Published June 30, 2022 | Version https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue6,Article85.pdf
Journal article Open

Spirometry in Patients of Diabetes Mellitus

  • 1. Assistant Professor, Department of Medicine RKDF Medical College and Research Center Bhopal
  • 2. Associate Professor, Department of Anaesthesia RKDF Medical College and Research Center Bhopal
  • 3. Assistant Professor, Department of Psychiatry, Chirayu Medical College Bhopal

Description

Objective: To study the prevalence of spirometric abnormalities and effects of age of onset, duration of disease, compliance and sex on spirometric parameters in diabetic patients. Methods: The present study was a hospital based cross sectional study. Patients selected were those attending medical OPD or admitted in medical wards. 100 patients who were known case of DM with duration more than 5 years were selected. Results: The mean FVC %, FEV1 % and FEV1 / FVC % was abnormal for age & sex insignificant percentage of cases. Study of spirometric values of patients with different age of onset and duration of disease did not revealed any decline in pulmonary function and their mean value of FVC%, FEV1% and FEV1 / FVC % were normal for age and sex. Also, there was no decline in pulmonary function in patients with relation of their sex. It was found that there was no decline in PFT in patients who were non-compliant & was not having good glycemic control. No decline in PFT was observed in patients who were obese and had BMI > 25 kg/mConclusion: Routine screening for detection of PFT, which was found in few patients, could be because of ethnic factor or presence of early emphysematous change or due to diabetes incluced reduction in lung compliance and/ or reduced respiratory effort due to diabetes.

 

 

 

Abstract (English)

Objective: To study the prevalence of spirometric abnormalities and effects of age of onset, duration of disease, compliance and sex on spirometric parameters in diabetic patients. Methods: The present study was a hospital based cross sectional study. Patients selected were those attending medical OPD or admitted in medical wards. 100 patients who were known case of DM with duration more than 5 years were selected. Results: The mean FVC %, FEV1 % and FEV1 / FVC % was abnormal for age & sex insignificant percentage of cases. Study of spirometric values of patients with different age of onset and duration of disease did not revealed any decline in pulmonary function and their mean value of FVC%, FEV1% and FEV1 / FVC % were normal for age and sex. Also, there was no decline in pulmonary function in patients with relation of their sex. It was found that there was no decline in PFT in patients who were non-compliant & was not having good glycemic control. No decline in PFT was observed in patients who were obese and had BMI > 25 kg/mConclusion: Routine screening for detection of PFT, which was found in few patients, could be because of ethnic factor or presence of early emphysematous change or due to diabetes incluced reduction in lung compliance and/ or reduced respiratory effort due to diabetes.

 

 

 

Files

IJPCR,Vol14,Issue6,Article85.pdf

Files (172.2 kB)

Name Size Download all
md5:99eb4624b33443a3ab82a05aa297824e
172.2 kB Preview Download

Additional details

Dates

Accepted
2022-06-15

References

  • 1. Suresh V, Reddy A, Mohan A, Rajgopal G, Satish P, Harinarayan C, Rekha P, Sachan A. High prevalence of spirometric abnormalities in patients with type 1 diabetes mellitus. Pediatr Endocrinol Diabetes Metab. 2011 Jan 1;17(2):71-5. 2. Rossi S, Della Marca G, Ricci M, Perna A, Nicoletti TF, Brunetti V, Meleo E, Calvello M, Petrucci A, Antonini G, Bucci E. Prevalence and predictor factors of respiratory impairment in a large cohort of patients with Myotonic Dystrophy type 1 (DM1): A retrospective, cross sectional study. Journal of the neurological sciences. 2019 Apr 15; 399:118-24. 3. Goldman MD. Lung dysfunction in diabetes. Diabetes care. 2003 Jun 1;26(6):1915-8. 4. Benbassat CA, Stern E, Blum I, Kramer M, Lebzelter J, Fink G. Pulmonary function in patients with diabetes mellitus. The American journal of the medical sciences. 2001 Sep 1;322(3):127-32. 5. Meo SA. Significance of spirometry in diabetic patients. International Journal of diabetes mellitus. 2010 Apr 1;2(1):47-50. 6. Hamdy G, Amin M, Rashad A. Pulmonary function changes in diabetic lung. Egyptian Journal of Chest Diseases and Tuberculosis. 2013 Jul 1;62(3):513-7. 7. Klein OL, Kalhan R, Williams MV, Tipping M, Lee J, Peng J, Smith LJ.Lung spirometry parameters and diffusion capacity are decreased in patients with Type 2 diabetes. Diabetic medicine. 2012 Feb;29(2):212-9. 8. Darmal, D. I., Khan, A., Ahmad, D. S., & Gowani, A. Frequency of Type II Diabetes Mellitus in ST Segment Elevated MI patients presented to French Medical Institute for Mothers and Children: A Cross Section Study. Journal of Medical Research and Health Sciences, 2022:5(6), 2023– 2038. 9. Uz-Zaman S, Banerjee J, Singhamahapatra A, Dey PK, Roy A, Roy K, Roy K. Assessment of lung function by spirometry and diffusion study and effect of glycemic control on pulmonary function in type 2 diabetes mellitus patients of the eastern India. Journal of Clinical and Diagnostic Research: JCDR. 2014 Nov;8(11): BC01. 10. Tiwari S, Tiwari SK, Gehlot S, Singh G. Outcome of breathing exercise (pranayam) on spirometric parameters in type 2 diabetic individuals: a clinical study. Journal of Stress Physiology & Biochemistry. 2012;8(4):218-25.