Author : Mba Maadjhou Camille
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis Effect of Optimizing Glycemic Control Using Insulin on the Heart Rate Variability in Type 2 Diabetes Mellitus Patients by : Mba Maadjhou Camille
Download or read book Effect of Optimizing Glycemic Control Using Insulin on the Heart Rate Variability in Type 2 Diabetes Mellitus Patients written by Mba Maadjhou Camille and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetes mellitus is a metabolic disorder associated with several complications. Among the microvascular complications, cardiac autonomic neuropathy (CAN) is the most important autonomic neuropathy due to its potential life threatening outcome, especially in poorly controlled patients. Its treatment lies in the early diagnosis, life style management of associated risk factors and optimization of glycemic control. Heart rate variability (HRV) defined as the beat to beat alteration in heart rate, provides a non-invasive tool for exploring the autonomic nervous system. Diabetes mellitus tends to affect the vagal nerve first with consequence being a reduced heart rate variability associated with poor cardiovascular prognosis. Intensive glycemic control prevents the development of CAN in patients with type 1 diabetes. There is little information on whether the intensification of glycemic control using insulin will improve cardiac autonomic functions in patients with type 2 diabetes mellitus. Aim: Our main objective was to determine the effect of optimizing glycemic control using insulin on the heart rate variability in type 2 diabetes mellitus patients.Method: We conducted a single arm clinical trial at the National Obesity Centre of the Yaoundu00e9 Central Hospital. Participants were poorly controlled type 2 diabetes mellitus patients (glycated hemoglobin u2265 7%) which constituted the intervention group and well controlled patients (glycated hemoglobin