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Yang D.,Sun Yat Sen University | Deng H.,Sun Yat Sen University | Luo G.,Shenzhen University | Wu G.,Guangdong Medical College | And 17 more authors.
Journal of Diabetes | Year: 2016

Background: A lack of demographic and clinical data hinders efforts of health care providers in China to support patients with type 1 diabetes mellitus (T1D). Therefore, the aim of the present retrospective study was to provide an overview of the demographic and clinical characteristics of Chinese patients with T1D. Methods: Hospital medical records of patients with T1D (diagnosed between January 2000 and December 2011) in 105 secondary and tertiary hospitals across Guangdong province were reviewed. Data were collected on patient age at diagnosis, presentations at onset, physical examination, and diabetes management. Results: In all, 3173 patients diagnosed with T1D between January 2000 and December 2011 were included in the study (46.2% female). The median age at diagnosis was 27.5years (interquartile range [IQR] 18.0-38.0) years and the median body mass index (BMI) at onset was 19.6kg/m2 (IQR 17.4-21.8kg/m2). Among adult patients, 0.9% were obese, 6.6% were overweight, 62.3% were normal weight, and 30.3 % were underweight. The prevalence of diabetic ketoacidosis (DKA) at onset was 50.1%. The proportion of patients with retinopathy, nephropathy, and neuropathy was 8.1%, 20.7 %, and 11.1%, respectively. Conclusion: The adult-onset form of T1D is not rare in China. The registry participants were characterized by older age at onset, lower BMI, and a higher prevalence of DKA at onset compared with those in regions with a high incidence of T1D, such as northern Europe. These findings contribute to a better understanding of the heterogeneity of T1D in different populations and so will help healthcare providers to develop management models that are more suitable for these patients. © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

PubMed | Foshan Hospital of Traditional Chinese Medicine Foshan and Guangdong Provincial Hospital of Traditional Chinese Medicine Guangzhou
Type: Journal Article | Journal: International journal of clinical and experimental medicine | Year: 2015

Coronary angiography via the radial artery has been widely used in clinical practice. The radial access has the major advantages of fewer traumas, quicker recovery, better hemostasis and lower incidence of complications of puncturefor unnecessarily postoperative oppression. Although literature of forearm compartment syndrome (FCS) after angiography is scarce, however, the FCS could have disastrous clinical consequences and hence drew more attention. The use of bandages together with traditional Chinese medicine is an effective therapy in treating limb sprain in china society. However, it has not been reported in FCS after angiography. Here, we present a case of FCS after routine coronary angiography in a patient with acute heart failure, which was treated by external therapy of traditional Chinese medicine (TCM) using compression bandaging and the Xiao Zhong Zhi Tong plaster. FCS was caused by failure to puncture the artery and vessel injury caused by a catheter. The clinical diagnosis was based on the 5P syndrome, which standed for pain, paralysis, paresthesia, pallor and pulselessness. We showed that external therapy of TCM could help save time for subsequent surgical treatment and facilitate full recovery.

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