A STUDY OF RHEUMATOLOGICAL MANIFESTATIONS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND ITS RELATION TO GLYCEMIC CONTROL

Dr. Ronanki Priyanka

Abstract


Background: Type 2 Diabetes mellitus is usually associated with several rheumatological manifestations that cause significant morbidity. This study was conducted to find the prevalence of rheumatological manifestations in patients with type 2 diabetes and its relation to glycemic control.

Methods: This was a cross-sectional study done in 120 type 2 diabetic cases and 60 age and sex-matched non-diabetic controls in Katuri Medical College & Hospital for one year. Subjects were examined for various rheumatological manifestations and all the necessary investigations were done.

Results: Rheumatological manifestations were seen in 42.5% of patients with type 2 diabetes mellitus compared to 26.6% in non-diabetic subjects. Limited joint mobility was the most common manifestation seen in 29.4% of diabetic group followed by Periarthritis of shoulder (20.8%), Carpal tunnel syndrome (15.83%) and Dupuytren’s contracture (14.16%). Majority of the patients had HbA1c levels between 8.1 to 10%.

Conclusion: Rheumatological manifestations are more prevalent in people with type 2 diabetes than those without diabetes. Limited joint mobility and periarthritis of shoulder are the most common rheumatological manifestations. Usually, poor glycemic control is associated with an increase in rheumatological manifestations.


Keywords


Diabetes mellitus, Rheumatological manifestations, Periarthritis of shoulder.

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References


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