TO STUDY THE PREVALENCE OF FATTY LIVER AND RETINOPATHY IN NEWLY DIAGNOSED CASES OF TYPE 2 DIABETES MELLITUS

Abstract

Prempal Kaur 1 , Baljinder Pal Singh 2 , Prateek Kumar 3 , Bhavkaran Singh 4 , Kanika Chabra 5

BACKGROUND The epidemic of Type 2 diabetes mellitus (DM) is assuming significant proportions in developing countries such as India. Diabetics have an increased risk of developing a number of serious problems affecting heart, blood vessels, kidneys, eyes and nervous system. Since prediabetic stage may last for 4-7 years before overt diagnosis of type 2 diabetes mellitus is established, metabolic effects of insulin resistance and beta cell failure can manifest as non-alcoholic fatty liver or macro or microangiopathies. The aim of this study was to define the prevalence of non-alcoholic fatty liver disease (NAFLD) and diabetic retinopathy (DR) in the newly detected cases of T2DM. MATERIALS AND METHODS This study was conducted on 100 newly diagnosed cases of T2DM of either sex. All patients after routine investigations subjected to indirect ophthalmoscopy by expert ophthalmologists and ultrasonography by a radiologist. RESULTS Of 100 patients in our study, 48% had fatty liver. Out of which 30 had mild, 16 had moderate and 2 had severe NAFLD. Diabetic retinopathy was present in 6 patients. There was no significant correlation seen between DR and NAFLD. CONCLUSION Efforts should be directed towards early screening of NAFLD and diabetic retinopathy in patients of diabetes to prevent and minimise irreversible damage.

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