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Diabetes in Egypt (2003)

Diabetes in Egypt (2003). Prof. Morsi Arab. PREVELANCE OF COMPLICATIONS OF DIABETES MELLITUS IN EGYPT. Alex 1 Menoufeya 2 El Menia 3 Assiut 4 Mansoura 5 El Behira 6 Kafr El Sheikh 7 Matrouh 8 Other Govern. 9. Age and Sex ( percent ). Type of Diabetes. BMI

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Diabetes in Egypt (2003)

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  1. Diabetes in Egypt(2003) Prof. Morsi Arab

  2. PREVELANCE OF COMPLICATIONS OF DIABETES MELLITUS IN EGYPT

  3. Alex 1 Menoufeya 2 El Menia 3 Assiut 4 Mansoura 5 El Behira 6 Kafr El Sheikh 7 Matrouh 8 Other Govern. 9

  4. Age and Sex ( percent )

  5. Type of Diabetes

  6. BMI Increased BMI and Gender

  7. Fertility; Abortions and Labour in Diabetic Females . (among 1060 diabetic females) - The average number of normally born children / pt = 3.6 - The average number of aborted children / pt = 0.9 - The frequency of abortions among all pregnancies = 21.5% - The average frequency of Caesarian labour = 4.7 %

  8. Parental History of DiabetesDiabetic Mother in : 29.1 % Diabetic Father in : 22.3 % Both parents in : 7.8 % Neither Parents in :39.3 %

  9. Fasting Hyperglycemia - Controlled (< 120 mg/dl ) = 19.8 % - Total Uncontrolled = 80.2 % Hyperglycemic 121-150 mg/dl = 15.6 % Marked hyperglycemia 151-200 = 31.3 % Severe hyperglycemia 211-220 = 12.5 % Very severe hyperglycemia > 220 = 20.8 %

  10. Post Prandial Hyperglycemia - Controlled < 160 mg/dl = 13.5 % - Accepted 161-180 mg/dl = 7.9 % Total =21.4 % - Uncontrolled >180 mg/dl = 78.6 % * Moderate 181-220 mg/dl = 17.4 % * Severe 221- 260 mg/dl = 16.0 % * Very Severe > 260 mg/dl = 45.2 % TOTAL = 100 %

  11. Uncontrolled Diastolic Hypertension

  12. Uncontrolled Systolic Hypertension

  13. Diabetes KetoAcidosis (DKA)- Incidence ( among all patients at all frequencies at any time of the duration of diabetes ) = 12.2 %.- The mean age in patients who developed DKA ( at least once in life ) = 42.5 years- The mean age in patients who never developed DKA = 53.1 years

  14. Hypoglycemia- Incidence of Hypoglycemic episodes at any frequency and at any time during the course of Diabetes. Among 1588 patients was = 20.5% - The mean age of patients who developed hypoglycemic episodes at any time = 50.8 years - The mean age of patients who did not experience hypoglyceamic episodes = 52.1 years

  15. Serum Cholesterol and Hypercholsterolemia

  16. Cardiac ComplicationsAngina = 15.0 % Positive E.C.G. Changes : 7.9 % Signs of Cardiac Dysfunction: 21.3 % (C. H.V. and or arrhythmia )

  17. Retinopathy ( in 1173 patients )- Free 68.9 % - Back ground 22.6 % - Proliferative 9.5 %

  18. Serum Creatinine

  19. Ankle Reflex as early indicator of neuropathyn 1833 pts., AR was : - present in 44.5 % - absent in 55.5 %

  20. Prevalence of foot complications among diabetic patients Among 2000 patients : 1- Fungus infection = 22.0 % 2- Foot ulcers = 6.8 % 3- Evident Ischaemic changes = 9.7 % 4- Amputations = 3.0 % 5- Deformities = 1.0 %

  21. Treatment by InsulinI- Out of 2000 diabetic patients : - 882 are insulin recipients ( 44.1 %) - 199 are on animal insulin ( 23 % ) - 683 are on Human insulin ( 77 %)II- The average total daily dose = ( 45.5 units) - 34.1 % of pts on ( one ) injection - 58.4 % of pts on ( two ) injections) - 7.5 % of pts on multiple injections III- The form of insulin received is - Intermediate in 83.0% - Mixed in 14.6 % - Short in 4.2 %

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