A Cognitive Survey on Diabetes and Periodontitis Among Endocrinologists and Diabetic Patients in Hainan Island
Xu Zheng,
Chen Xie,
Fu Tao Li,
Rao Fu,
Yu Zhi Wu,
Yu Kun Shan,
Ren Jie Zhao,
Jing Tong Li,
Qi Huang Xie,
Zhu Ling Guo
Issue:
Volume 5, Issue 2, June 2020
Pages:
18-22
Received:
12 April 2020
Accepted:
20 April 2020
Published:
15 May 2020
Abstract: Objective: Periodontitis was linked to increased prevalence of diabetes and it is decisive to have a comprehensive cognition on the mutual influence for combined treatment. This study serves to provide accurate guidance data to endocrinologists and diabetic patients on periodontitis and diabetes. Materials and Methods: 50 endocrinologists and 200 diabetic patients were investigated in national public hospitals. Oral health habits, the cognition of diabetes and periodontitis were examined through questionnaires. Results: The cognitive level of diabetic patients on periodontitis and the correlation between periodontitis and diabetes was low. Only 48.6% patients agreed with "Periodontitis may affect normal blood glucose level". 86.2% patients were not clear that "Treatment of periodontitis is beneficial to the prevention of diabetes". 93.6% endocrinologists stressed that they were concerned about their patients' oral health, while only 23.6% patients received suggestions from their doctor on annual comprehensive periodontal evaluation. Conclusion: The cognition of the relationship between periodontitis and diabetes is deficient in public, represented by endocrinologists and diabetic patients in Hainan. Clinicians should strengthen the education on the bidirectional relationship between periodontitis and diabetes into their routine treatment and management.
Abstract: Objective: Periodontitis was linked to increased prevalence of diabetes and it is decisive to have a comprehensive cognition on the mutual influence for combined treatment. This study serves to provide accurate guidance data to endocrinologists and diabetic patients on periodontitis and diabetes. Materials and Methods: 50 endocrinologists and 200 d...
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Whipple Triad Its Limitations in Diagnosis and Management of Hypoglycemia as a Co-morbidity in Covid-19 Diabetics and Diabetes Mellitus in General- A Review
Adegbenga Bolanle Ademolu
Issue:
Volume 5, Issue 2, June 2020
Pages:
23-26
Received:
25 February 2020
Accepted:
10 April 2020
Published:
29 May 2020
Abstract: In 1938 Allen Oldfather Whipple (1881-1963) an American surgeon invented a triad of two clinical and one laboratory parameter to give the Whipple triad which had been in clinical use for decades and beneficial to perhaps millions of people worldwide with hypoglycemia as health challenges. The Whipple triad is characteristically presence of hypoglycemic symptoms, documentation of low blood sugar at the time of hypoglycemic symptoms, and reversal of these symptoms when the blood glucose level is restored to normal. Of note is the fact that over the years Whipple triad had been invaluable in diagnosing hypoglycemia in diabetics, but we should not lose sight of this singular fact that though good and useful for diagnostic purposes, Whipple triad has it's limitations as a diagnostic tool. With Corona virus disease 2019 (COVID 19) pandemic caused by severe acute respiratory distress syndrome coronavirus 2 (SARS CoV-2) affecting the immunosuppresed including diabetics, knowing the limitation of the diagnostic tool for diagnosing the hypoglycemia, a lifelong challenging issue in diabetics is a proactive way of recognizing a possible additional co-morbidity that if not recognized may further put the COVID-19 diabetic patient at risk. Though the issue of hypoglycemia in infected diabetic patient with COVID 19 has not been a major issue for now worldwide, the fact that asymptomatic carrier of COVID 19 diabetic patient could develop hypoglycemia makes it an important issue to be borne in mind by physicians. A google search was conducted in English by typing in the words Whipple, hypoglycemia, diabetes, probable hypoglycemia in pubmed. A literature review was done going through relevant articles. The limitations to Whipple triads were found in hypoglycemia with reversible neurological damage, hypoglycemia with irreversible neurological sequelae, hypoglycemia unawareness and in patients with rebound hypoglycemia. Similarly, Whipple triad limitation of application was found in unconscious patient from other causes other than hypoglycemia. Further limitations were also found in probable symptomatic hypoglycemia and in symptomatic hypoglycemia. Whipple triad has its limitation in medical practice which may be diverse and this have to be borne in mind by the clinician for a holistic approach to patient management especially during this COVID-19 pandemic and thereafter. The question to be addressed in the future remains of all hypoglycemic episodes occurring annually worldwide in diabetic and non diabetic subjects, how many can Whipple triad diagnose? In other words what is the sensitivity, specificity and predictive value of Whipple triad?
Abstract: In 1938 Allen Oldfather Whipple (1881-1963) an American surgeon invented a triad of two clinical and one laboratory parameter to give the Whipple triad which had been in clinical use for decades and beneficial to perhaps millions of people worldwide with hypoglycemia as health challenges. The Whipple triad is characteristically presence of hypoglyc...
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Neck Circumference as an Independent Cardiometabolic Risk Factor: A Cross-sectional Study in Kinshasa
Danny Mafuta-Munganga,
Benjamin Longo-Mbenza,
Gedeon Longo-Longo,
Manzala,
Victor Nzuzi,
Jean Bosco Kasiam Lasi On’kin,
Etienne Mokondjimobe,
Aliocha Nkondila Natuhoyila
Issue:
Volume 5, Issue 2, June 2020
Pages:
27-33
Received:
24 June 2020
Accepted:
16 July 2020
Published:
13 August 2020
Abstract: Objective: To investigate the association between neck circumference (NC) and traditional cardiometabolic risk factors (CMRF) among adult’s population at Kinshasa. Methods: A total of 400 participants were recruited. Spearman’s correlation coefficient was employed to test the correlations between NC and CMRF. The association of NC with CMRF (dependent variables) was assessed by logistic regression. The receiver operating characteristics (ROC) curve analysis had allowed determining the cut-off points of NC to detect the presence of CMRF. Results: The average of age and WC was 55.4±12.0 years and 79.8±12.0 cm, respectively. The median value of BMI was significantly higher in women (24.6 kg/m2) than in men (22.6 kg/m2); whereas the median value of NC was significantly higher in men (37.8 cm) than in women (33.3 cm) (p < 0.001). In both men and women, NC was positively correlated with TC, LDL, TG and WC. Additionally, FPG and HDL were positively correlated with NC significantly. Moreover, there was a significant positive correlation between NECK and FPG but a significant negative correlation between NECK and HDLc among women. TG in men, raised TC, LDL and WC were found to be significantly associated with neck circumference with ORs 1.25 (95% CI: 1.08, 1.44), 0.67 (95% CI: 0.53, 0.85), 1.13 (95% CI: 1.02, 1.26), 1.27 (95% CI: 1.12, 1.45) in men versus 1.18 (95% CI: 1.03, 1.36) in women, 1.19 (95% CI: 1.06, 1.34) in men versus 1.21 (95% CI: 1.06, 1.38) in women and 1.18 (95% CI: 1.06, 1.36) in men versus 1.43 (95% CI: 1.23, 1.66) in women, respectively. Cut-off points for NC to identify CMRF were between 37.5 and 38 cm in men, 32.5 and 33 cm in women. Conclusion: NC is associated with CMRF, and could be a useful and accurate tool to identify high risk participants.
Abstract: Objective: To investigate the association between neck circumference (NC) and traditional cardiometabolic risk factors (CMRF) among adult’s population at Kinshasa. Methods: A total of 400 participants were recruited. Spearman’s correlation coefficient was employed to test the correlations between NC and CMRF. The association of NC with CMRF (depend...
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