Retrospective analysis of patients with diabetes in a Multidisciplinary Clinic of the Tashkent Medical Academy in 2018–2020

BACKGROUND: Diabetes mellitus (DM) represents a global problem that is characterized by a steady growth worldwide. In different countries and regions, DM prevalence significantly varies, and it is noteworthy that one patient is diagnosed with type II DM per one patient with an undiagnosed disease. The World Health Organization declares the importance of creating a DM register due to a significantly increased number of patients, for the availability of reliable information, such as the registration of new disease cases, and existing complications, laboratory results, and to ensure effective control and monitoring of health status of patients.

AIM: This study aimed to determine the structure of diagnosed DM in 2018–2020 through hospitalization of patients in the endocrinology department of the Multidisciplinary Clinic of the Tashkent Medical Academy.

MATERIALS AND METHODS: Retrospective analysis of medical records of patients with DM who are admitted to the endocrinology department of the Tashkent Medical Academy Multidisciplinary Clinic in 2018–2020.

RESULTS: The territorial-quantitative distribution of patients determined the prevalence of urban patients compared with regional ones. The incidence among males was 1.5 times lower than females. The age analysis showed a high value of morbidity in old age (60–74 years), patients (56%) with the disease period of 1–10 years prevailed in the disease duration, and more than half of patients (58.23%) had degrees 1, 2, and 3 obesity.

CONCLUSIONS: More than half of patients with DM who are hospitalized were residents of the city of Tashkent, and the fifth part of patients lived in the Tashkent region. Among all patients, females were 1.5 times more dominant than males. More than half of the hospitalized patients were elderly people (60–74 years old) and a third were individuals of middle working age (45–59 years old). An increased number of patients with obesity in 2019 and 2020 exceeded the figures in 2018 by 30%. Complications of diabetic foot were recorded on an average of 4.7% of cases for 3 years.