A COMPARATIVE STUDY ON PULMONARY FUNCTION TEST IN TYPE II DIABETICS AND NON-DIABETICS IN A TERTIARY CARE HOSPITAL IN KOSHI REGION (NORTHERN BIHAR), INDIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 30
Abstract
BACKGROUND Diabetes mellitus is characterised by chronic hyperglycaemia due to defects in insulin secretion, peripheral insulin action or both which leads to alteration in the fat, proteins and carbohydrate metabolism of the individuals. Type 2 diabetes mellitus is associated with long term damage, dysfunction and failure of various organs and its complications are mostly caused by macro vascular and micro vascular damages. The aim of the study was to assess the effects of chronic hyperglycaemia on lung functions, which focused on mechanical aspects of lung dysfunction, maximal forced spirometric pulmonary function tests like FVC, FEV1, FEV1/FVC to be specific. MATERIALS AND METHODS This study is a cross sectional study conducted among 90 people with type 2 diabetes and 90 people with no diabetes without having risk factors that affect the lung functions. RESULTS In our study correlation between HbA1c and Pulmonary function is statistically significant (p value is <0.001). Most of the patients with elevated levels of HbA1c had the abnormality in the pulmonary function tests mainly the restrictive pattern of the lung disease. The patients with diabetes have 13% normal, 79% with restrictive lung disease and 8% with obstructive lung disease of pulmonary function tests. In non-diabetics 79% having normal, 11% having restrictive pattern and 10 % having the obstructive pattern of lung disease. In our study both FEV1 and FVC are reduced in diabetics, in which FVC has reduced more than FEV 1 so that FEV1/FVC has increased, and the ‘p’ value is significant in all the parameters according to independent sample t test. CONCLUSION Diabetes mellitus had a significant impact on pulmonary function tests, irrespective of smoking habits in subjects. Diabetes mellitus predominantly causes restrictive changes in the lung function tests. Chronic uncontrolled diabetes is one of the leading causes of lung complications. So, an intensive management will decrease the rate of death by an improved ventilator function.
Authors and Affiliations
Syed Khursheed Ejaz, Abdul Rahman Hasan, Chandan Kumar Poddar, Bijay Krishna Prasad
Keywords
Related Articles
- EP ID EP570001
- DOI 10.18410/jebmh/2018/455
- Views 94
- Downloads 0
DEXMEDETOMIDINE: A WONDER DRUG FOR TAP BLOCK IN PATIENTS UNDERGOING ELECTIVE CAESAREAN SECTION FOR POSTOPERATIVE PAIN RELIEF
BACKGROUND Transversus Abdominis Plane (TAP) Block is a field block which is widely used for post-operative pain relief in patients undergoing lower abdominal surgeries. The rate of lower segment caesarean sections seems...
CLINICAL PICTURE OF VERNAL KERATOCONJUNCTIVITIS IN CENTRAL ODISHA
BACKGROUND In this new era of increased pollution and dusty atmosphere, there is high risk of eyes getting exposed to allergens and its manifestation in form of vernal keratoconjunctivitis. It is still one of the iceberg...
A COMPARATIVE STUDY IN HERNIOPLASTY WITH AND WITHOUT DRAIN AND THE ASSOCIATED COMPLICATIONS
BACKGROUND The present study is a comparative study to compare in Lichtenstein’s mesh repair, the need of a subcutaneous suction drain in inguinal hernias at Government General Hospital, Guntur. To study the advantages a...
COMPARATIVE EVALUATION OF EFFECT OF ORAL CLONIDINE AND ORAL GABAPENTIN PREMEDICATION ON INTRAOPERATIVE HAEMODYNAMIC CHANGES IN LAPAROSCOPIC CHOLECYSTECTOMY- A PROSPECTIVE, RANDOMIZED, DOUBLE- BLIND, PLACEBOCONTROLLED STUDY
BACKGROUND Laparoscopic surgeries form an essence of today's surgical practice. It has been adapted as standard procedure for cholecystectomy at most centres. Haemodynamic perturbations associated with pneumoperitoneum d...
PRIMARY MULTILOCULAR HYDATID CYST OF NECK: A RARE CASE REPORT
Hydatid disease, also known as echinococcosis or hydatidosis, is an infectious disease caused by Echinococcus. Echinococcus granulosus is the most common Echinococcus species affecting human beings. It may affect any org...