Dr Bilal Hassan, Dr Faaiz Sultan, Dr. Ahmed Zohaib
Aim: The purpose of this study was long-term prospective follow-up of patients with newly diagnosed diabetes to monitor the appearance of complications related to the degree of control and type of treatment. Place and duration: In the Medicine Unit II of Nishter Hospital Multan for three years duration from January 2017 to December 2020. Methods: In a prospective study involving 332 patients with newly diagnosed diabetes in adulthood, the incidence of complications was monitored for more than 2 to 3 years. The groups included 97 patients on diets, 209 oral hypoglycemic drugs and 26 patients with insulin. About 10% of patients had evidence of early retinopathy at the time of diagnosis. Results and Conclusion: During the follow-up period, the incidence of myocardial ischemia was relatively higher in the group that was also the largest group and received oral medications where adverse events were relatively high at the time of diagnosis. As demonstrated by retinopathy, the overall incidence of microvascular diseases was similar in all control groups. When complications related to blood glucose control were studied, the degree of control did not affect the relative incidence of myocardial ischemia in each treatment group. However, diabetes control had a positive effect on the incidence of microvascular diseases in the diet or insulin treatment groups. Key Words: Diabetes, Hypertension, ischemia.