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Related Concept Videos

Type I Diabetes III: Clinical Manifestations01:19

Type I Diabetes III: Clinical Manifestations

Type 1 diabetes mellitus typically presents with rapid-onset symptoms due to the body’s inability to utilize glucose in the absence of insulin. Since insulin is required for glucose uptake into cells, its deficiency leads to hyperglycemia and cellular energy deprivation, resulting in characteristic clinical features.Polyuria and PolydipsiaOne of the earliest, most prominent symptoms is polyuria (excessive urination). When blood glucose concentrations rise above the renal threshold, the kidneys...
Complications of Diabetes Mellitus01:22

Complications of Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...

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Related Experiment Videos

Personal features and dropout from diabetic care.

Yumi Masuda1, Akira Kubo, Akatsuki Kokaze

  • 1Department of Public Health, Kyorin University, School of Medicine, 6-20-2 Shinkawa Mitaka-City, 181-8611, Tokyo, Japan, lyami@mvd.biglobe.ne.jp.

Environmental Health and Preventive Medicine
|March 25, 2011
PubMed
Summary

Patients with milder type 2 diabetes mellitus (DM) are more likely to drop out of regular outpatient care. Emphasizing the importance of consistent follow-up is crucial for managing mild DM cases.

Keywords:
caredropoutoutpatientsocial featurestype 2 diabetes mellitus

Related Experiment Videos

Area of Science:

  • Endocrinology
  • Public Health
  • Clinical Medicine

Background:

  • Type 2 diabetes mellitus (DM) management requires consistent outpatient care.
  • Patient adherence to regular medical appointments is critical for effective disease control and preventing complications.

Purpose of the Study:

  • To identify personal characteristics associated with dropout from regular outpatient care among individuals with type 2 diabetes mellitus.

Main Methods:

  • A retrospective analysis of 160 type 2 DM patients was conducted.
  • Data on clinical characteristics, lifestyle, and social factors were collected from medical records and interviews.
  • Patients were categorized as 'dropout case' (DC) or 'ongoing case' (OC) and analyzed using logistic regression.

Main Results:

  • 42.5% of patients dropped out of regular care.
  • Younger age, lower plasma glucose, lower hemoglobin A1c (HbA1c), no medication, and no prior DM history were associated with dropout in crude analysis.
  • Multivariate analysis confirmed inverse associations between dropout and HbA1c levels, medical treatment, and prior DM history.

Conclusions:

  • Mild type 2 DM conditions appear linked to higher dropout rates from outpatient care.
  • Clear communication regarding the objectives and importance of regular outpatient visits is essential, especially for mild DM cases identified through screening.