THESIS

 TOPIC:


A STUDY ON ASSOCIATION BETWEEN ULTRASONOGRAPHIC VISCERAL FAT THICKNESS AND CARDIOVASCULAR RISK IN TYPE 2 DIABETES MELLITUS AND THEIR GLUCOSE CONTROL


PROBLEM STATEMENT:

1] Currently  the  number  of  cases  of  diabetes  worldwide  is  estimated  to be  around  150  million.  India  leads  then  world  with  the  largest  number  of  diabetic subjects  earning  the  dubious  distinction  of  being  the  “diabetic  capital  of  the world”. Complications of diabetes can only be prevented by timely and regular glucose control that includes proper use of OHA's / insulin therapy / lifestyle modifications

2] Obesity  has  induced  many  public  health  problems  related  to diseases, including glucose intolerance, hypertension, hyperinsulinemia,  dyslipidemia  and  atherosclerosis.  Moreover  these  complexes are  known  to  increase  the  risk  of  cardiovascular  diseases.  In    particular  ,  the accumulation  of  adipose  tissue  predominantly  in  visceral  cavity  plays  a  major role in  development  of  metabolic syndrome and  cardiovascular disease. Therefore estimating  the visceral  fat accumulation  is  important  in  terms of  evaluating  the  patients  with  high  risk  of  cardiovascular  disease.


IN A RURAL SETUP WITH LIMITED RESOURCES:  

1] How can we possibly educate the patients about diabetes and its control to the extent they themselves do not remain dependant on RMP'S .

2] Generally computerized  tomography  (CT)  is  recognized  as  the  standard  method  of estimating  the  visceral  fat.  But,  exposure  to  radiation,  high  cost  of  CT,  low availability  prevents  the wide use  of CT,  in  clinical  and  epidemiological  studies. Therefore  alternative  methods  which  are  simple  and  non  invasive  have been  used  in  assessing  the  visceral  fat  thickness like Body  mass  Index,  waist  hip  ratio and ultrasonography.   Ultrasonography  is  a  reliable  and  convenient  method  of  quantifying  the amount  of visceral  fat  and  the diverse USG  values  have  been  reported  to  be  useful.


AIM:

A STUDY ON ASSOCIATION BETWEEN ULTRASONOGRAPHIC VISCERAL FAT THICKNESS AND CARDIOVASCULAR RISK IN TYPE 2 DIABETES MELLITUS AND THEIR GLUCOSE CONTROL


OBJECTIVES

1] To assess the independent relation between the visceral fat thickness and cardiovascular risk in type 2 diabetes mellitus patients

2] Document the events and symptoms leading to the diabetic patient presenting with heart failure

3] To monitor the glucose control in such patients along with educating them on their dietary plan and lifestyle modifications

4] Document the patient outcomes resulting from the therapeutic decisions around their diabetes and heart failure over two years of follow up 



PATIENTS AND METHODS:

PLACE OF STUDY: Department of General medicine , Kamineni Institute of Medical Sciences, Narketpally.

STUDY PERIOD: October 2020-September2022

STUDY DESIGN : Observational Study 

SAMPLING: Convenient Sampling

CONSENT: Informed consent was obtained from all patients


 INCLUSION CRITERIA : 1)  Known type 2  diabetes  patients
                                         2)  Age >  35  years, both  sexes
                                         3)  BMI >  25

 EXCLUSION CRITERIA :
                                          1)  Type 1 Diabetes Mellitus patients
                                          2)  Renal failure
                                          3)  Pregnancy 
                                          4)  Hypothyroidism
                                          

INVESTIGATIONS :
                                     1) Post prandial blood sugar
                                     2)Fasting blood sugar
                                     3) HbA1c
                                     4)USG
                                     5)Lipid profile
                                     6) CBP
                                     7) LFT
                                     8) ECG
                                     9) Chest XRAY PA view


PROFORMA:
  • Serial No: 
  • Name: 
  • Age: 
  • Sex: 
  • Occupation: 
  • Address: 
  • IP / OP No: 
  • D.O.A: 
  • D.O.D/D.O.E: 
  • NYHA grade on admission: 
  • Heart rate on admission:   
  • Systolic blood pressure on admission: 
  • Smoking: 
  • Alcohol: 
  • DM:  
  • BMI:
  • WAIST TO HIP CIRCUMFERENCE
  • FLP
  • VFT




MASTER CHART WITH LINKS TO PATIENTS E-LOG

Link To Master Chart:

https://1drv.ms/x/s!AuYsUrhSm8nZiFxm3sXAS9_XXaqL








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