IJIMS.2018.118

Type of Article: Original Research

Volume 5; Issue 6: 2018

Page No.: 655-658

DOI: 10.16965/ijims.2018.118

 

COMPARATIVE STUDY OF PULMONARY FUNCTION IN TYPE I AND TYPE II DIABETICS

Ratnesh N Gajbhiye 1, Mangesh A Bankar *2.

1 Associate Professor in Physiology, ANIIMS, Port Blair, India.

*2 Associate Professor in Pharmacology, ANIIMS, Port Blair, India.

Corresponding author: Dr. Mangesh A Bankar, Associate Professor in Pharmacology, ANIIMS, Port Blair, India. E-Mail: drmbankar@gmail.com

ABSTRACT:

Background: Diabetes is a disease involving almost each and every organ of our body. When blood glucose level remain chronically elevated, glycosylation of tissue proteins occur leading to irreversible changes in the chemical structure of tissue proteins. Protein containing tissues such as skin, muscles, kidneys, peripheral nerves, respiratory system, vascular bed, etc. are the prime targets for glycosylation. The functional status of the lungs can be fairly evaluated with the help of a spirometer which gives fairly good results. Present study was undertaken to compare the pulmonary functions in type I and type II diabetics. Materials and Method: 60 type I and 60 type II diabetic subjects were randomly selected for the study. Anthropometric parameters, blood investigations and spirometry was performed on all the subjects.

Result: Fasting and Post Meal blood glucose levels were higher in both the groups but were non significant when compared with each other. HbA1c% was on the higher side in both groups but was significantly higher in type I diabetics as compared to type II diabetics. All P.F.T. parameters were reduced in type I diabetics, but FVC, FEV1 and FEF 0.2 – 1.2 L were significantly reduced as compared to type II diabetics.

Conclusion: We observed a decrease in pulmonary function in all the diabetic subjects in the form of restrictive lung pathology, but the type I subjects are more severely affected than type II. Hence, we recommend regular testing of HbA₁c% and P.F.T. to find out early deterioration of lungs in diabetic patients.

Key words: Type I Diabetes, Type II Diabetes, Pulmonary Function Test, Nonenzymatic Glycosylation.

REFERENCES

  1. Schuyler M.R., Niewoechner D.E., Inkley S.R. and Kohn R. Abnormal lung elasticity in juvenile diabetes mellitus. American Review of Respiratory Diseases 1976; 113: 37- 41.
  2. Fishman A.P. Pulmonary diseases and disorders. 2nd edition, 1988; Vol. I, Appendix A. pp 34, Vol III pp. 2492.
  3. Dubois .Dubois body surface chart Table ‘A’ as prepared by Boothy and Sandi fort of the Mayo clinical. Am. J. of Physiol. July 1936.
  4. Mahajan B.H. and Gupta M.C. Textbook of preventive and social medicine 2nd edition, 1995; 414 – 46.
  5. Ramirez LC, Nogare AD, Hsia C and Arauz C. Relationship between diabetes control and pulmonary function in IDDM. The American Journal of Medicine, 1991; 91:371-76.
  6. Bell D, Collier A, David M, Matthews, Elizabeth JC, Ross Mchardy GJ and Clarke BF. Are reduced lung volumes in IDDM due to defect in connective tissue? Diabetes 1988; 37:829-31.
  7. Lange P, Groth S, Kastrup J, Mortensen J, Appleyard M, Nyboe J, Jensen G and Schnohr P. Diabetes mellitus, plasma glucose and lung function in a cross sectional population study. Respir. J 1989; 2:14-19.
  8. Heimer D, Brami J, Lieberman D and Bark H. Respiratory muscle performance in patients with type 1 diabetes. Diabetic Medicine 1990; 7:434-37.
  9. Schnack Ch, Festa A, Schwarzmaier D and Assie’a. Pulmonary dysfunction in type 1 diabetes in relation to metabolic long term control and to incipient diabetic nephropathy. Nephron 1996;74: 395-400.
  10. Schnapf BM, Banks RA, Silverstein JH, Rosenbloom AL, Chesrown SE and Louglin GM. Pulmonary function in insulin dependent diabetes mellitus with limited joint mobility. Rev. Respir. Dis. 1984; 130: 930-32.
  11. Wanke T, Formanek D, Auinger M, Popp W, Zwick H and Irsigler K. Inspiratory muscle performance and pulmonary function changes in insulin dependent diabetes mellitus. Rev. Respir. Dis. 1991; 143:97-100.
  12. Makkar P, Gandhi M, Agrawal RP, Sabir M and Kothari RP. Ventilatory pulmonary function tests in type 1 diabetes mellitus. JAPI, 2000; 48(10): 962-966.
  13. Irfan M, Jabbar A, Haque AS, Awan S and Hussain SF. Lung India, 2011; 28(2):88-92.
  14. Meo SA, Al-Drees AM, Shah SF, Arif M, Al- Rubean K. Lung function in type 1 Saudi diabetic patients. Saudi Med J 2005; 26:1728-33.
  15. Sreeja CK, Samuel E, Kesavachandran C and Shashidhar S. Pulmonary function in patients with diabetes mellitus. Indian J. Physiol. Pharmacol. 2003; 47(1): 87-93.
  16. Amal Abd El-Azeem, Gehan Hamdy, Mohamed Amin, Alaa Rashad. Pulmonary function changes in diabetic lung. Egyptian Journal of Chest Diseases and Tuberculosis. 2013; 62:513–517.

Download Full Text TOC