Comorbidities and Complications Among Type 2 Diabetic Patients at a Tertiary Care Hospital in Ongole, Andhra Pradesh: A Prospective Observational Study
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Keywords

HTN
ketoacidosis
CVD
type 2 diabetes

Abstract

The study's objective is to determine how common type 2 diabetes mellitus problems and comorbidities are 
among patients at the government general hospital in Ongole, Andhra Pradesh. Goals: To calculate the 
frequency of co-morbidities and complications in individuals with type 2 diabetes. to evaluate the substantial 
correlation between complications and the length of diabetes. Methodology: Prospective observational studies 
were carried out on 800 patients in a tertiary care hospital's general medicine department who met the study's 
eligibility requirements. The information was gathered using carefully crafted proformas in accordance with 
the requirements, and it was then examined. Patients with diabetes who are between the ages of 18 and 80 are 
eligible. Patients with diabetes who are younger than 18 or older than 80 are not eligible. Individuals with 
gestational diabetes and type 1 diabetes mellitus are not included. Results: Of the 800 patients, 407 (50%) had 
HTN, 109 (13.6%) had CLD, 96 (12%) had pancreatitis, 83 (10.3%) had dyslipidemia, 77 (9.6%) had gastritis, 
and 48 (6%) had CKD. Patients with type 2 diabetes complications include 185 (23.1%) with CVD, 169 
(21.1%) with CVA, 126 (15.7%) with neuropathy, 123 (15.3%) with retinopathy, 113 (14.1%) with 
nephropathy, 107 (13.3%) with diabetic foot ulcers, and 63 (7.8%) with ketoacidosis. 342 (42.7%) of the 
study's participants had diabetes for less than five years, whereas 190 (24%) have it for six to ten years, 120 
(15%) for eleven to fifteen years, 80 (10%) for sixteen to twenty years, and 68 (9%) for more than twenty 
years. In conclusion: Patients with diabetes for less than five years were the primary focus of this research. Of 
them, 0.8% had nephropathy, 2.1% had CVD, 1.8% had CVA, 1.2% had diabetic foot ulcers, 0.6% had 
ketoacidosis, 0.3% had retinopathy, and 1% had neuropathy. 2.5% of patients have nephropathy, 3.3% have 
CVD, 3% have CVA, 2.2% have diabetic foot ulcers, 0.9% have ketoacidosis, 1.8% have retinopathy, and 
1.3% have neuropathy after six to ten years of illness. 3.8%, 5%, 4.4%, 2.9%, 1.5%, 3.2%, and 3.5% of people 
with diabetes between the ages of 11 and 15 had nephropathy, CVD, CVA, diabetic foot ulcers, ketoacidosis, 
retinopathy, and neuropathy, respectively. The incidence of complications grows with the length of diabetes 
and eventually results in mortality. 

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