesterol and blood triglycerid correlated insignificantly with blood HbA1c and glucose levels.
Diabetes Mellitus, Type 2 ; Dyslipidemias

A study on 79 type 2 diabetic patients has shown that the average concentrations of glycemia during fasting and after 2 hours of using 75 g of glucose were exceeded the allowed glycemic balance. The average rate of HbA1c was (9.963.33)% Hb, higher 2 times than control (4.87 0.28% Hb). The type 2 diabetic patients were cared better had more stable glycemia and rate of HbA1c.
Diabetes Mellitus, Type 2 ; Delivery of Health Care

Studying on 50 non-insulin-dependent diabetics in Hue hospital and on 95 non-diabetics shows that the results as follow: (1) Serum HbAIC mean value of diabetic group is 9.122.14 percent in comparison with 4.860.19% of non-diabetics. According to the standards of "The European Concensus on NIDDM 1998", 84% patients of the studied diabetics have poor equilibrium in glycemia. (2) At NIDDM group, serum HbAIC type 2 diabetes, HbAIC level has closer correlation to fasting glycemia (r=0.723, p<0.001) than to two hour after meal glycemia (r<0.618, p<0.01). (3) There's no correlation between serum HbAIC level and Cholesterolemia, Triglyceridemia. Therefore, monitoring fasting glycemia frequently and controlling lipidemia based on guidelines of "The Asian-Pacific Society of Atherosclerosis and Vascular Diseases" are indispensable in order to prevent cardiovascular complications at non-insulin-dependent diabetics. Serum HbAIC dosage should be done as one of the routine analyses to follow NIDDM
Diabetes Mellitus, Type 2 ; Serum

The ulcer lesion in diabetic foot is a major complication and usually leads to disability. Current treatments composed mostly of medication or amputation if required. After the conference of Vietnamese -American on diabetic foot care in June 2000, we have established a new plan of management, included early operation, proper debridement and appropriate blood sugar control. Method and material: retrospective and cross sectional study on 16 type II diabetics (5 males and 11 females) with foot infection. All these patients were operated to remove dead bones and necrotic tissues, sutured the wound in one layer and immobilized the pain leg within 21 days. They were also treated with insulin and investigated the arterial system by Doppler ultrasound. Results: average age of patients: 562 years. Average glycemia: 19020mg%. Left foot: 9. Right foot: 6. Both feet: 3. The duration from onset to ulcer: 60.2 years. Doppler ultrasonography showed the decrease flow pattern of lower limbs in 14 cases, atherosclerosis: 2. After surgery, 11 patients were healed completely within 21 days, 3 others within 30 days and 2 patients had to be amputated
Diabetic Foot ; surgery

The study was conducted on under-five year children after introduction of anti-diarrhea program in Thanh Hãa Province. The results suggested some factors could increase the incidence of diarrhea, including custom and environmental hygiene, knowledge of mothers and baby-sitters, hygiene of food, cooking instruments and personal hygiene. Some factors can affect the incidence of diarrhea differently depended on geography: Coastal delta, highland and mountain areas. In addition, there are some factors can affect insignificantly the incidence of diarrhea in Thanh Hãa Province
Diarrhea ; Risk Factors ; epidemiology

An interventive study on the 7th communes, Ho»ng Ho¸ district, Thanh Ho¸ province during4/1994 -12/1996 aimed to determine some factors that impacted on efficacy of the home treatment of acute diarrhea. The result showed that more than 50 health cadres did not instruct or incorrectly instructed the method of preparation as well as method of using some self- prepared solutions such as water of boiled rice, salt porridge and fried rice water..10% health cadres did not instruct about the use of traditional medicine or anti-diarrhea drugs. 37,5% health cadres did not instruct for mother about the more severve signs that need take children to health station leading to 8,33% patients with severe dehydration when coming to health station.
diarrhea ; Acute Disease

A study on the house holds with children under 24 months and mothers of children under 24 months has shown that the factors influenced on the risk of diarrhea depend on the care custom such as unfull breast feeding, regular sucking by bottle, early. Food stored in the room temperature for more than 2 hours, improper treatment of children feces, unhygienic laterine and water resources children with birth weight under 2500g and mother had no knowledge of diarrhea control.
diarrhea ; child ; risk factors ; epidemiology

The cross-sectional study was conducted to assess the treatment and nutritional care for the diarrhea children. The study showed that prevalence of diarrhea among the children with 6-24 months old during previous 2 weeks was 21.2%. Most of the mothers obeyed the treatment protocol of local health worker, however the rate of proper use of medicine was not high. Fat, fish, fruit and vegetables were generally not given to the diarrhea children
diarrhea ; child ; therapeutics ; diet therapy