Investigation of 72 patients with diabetics who were ≥ 16 years old, in 20 communes of Gia Lam, Soc Son and Dong Da districts, Ha Noi, from June to September 2001. Results: the common eye complications included retinopathy, cataract, uveites, and conjunctivitis. In diabetic’s subjects, three common ophthalmic diseases such as amblyopia, retinopathy and cataract in males were more distinct than in females. But ophthalmitis (uveites, conjunctivitis) in females were more than in males. The old age and the long duration of diabetics were the risk factor related to increase of retinopathies and amblyopia
Diabetes Mellitus ; Diabetes Complications

We report a case of a diabetic patient with an infected leg wound leading to septicemia and abscess formation in the contra-lateral leg due to Streptococcus canis. This organism belongs to the Lancefield group G and is more commonly found in dogs. It is often mistaken for Streptococcus dysgalactiae which is a human strain of streptococci. Infections in humans are not common and usually involve infected wounds or ulcers and the surrounding soft tissue. In most reported cases, patients had close contact with domestic dogs and a pre-existing wound as a portal of entry. Our patient recovered after surgical debridement and drainage of abscess together with antibiotics. This organism is sensitive to common antibiotics like penicillin, amoxycillin, cephalosporins and erythromycin. The incidence of infections due to Streptococcus canis may be under-reported as laboratories may just report an isolate as group G streptococcus. Susceptible patients with wounds or ulcers should be counselled on proper wound care and advised to avoid or minimise contact with the family dog.
Diabetes Complications ; Diabetes Mellitus

Autonomic neuropathy is a common complication of diabetes mellitus. Damage to the heart occurs as part of the wider spectrum of neuropathy. The aim of the study was to determine the percentage of cardiac autonomic neuropathy (CAN) in Hue, and the correlations between CAN with age and with diabetic duration. Subclinical cardiac autonomic neurophathy may be assessed by standardized Ewing’s tests. These tests are mainly based on mesurement of changes in heart rate during three vagal activated tests: deep-breathing, changing positions from sitting to standing, and using the valsalva maneuver. Fifty individuals with mellitus, aged 18-65 years, diabetic duration 3.25 +/- 3.75 years. Results: diabetic autonomic cardiac neuropathy was detected in 76% of the patients, mild degree: 22%; moderate degree 36%; severe degree 18%. The most affected tests are: the deep breathing 36%; the changing positions: 32%; the valsalva maneuver: 68%. NAC were not correlation with age, and with diabetic duration.
Diabetes Mellitus ; complications

The development of molecular biology help to clearly understand about pathophysiological mechanisms of diabetes mellitus are due to genetic factors and life environment. The diabetes divided up: type 1 diabetes, type 2 diabetes, and other types. In 1999, American Diabetes Association and WHO advanced a new classification, following: type A (type 1 diabetes), type B (type 2 diabetes), type C (MODY - onset in young adult), type D (diabetes at pregnancy and tolerated glucose disorders in pregnancy)
Diabetes Mellitus ; Diabetes Complications ; Molecular Biology ; Knowledge

Sexual function may be affected by diabetes complications, often resulting in marriage difficulties. This study introduced 'I-message' as a communication technique. This study is to understand Gottman's dysfunctional communication between the couple so that they do not use it. Therefore, this study aims to help married couples with diabetic partner to better understand sexual function affected by the diabetes and thereby communicate happily with each other using the 'I-message' technique.
Diabetes Complications ; Diabetes Mellitus ; Family Characteristics* ; Marriage

Periodontitis is an infectious disease caused by an imbalance between the local microbiota and host immune response. Epidemiologically, periodontitis is closely related to the occurrence, development, and poor prognosis of T2D and is recognized as a potential risk factor for T2D. In recent years, increasing attention has been given to the role of the virulence factors produced by disorders of the subgingival microbiota in the pathological mechanism of T2D, including islet β-cell dysfunction and insulin resistance (IR). However, the related mechanisms have not been well summarized. This review highlights periodontitis-derived virulence factors, reviews how these stimuli directly or indirectly regulate islet β-cell dysfunction. The mechanisms by which IR is induced in insulin-targeting tissues (the liver, visceral adipose tissue, and skeletal muscle) are explained, clarifying the influence of periodontitis on the occurrence and development of T2D. In addition, the positive effects of periodontal therapy on T2D are overviewed. Finally, the limitations and prospects of the current research are discussed. In summary, periodontitis is worthy of attention as a promoting factor of T2D. Understanding on the effect of disseminated periodontitis-derived virulence factors on the T2D-related tissues and cells may provide new treatment options for reducing the risk of T2D associated with periodontitis.
Humans ; Diabetes Mellitus, Type 2/complications* ; Periodontitis

BACKGROUND: The prevalence of diabetes is steadily increasing in Korea. The increase of people with diabetes will ultimately result in taking a turn for the worse, not only affecting the health of the people, but there will be an increase of social finances. This study was aimed at investigating the factors influencing adherence to preventive behavior on chronic complications of Diabetes Mellitus. METHODS: Data was collected by questionnaires from 332 diabetic patients who were visited out-patient clinics, with 323 finally selected for the study. The data was analyzed by the SPSS program. RESULTS: The level of knowledge on chronic complications of Diabetes Mellitus was 18.02 points space(maximum 24 points). The level of hardiness was 119.80 points(maximum 240 points). The level of adherence to preventive behavior on chronic complications of Diabetes Mellitus was 49.11 points(maximum 75 points). The score of knowledge and hardiness showed a significant correlation with adherence to preventive behavior on chronic complications of Diabetes Mellitus. The significant predictors influencing adherence to preventive behavior were treatment, knowledge of Diabetes Mellitus, and hardiness. CONCLUSION: This study suggests that treatment, knowledge, and hardiness are significant influencing factors on adherence to preventive behavior on chronic complications of Diabetes Mellitus. The results of this study will contribute to developing a program for people with diabetes.
Diabetes Complications ; Diabetes Mellitus ; Humans ; Korea ; Outpatients ; Prevalence ; Surveys and Questionnaires

Diabetes mellitus is a chronic disease affecting multiple organ systems, and the optimal therapy for diabetic complications is prevention through identification of high-risk patients. Thus, regular evaluation of patient risk for related diseases as well as glucose control is crucial in the management of patients with diabetes. Regular evaluation for diabetic patients based on recent guidelines will be provided in this article.
Chronic Disease ; Diabetes Complications ; Diabetes Mellitus* ; Glucose ; Humans

Poorly controlled diabetes is associated with development of various diabetic complications. Large controlled clinical trials have demonstrated that intensive glycemic control can significantly decrease the development and/or progression of microvascular complications of diabetes. Until recently, the goal of treatment in diabetic subjects has been reducing HbA1c level, with a strong emphasis on fasting plasma glucose. Although control of fasting hyperglycemia is necessary, that alone is not sufficient to obtain optimal glycemic control. Recently, a growing body of evidence has suggested that postprandial hyperglycemia has greater impact on diabetes complications than does average blood glucose as measured by HbA1c or fasting plasma glucose. This report briefly reviews the measurement and treatment goal of postprandial glucose.
Blood Glucose ; Diabetes Complications ; Diabetes Mellitus ; Fasting ; Glucose ; Hyperglycemia ; Plasma

China/epidemiology* ; Diabetes Complications/epidemiology* ; Diabetes Mellitus/epidemiology* ; Humans