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Does percutaneous transluminal coronary angioplasty (PTCA) have comparable long-term outcomes compared to coronary artery bypass grafting (CABG) in diabetic patients? 与冠状动脉旁路移植术(CABG)相比,经皮腔内冠状动脉成形术(PTCA)对糖尿病患者有可比性的长期结果吗?
Pub Date : 2020-09-23 DOI: 10.15406/jdmdc.2020.07.00207
Ahmad Farouk Musa, Cheang Jia Min, A. A. Abdul Rahim, J. Dillon, Rusli Bin Nordi
Abbreviations: SYNTAX, synergy between percutaneous coronary intervention with taxus and cardiac surgery; CAD, coronary artery disease; CABG, coronary artery bypass grafting; PTCA, percutaneous transluminal coronary angioplasty; ACS, acute coronary syndrome; MODY, maturity-onset diabetes of the young; LADA, latent autoimmune diabetes of adulthood; MI, myocardial infarction; LMSD, left main stem disease; MVD, multivessel disease; DES, drug eluting stent; RCS, randomised controlled trials; OS, observational studies; BARI, bypass angioplasty revascularization investigation; MACCE, major adverse cardiac and cerebrovascular events; EES, everolimus-eluting stent; ACR, hybrid coronary revascularization
缩写词:SYNTAX,经皮冠状动脉介入治疗与心脏手术的协同作用;冠心病,冠状动脉疾病;冠状动脉旁路移植术;PTCA,经皮冠状动脉腔内成形术;ACS,急性冠脉综合征;MODY,年轻人的成熟型糖尿病;LADA,成人潜伏性自身免疫性糖尿病;MI,心肌梗死;左主干病;MVD,多血管疾病;DES,药物洗脱支架;RCS,随机对照试验;OS,观察性研究;BARI,旁路血管成形术重建术研究;MACCE,主要心脑血管不良事件;EES,依维莫司洗脱支架;ACR,混合型冠状动脉重建术
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引用次数: 0
Empagliflozin role in the treatment of type 2 diabetes with cardiovascular disease and subclinical cardiovascular disease in outpatient setting: case reports 恩格列净在2型糖尿病合并心血管疾病和亚临床心血管疾病门诊治疗中的作用:病例报告
Pub Date : 2020-07-30 DOI: 10.15406/jdmdc.2020.07.00205
R. Jain, Mohammadreza Shoghli, Muhammad Iqbal, Amit P. Chauhan, Rachna Jain
SGLT2 inhibitors based on recent evidence have shown promising Cardio vascular benefits apart from Glycemic Control in T2DM management. ESC-EASD 2019 clearly suggest that All SGLT2i reduces CV risk (3P MACE), HHF, worsening of Nephropathy .Only Empagliflozin has been recommended for reducing the Risk of CV death in T2DM with ASCVD & the CV death remains independent of baseline HbA1c or control of HbA1c. Empagliflozin CV death is very unique because the consistency of Mortality benefit remains very significant in patients of T2DM with various CVD (like Single Vessel disease CAD, Multiple Vessel Disease CAD, Prior CABG, Prior MI, Prior Stroke, Prior HHF, PAD).
根据最近的证据,SGLT2抑制剂在T2DM治疗中除了血糖控制外,还显示出有希望的心血管益处。ESC-EASD 2019明确表明,All SGLT2i可降低CV风险(3P MACE)、HHF、肾病恶化。仅恩格列净被推荐用于降低T2DM合并ASCVD患者CV死亡风险,且CV死亡仍独立于基线HbA1c或控制HbA1c。恩格列净的心血管死亡率非常独特,因为死亡率获益的一致性在T2DM合并各种心血管疾病(如单血管疾病CAD、多血管疾病CAD、既往冠脉搭桥、既往心肌梗死、既往卒中、既往HHF、PAD)患者中仍然非常显著。
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引用次数: 0
Failure of heparin associated to insulin in treatment of a hypertriglyceridemia-induced acute pancreatitis 肝素联合胰岛素治疗高甘油三酯血症引起的急性胰腺炎的失败
Pub Date : 2020-07-20 DOI: 10.15406/jdmdc.2020.07.00204
Mounir Khalil, Chouikh Chaki, E. Zakarya, Mattous Mohamed
was significant for sensibility in the epigastric region without palpable spleen or any mass. Capillary dextrose was 4.47g/l and urines ketones were positives. Intensive management was started immediately. Physiologic saline serum 0.9% was administered by two peripheral venous catheters (16G). A tracheal tube after a crush induction by Etomidat and succinylcholine allowed invasive ventilation under 60% of oxygen to reach 98% of saturation. Sedation was realized with fentanyl only at first. Then, femoral venous catheter allows adrenalin administration at progressively dose to 0.5μg/kg/min for obtaining stabilized hemodynamic status. Her first labs were significant for blood lipase of 609 UI/L. White blood cells count was 17100/mm3 and serum triglyceride level was elevated at 11g/l. Serum anion gap was normal. Chest X-ray was normal. Abdominal CT scan showed a necrosis of the pancreatic parenchyma and peri pancreatic tissues without fluid collection.
在未触及脾脏或任何肿块的上腹部,敏感性显著。毛细葡萄糖4.47g/l,尿酮阳性。立即开始了强化管理。生理盐水0.9%经2根外周静脉导管(16G)输注。在依托米他和琥珀胆碱诱导挤压后,气管插管使有创通气在60%的氧气下达到98%的饱和度。芬太尼一开始才起到镇静作用。然后,股静脉导管允许肾上腺素逐步给药至0.5μg/kg/min,以获得稳定的血流动力学状态。她的第一个实验室的血脂酶609 UI/L显著。白细胞计数为17100/mm3,血清甘油三酯水平升高至11g/l。血清阴离子间隙正常。胸片检查正常。腹部CT扫描显示胰腺实质和胰腺周围组织坏死,无积液。
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引用次数: 0
Novel effect of medicinal plants on diabetes mellitus 药用植物对糖尿病的新作用
Pub Date : 2020-06-30 DOI: 10.15406/jdmdc.2020.07.00203
M. Win
glycogenesis but also increase glucose utilization in periphery. 8 It can inhibit α-amylase and α-glucosidase in vitro and reduce blood glucose level in Streptozotocin-induced diabetic rats when they were given orally. These two enzymes may play a role in carbohydrates metabolism and cause postprandial increase glucose level in diabetic patients. 9 One of the medicinal plants which have beneficial effect on DM is resveratrol. It has many different mechanisms like prevention of abnormal glucose uptake and storage, apoptosis and dysfunction pancreatic β cells and improved insulin resistance. 10 Similarly, traditional plants used in Persian medicine
糖生成也会增加外周的葡萄糖利用。8体外对α-淀粉酶、α-葡萄糖苷酶有抑制作用,并能降低链脲霉素诱导的糖尿病大鼠的血糖水平。这两种酶可能在糖尿病患者的碳水化合物代谢中发挥作用,导致餐后血糖水平升高。对DM有有益作用的药用植物之一是白藜芦醇。它有许多不同的机制,如防止异常的葡萄糖摄取和储存,凋亡和功能失调的胰腺β细胞和改善胰岛素抵抗。同样,波斯医药中使用的传统植物
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引用次数: 2
Diabetes and musculoskeletal disorders-a review 糖尿病和肌肉骨骼疾病综述
Pub Date : 2020-06-29 DOI: 10.15406/JDMDC.2020.07.00202
S. Ghosal, A. Ghosal
Diabetes mellitus comprises of metabolic diseases that are characterized by elevated levels of blood glucose or hyperglycaemia, which is a result of insulin deficiency, insulin resistance or both. Marked hyperglycaemia causes an increase in morbidity and mortality that are related to macrovascular and microvascular complications. Musculoskeletal disorders seem to occur often in patients who have diabetes. Musculoskeletal pain is a usual occurrence in patients who have diabetes compared to the general population. The aim of this review was to explore and musculoskeletal disorders in diabetes. Diabetes causes significant morbidity and mortality and has been found to have an association with musculoskeletal disorders. A number of studies have found that diabetes has an association with musculoskeletal disorders such as osteoarthritis, rheumatoid arthritis, osteoporosis, fibromyalgia and carpal tunnel syndrome however the reasons underlying them are unclear. This review looks at the effects of diabetes on musculoskeletal disorders and the mechanisms through which diabetes contributes to them, so as to have a better understanding of the impact they may have in patients with diabetes. Further studies are necessary to understand how diabetes correlates with connective tissue metabolism, cytokines obesity, for better patient care,
糖尿病包括以血糖水平升高或高血糖为特征的代谢性疾病,这是胰岛素缺乏、胰岛素抵抗或两者兼而有之的结果。明显的高血糖导致与大血管和微血管并发症相关的发病率和死亡率增加。肌肉骨骼疾病似乎经常发生在糖尿病患者身上。与一般人群相比,肌肉骨骼疼痛是糖尿病患者的常见病。本综述的目的是探讨糖尿病中的肌肉骨骼疾病。糖尿病引起显著的发病率和死亡率,并被发现与肌肉骨骼疾病有关。许多研究发现,糖尿病与骨关节炎、风湿性关节炎、骨质疏松症、纤维肌痛和腕管综合征等肌肉骨骼疾病有关,但其背后的原因尚不清楚。这篇综述着眼于糖尿病对肌肉骨骼疾病的影响以及糖尿病导致这些疾病的机制,以便更好地了解它们对糖尿病患者的影响。需要进一步的研究来了解糖尿病与结缔组织代谢、细胞因子肥胖之间的关系,以便更好地治疗患者,
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引用次数: 6
Interaction between oxidative stress and diabetes: a mini-review 氧化应激和糖尿病之间的相互作用:一个小回顾
Pub Date : 2020-06-29 DOI: 10.15406/JDMDC.2020.07.00201
Royana Singh, A. Ashish, Arunim Shah, S. Pandey
The Diabetes Mellitus (DM) is increasing in incidence and prevalence worldwide, taking the shape of the pandemic proportions, which is expected to increase further over a couple of decades. In 2019, an estimated 9.3% of the population (463 million people), globally had DM. Projection of future DM burden may increase to 10.2% (578 million people) by 2030 and 10.9% (700 million people) by next 25 years (2045). The decrease in immunity in diabetic patients has been a significant concern for physicians and patients alike. The role of mitochondria and it is cellular signaling can elaborate on this problem in depth. Mitochondria is a rich source of reactive oxygen species (ROS) and plays a crucial role in cellular metabolism for energy. They are targets of ROS and many different cellular signals like mitochondrial membrane apoptosis due to hyperglycemia and ROS. The interplay between oxidative stress and diabetes further activated, leading to increased permeability of mitochondrial membrane & apoptosis; this leads to a decrease in immunity in diabetic patients leading to increased mortality and morbidity. Hyperglycemia and ROS major pathways of apoptosis through mitochondrial activation in diabetic patients leading to decreased immunity. They can become drug targets for further intervention of this problem in Diabetic patients. Access
糖尿病(DM)在世界范围内的发病率和流行率正在增加,呈大流行病的形式,预计在几十年内将进一步增加。2019年,全球估计有9.3%的人口(4.63亿人)患有糖尿病。预计到2030年,未来糖尿病负担可能增加到10.2%(5.78亿人),到未来25年(2045年)可能增加到10.9%(7亿人)。糖尿病患者的免疫力下降一直是医生和患者都非常关注的问题。线粒体的作用和它的细胞信号传导可以深入阐述这个问题。线粒体是活性氧(ROS)的丰富来源,在细胞能量代谢中起着至关重要的作用。它们是活性氧和许多不同细胞信号的靶标,如高血糖和活性氧引起的线粒体膜凋亡。氧化应激与糖尿病的相互作用进一步激活,导致线粒体膜通透性增加和细胞凋亡;这导致糖尿病患者免疫力下降,导致死亡率和发病率增加。高血糖和ROS是糖尿病患者通过线粒体激活细胞凋亡的主要途径,导致免疫力下降。它们可以成为进一步干预糖尿病患者这一问题的药物靶点。访问
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引用次数: 6
Helicobacter pylori infection among patients with type II diabetes mellitus 2型糖尿病患者幽门螺杆菌感染的研究
Pub Date : 2020-06-26 DOI: 10.15406/jdmdc.2020.07.00200
Saad Al-Arnoot, E. Al-Awadhi, S. Bahaj, Basher Al-Oferi, A. Esmail
T2DM formerly known as non-insulin-dependent diabetes mellitus or adult-onset diabetes is a metabolic disorder that is characterized by high levels of blood glucose resulting from insulin resistance and relative insulin deficiency. It is an emerging pandemic and is rapidly becoming a serious threat to public health.1 H. pylori is a gram-negative, spiral shaped pathogenic bacterium that specifically colonizes on the gastric epithelium, it is one of the most common human bacterial pathogens and infection causes a wide array of gastric disorders, including simple gastritis, peptic ulcers and gastric malignancies. Gastrointestinal inflammation caused by H. pylori can influence the absorption of glucose and lipids, which are also abnormal in DM patients.2,3 It is a common infection in diabetic patients who have inadequate metabolic control, individuals are colonized by H. pylori infection in the gastric antrum, probably because of chemotactic factors such as tumor necrotic factor (TNF), interleukins-IL-1, IL-2, and IL-8, which are present in gastric epithelium.4,5 Beside DM the H. pylori is also a well be established cause of dyspepsia, the incidence of H. pylori is increased in DM may be due to delay gastric emptying and antraldy smotility, which are important causes of dyspepsia in diabetes, the role of H. pylori infection in diabetic dyspepsia is mainly related to blood glucose concentration, reduce of acid secretion and secrete higher of pro-inflammatory cytokines.5,6 Recent evidence has shown that qat chewing does indeed delay gastric emptying of a semisolid meal, probably as a result of the sympathomimetic action of cathinone in qat. Inflammation and activated innate immunity have been implicated in pathogenesis of diabetes through insulin resistance, for example, elevated levels of inflammatory cytokines may lead to phosphorylation of serine residues on the insulin receptor substrate, which prevents its interaction with insulin receptors, inhibiting insulin action or altered glucose metabolism may produce chemical changes in the gastric mucosa that promote H. pylori colonization So, individuals with diabetes are more frequently exposed to pathogens than their healthy counterparts.7–10 This study was conducted to reveal the prevalence of H. pylori among T2DM and non-DM patients with the association between Qat chewing and potential risk factors.
T2DM以前被称为非胰岛素依赖型糖尿病或成人发病糖尿病,是一种代谢紊乱,其特征是胰岛素抵抗和相对胰岛素缺乏导致高血糖。这是一种新出现的流行病,正迅速成为对公众健康的严重威胁幽门螺杆菌是一种专门定植于胃上皮的革兰氏阴性螺旋形致病菌,是最常见的人类细菌病原体之一,感染可引起多种胃疾病,包括单纯性胃炎、消化性溃疡和胃恶性肿瘤。幽门螺旋杆菌引起的胃肠道炎症会影响葡萄糖和脂质的吸收,这在DM患者中也是异常的。2,3是代谢控制不充分的糖尿病患者的常见感染,个体在胃窦被幽门螺杆菌感染定植,可能是由于胃上皮中存在的趋化因子,如肿瘤坏死因子(TNF)、白细胞介素- il -1、IL-2和IL-8。4、5除糖尿病外,幽门螺杆菌也是公认的引起消化不良的原因之一,糖尿病患者幽门螺杆菌发病率增高可能与胃排空延迟、胃窦蠕动迟缓等是糖尿病患者消化不良的重要原因有关,幽门螺杆菌感染在糖尿病消化不良中的作用主要与血糖浓度、胃酸分泌减少、促炎细胞因子分泌增多有关。最近的证据表明,咀嚼卡塔尔确实可以延迟半固体食物的胃排空,这可能是由于卡塔尔中的卡西酮的交感神经作用。炎症和激活的先天免疫通过胰岛素抵抗与糖尿病的发病机制有关,例如,炎症细胞因子水平升高可能导致胰岛素受体底物上丝氨酸残基的磷酸化,从而阻止其与胰岛素受体的相互作用,抑制胰岛素的作用或改变葡萄糖代谢可能在胃粘膜产生化学变化,促进幽门螺杆菌定植。糖尿病患者比健康人更容易接触到病原体。7-10本研究旨在揭示T2DM和非dm患者中幽门螺杆菌的患病率以及咀嚼卡特与潜在危险因素之间的关系。
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引用次数: 2
Nurse-Led diabetes clinics in Southeast Asia: scope,feasibility, challenges and facilitators 东南亚护士主导的糖尿病诊所:范围、可行性、挑战和促进因素
Pub Date : 2020-06-09 DOI: 10.15406/JDMDC.2020.07.00199
Suresh K. Sharma, Kalpana Thakur, R. Kant, S. Kalra
Burden of diabetes has escalated worldwide and global death rate has doubled in last two decades. About 88 million people are living with diabetes in Southeast Asian countries and it is expected to shoot up rapidly because of changing life style and longevity of life. Unfortunately, diabetes is not well managed in these countries because of several factors but mainly due to poor doctor-to-population ratio. Recently, World Health Organization has also advised accessible, affordable and quality diabetes care in Southeast Asian countries through extended role of nurses in diabetes care. The model of independent nurse-led diabetes clinic and advanced diabetes nurse practitioner for management of diabetes has been successful in the western world. This article highlights the scope, feasibility, challenges, barriers and facilitators in implementation of nurse-led diabetes clinics (NLDC) in Southeast Asian countries.
近二十年来,世界范围内糖尿病负担不断加重,全球糖尿病死亡率翻了一番。东南亚国家约有8800万人患有糖尿病,由于生活方式的改变和寿命的延长,预计这一数字将迅速上升。不幸的是,由于几个因素,糖尿病在这些国家没有得到很好的管理,但主要是由于医生与人口的比例不高。最近,世界卫生组织还建议通过扩大护士在糖尿病护理中的作用,在东南亚国家提供可获得、负担得起和优质的糖尿病护理。护士主导的独立糖尿病诊所和高级糖尿病执业护士管理糖尿病的模式在西方国家已经取得了成功。本文重点介绍了护士主导的糖尿病诊所(NLDC)在东南亚国家实施的范围、可行性、挑战、障碍和促进因素。
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引用次数: 5
Prevalence of vitamin D deficiency among health care professionals in a medical college of India 印度某医学院卫生保健专业人员维生素D缺乏症的流行情况
Pub Date : 2020-05-18 DOI: 10.15406/JDMDC.2020.07.00198
A. Mitra, S. Ray, Kingshuk Bhattacharjee
Background: Vitamin D is unique among vitamins as it can be synthesized from the action of ultra violet radiation upon the skin. This study was done to investigate prevalence of Vitamin D deficiency among health care professionals. Method: This was an institution based cross sectional prevalence study conducted over period of one year at Medical College, Kolkata, India. The study was conducted among 50 doctors, 25 nurses and 25 laboratory technicians. After getting demographic data, serum Vitamin D level was measured in each subject and statistical analysis done. Result: Mean age of study subject was 51.69±7.61 years. Result showed that 63% were male and 37% were female. In this study 73% of the subjects were deficient in Vitamin D level. 25% of subjects had insufficient Vitamin D level and only 2% subject has sufficient D level. Conclusion: Vitamin D deficiency is highly prevalent among health care professionals. Lack of sunlight exposure, changes in lifestyle and food habits contribute to low Vitamin D levels in this population.
背景:维生素D在维生素中是独一无二的,因为它可以通过紫外线辐射在皮肤上的作用合成。这项研究是为了调查卫生保健专业人员中维生素D缺乏症的流行情况。方法:这是一项在印度加尔各答医学院进行的为期一年的基于机构的横断面患病率研究。这项研究在50名医生、25名护士和25名实验室技术人员中进行。在获得人口统计数据后,测量每个受试者的血清维生素D水平并进行统计分析。结果:研究对象平均年龄为51.69±7.61岁。结果显示,男性占63%,女性占37%。在这项研究中,73%的受试者缺乏维生素D。25%的受试者维生素D水平不足,只有2%的受试者维生素D水平充足。结论:维生素D缺乏症在卫生保健专业人员中非常普遍。缺乏阳光照射,生活方式和饮食习惯的改变导致这一人群维生素D水平低。
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引用次数: 0
Anti-diabetic, haematinic and anti-cholesterolmic effects of carrot (Daucus carota Linn.) juice metabolites to cure alloxan monohydrate induced type-1 diabetes in albino rats 胡萝卜(Daucus carota Linn.)果汁代谢物治疗白化大鼠四氧嘧啶诱导的1型糖尿病的降糖、降血和降胆固醇作用
Pub Date : 2020-05-11 DOI: 10.15406/JDMDC.2020.07.00197
K. Shachi, N. Dubey, Sanjeev Kumar, N. K. Prasad, U. Dubey
Introduction In present study an effort has been made to assess the hypoglycemic Anticholestrolemic and haematinic activity of carrot juice in alloxan monohydrate induced experimental animal model nbsp Materials and methods Rats were acclimatized for days in lab temperature All animals were given standard water and pellet diet Diabetes was induced in rats with the help of alloxan monohydrate mg kg body weight After alloxan monohydrate injection rats were separated and treatment started with carrot juice and insulin nbsp Results and discussion A marked rise in fasting blood glucose as well as serum cholesterol level was observed in diabetic control rats when compared to normal control rats Antihyperglycemic Anti cholesterolmic and haematinic activity observed in carrot juice administered rats on th th st and th days post treatment Anti hyperglycemic and anti cholesterol mic activity was found less effective than that of insulin treatment group nbsp Conclusion It is hope that present investigation will be helpful in establishing a scientific basis for antidiabetic haematinic and Anti cholesterolmic effects in experimental animal model The results are lt statistically significant
本研究对胡萝卜汁在四氧嘧啶诱导实验动物模型中的降糖、降胆固醇、降血活性进行了研究。材料和方法将大鼠在实验室温度下驯化数天,所有动物均给予标准水和颗粒饲料,以mg kg体重的四氧嘧啶诱导大鼠发生糖尿病胡萝卜汁和胰岛素盼结果与讨论的显著上升空腹血糖以及血清胆固醇水平在糖尿病控制老鼠相比正常控制老鼠的降糖药反cholesterolmic和haematinic活动中观察到胡萝卜汁服用老鼠th st和th天治疗后抗高血糖的发现和抗胆固醇麦克风活动效果低于胰岛素治疗组的结论是盼希望礼物本研究将有助于在实验动物模型上建立抗糖尿病、降血脂和降胆固醇作用的科学依据
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引用次数: 3
期刊
Journal of diabetes, metabolic disorders & control
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