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Evaluation of Semen Quality in Type 2 Diabetes Mellitus Sudanese Patients Compared to Non-Diabetic Subjects 苏丹2型糖尿病患者与非糖尿病患者精液质量的比较
Pub Date : 2018-12-31 DOI: 10.2174/2588778501808010020
Negwan E. Ibrahim, M. Rida, Abdelkarim A. Abdrabo
Diabetes leads to metabolic abnormalities. These abnormalities produce problems in a variety of organ systems such as ophthalmopathies, neuropathies, nephropathies, and vasculopathies. Infertility is common in diabetic patients, caused by abnormal semen. This study was conducted to check semen quality in diabetic Sudanese patients. This is a retrospective cross-sectional designed study. The data were collected in a period from January 2015 to February 2017. A total of 600 individuals was included, 300 with type 2 diabetes mellitus and 300 apparently healthy as a non-diabetic. Semen analysis was performed according to WHO criteria. Significant lower results were found in diabetic patients compared to non diabetic regarding the following parameters: volume of ejaculation (p = 0.047), percent motility (p = 0.001), percent normal morphology (p = 0.000), while there was no difference in the sperm count between diabetic and non-diabetic subjects. Semen of types 2 diabetes mellitus patients is of low volume, abnormal motility and morphology compared to non-diabetic subjects.
糖尿病会导致代谢异常。这些异常在各种器官系统中产生问题,如眼病、神经病、肾病和血管病变。不育在糖尿病患者中很常见,是由精液异常引起的。本研究旨在检查苏丹糖尿病患者的精液质量。这是一项回顾性横断面设计研究。数据收集时间为2015年1月至2017年2月。总共包括600人,其中300人患有2型糖尿病,300人作为非糖尿病患者明显健康。按照世卫组织标准进行精液分析。在射精量(p = 0.047)、活力百分比(p = 0.001)、正常形态百分比(p = 0.000)方面,糖尿病患者的结果明显低于非糖尿病患者,而精子数量在糖尿病患者和非糖尿病患者之间没有差异。与非糖尿病患者相比,2型糖尿病患者的精液体积小,运动和形态异常。
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引用次数: 2
Estimation of Prolactin and HbA1c among Type 2 Diabetic Male with Retinopathy in Khartoum State 喀土穆州2型糖尿病男性视网膜病变患者催乳素和糖化血红蛋白的测定
Pub Date : 2018-11-30 DOI: 10.2174/2588778501808010007
Malaz Salah Abdallah, N. Ahmed, AbdElkarim A. Abdrabo
Diabetic Retinopathy (DR) is one of the long-term complications of Diabetes Mellitus (DM) and constitutes the leading cause of blindness in working-age individuals. Prolactin (PRL) is a peptide hormone that is linked with lactation but many studies have demonstrated that PRL could have protective value against DR. To evaluate the role of prolactin in pathophysiology of DR. This study is designed to find an association between PRL level and DR. In this case-control study, a total of 300 subjects were recruited to participate in the study, 150 subjects apparently healthy as control group and other 150 patients were diagnosed with type 2 DM who were classified into diabetic patients with DR (75) and diabetic patients without DR (75). Serum PRL was measured by autoanalyzer (TOSOH AIA system), HbA1c was measured by another automated chemical analyzer (Cobas c system). Statistical analysis was performed using SPSS version 21 using an independent samples T-test and Pearson's correlation. Independent samples of T-test analysis show a significant decrease in PRL level in the diabetic patients with DR in comparison to the diabetic patients without DR (p˂0.05). Person's correlation revealed that there was an insignificant correlation between PRL level with duration of DM and patients age. These findings suggest that low PRL level might be associated with DR.
糖尿病视网膜病变(DR)是糖尿病(DM)的长期并发症之一,是导致工作年龄人群失明的主要原因。催乳素(Prolactin, PRL)是一种与泌乳有关的多肽激素,但许多研究表明,PRL对dr具有保护作用。为了评估催乳素在dr病理生理中的作用,本研究旨在发现PRL水平与dr之间的关系。本研究共招募300名受试者参加病例对照研究。选取表面健康的150例作为对照组,其余150例诊断为2型DM的患者分为合并DR的糖尿病患者(75例)和未合并DR的糖尿病患者(75例)。血清PRL采用全自动化学分析仪(TOSOH AIA系统)测定,HbA1c采用全自动化学分析仪(Cobas c系统)测定。统计分析采用SPSS 21版,采用独立样本t检验和Pearson相关。独立样本t检验分析显示,糖尿病合并DR患者的PRL水平明显低于非DR患者(p小于0.05)。Person’s相关性显示PRL水平与糖尿病病程和患者年龄之间的相关性不显著。这些发现提示低PRL水平可能与DR有关。
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引用次数: 0
Glucose Control in Diabetic Patients Attending Parirenyatwa Group of Hospitals in Zimbabwe 津巴布韦Parirenyatwa集团医院糖尿病患者的血糖控制
Pub Date : 2018-11-16 DOI: 10.2174/2588778501808010012
Magnus Chirombe, B. Ngara, Raymond Chibvongodze, Venneth Charuka, Danai Tavonga Zhou
Diabetes mellitus is a non-communicable disease whose prevalence is increasing even in low-income countries like Zimbabwe. It is usually diagnosed late when complications are already present mainly due to slow onset of disease, low accessibility to healthcare facilities and socio-economic hardships. Poor glycaemic control in diabetics is associated with the development of long-term microvascular and macrovascular complications such as nephropathy, neuropathy, retinopathy, cardiovascular disease and diabetic foot syndrome. Therefore, good glycaemic control is essential to prevent complications, to improve the quality of life of diabetic patients and to reduce healthcare costs. This study sought to find the status of glycaemic control and to identify factors that are associated with poor glycaemic control among diabetic patients attending Parirenyatwa Group of Hospitals Diabetic Clinic in Harare, Zimbabwe. A cross-sectional study involving a total of 182 diabetic patients was carried out. Demographic data (age and gender) and clinical information (hypertension, duration, height, weight and lipid therapy) were retrieved from patients’ clinical records. Blood samples from participating diabetic patients were analysed for HbA1c on the Mindray® BS 400 Analyser. Measurement of HbA1c was done enzymatically using the International Federation of Clinical Chemists (IFCC) method. A total of 182 patients (30.2% men, 69.8% women) were enrolled whose mean (SD) age in years was 55 (9.0). The glycaemic status was generally poor with a prevalence of poor glycaemic control as high as 58.2%. This prevalence is higher than that previously obtained at the same hospital in 2013 thus presenting a major health challenge. This also means the burden of diabetic complications is likely to increase. Poor glycaemic control was significantly associated with gender and duration of diabetes mellitus. We conclude that in order to improve glycaemic control among diabetic patients, primary healthcare facilities need to focus on patient education and should facilitate early diagnosis through routine medical check-ups.
糖尿病是一种非传染性疾病,即使在津巴布韦等低收入国家,其患病率也在上升。通常在已经出现并发症时诊断较晚,主要原因是发病缓慢、难以获得卫生保健设施以及社会经济困难。糖尿病患者血糖控制不良与长期微血管和大血管并发症的发展有关,如肾病、神经病变、视网膜病变、心血管疾病和糖尿病足综合征。因此,良好的血糖控制对预防并发症、提高糖尿病患者的生活质量和降低医疗费用至关重要。本研究旨在发现在津巴布韦哈拉雷Parirenyatwa集团医院糖尿病诊所就诊的糖尿病患者的血糖控制状况,并确定与血糖控制不良相关的因素。对182例糖尿病患者进行了横断面研究。从患者的临床记录中检索人口统计数据(年龄和性别)和临床信息(高血压、病程、身高、体重和脂质治疗)。采用迈瑞®bs400分析仪对参与研究的糖尿病患者的血液样本进行HbA1c分析。采用国际临床化学家联合会(IFCC)的方法酶法测定HbA1c。共纳入182例患者(男性30.2%,女性69.8%),平均(SD)年龄为55岁(9.0岁)。血糖状况普遍较差,血糖控制不良的患病率高达58.2%。这一患病率高于2013年在同一家医院获得的数据,因此对健康构成重大挑战。这也意味着糖尿病并发症的负担可能会增加。血糖控制不良与性别和糖尿病病程显著相关。我们的结论是,为了改善糖尿病患者的血糖控制,初级卫生保健机构需要重视患者教育,并通过常规体检促进早期诊断。
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引用次数: 6
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The Open Clinical Biochemistry Journal
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