Abstract :
Background: Hospitalization occurs more often in diabetic than non-diabetic patients and is associated
with increased morbidity and mortality. Data on these issues is limited. It is well recognized elsewhere that
patients with diabetes are admitted more often and stay longer in the hospital.
Objectives: 1) Documentation of the contribution of diabetes to the inpatient work load in a tertiary
hospital; (2) Identification of the departments involved in diabetic patient care; and 3) Assessment of the
acute hyperglycemic/hypoglycemic emergencies, complications and “crude” outcome.
Study Setting: MS Ramaiah Teaching Hospital which is a multispecialty teaching hospital.
Inclusion Criteria: In-patients admitted with type 1 and type 2 diabetes.
Study Design: Descriptive, retrospective, record-based study.
Sampling Design: Complete enumeration of all the patients admitted in the ward during September month.
Study Period: October to November 2012.
Statistical Analysis: Proportion of diabetics was calculated. Chi-square test of significance was employed.
Results are summarized as mean +standard deviation and/or median (range) for the normally distributed
and non-normally distributed data.
Materials and Methods: The data relevant to the study was accessed from in-patient files at medical
records department. Information pertaining to age of the patient, diagnosis for which the patient was
admitted, type of ward admitted, associated co-morbidities, type of diabetes, duration of stay, episode of
uncontrolled hyperglycemia, and associated complications was collected.
Results: 59% of diabetic patients were male. Majority of the patients were in the age group of 50–70
years. 42.9% of the diabetics had duration of diabetes varying between 1 and 5 years. Mean duration of
stay was 6.86 days. 45.2% were on oral hypogycemics. 47.6% of the diabetics had hypertension. 4.8% had
hypothyroidism. 9.5% had cardiac disorder. 40.5% of the patients were admitted for one of the microvacular
or macrovascular complications. 16.7% of them had uncontrolled glycemic levels. All the patients treated
were discharged to home.
Conclusion: The study shows 18.33% prevalence of SCH in T2DM patients with good glycemic control. This
finding indicates that SCH was common in T2DM patients and a need for screening for the same in them.
Keyword :
Diabetes mellitus, Subclinical hypothyroidism (SCH), Prevalence