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2型糖尿病男女临床特征的比较分析

Comparative Analysis of Clinical Features of Type 2 Diabetes Mellitus Between Men and Women.

作者信息

Nawaz Tanzeela, Nawaz Veneeza, Khurram Tasmiya, Munsif Shehzadi Malaika, Waheed Saleha, Moin Subhana, Anwar Adnan, Hashmi Atif A

机构信息

Internal Medicine, Liaquat College of Medicine and Dentistry, Karachi, PAK.

Dentistry, Hamdard College of Medicine and Dentistry, Karachi, PAK.

出版信息

Cureus. 2025 May 20;17(5):e84472. doi: 10.7759/cureus.84472. eCollection 2025 May.

Abstract

Objective Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance and hyperglycemia. While its prevalence is rising globally, differences in clinical presentation between genders remain underexplored. This study aims to compare the demographic, physiological, and symptomatic profiles of T2DM between male and female patients. Methodology This cross-sectional study was conducted in a secondary care hospital using a non-probability convenience sampling method. The duration of the study was about six months, from April 1, 2024, to September 30, 2024. This study included 400 patients diagnosed with T2DM, comprising 244 males and 156 females. Data were collected through structured questionnaires and clinical assessments, including demographic details, physiological parameters, comorbidities, and renal, ocular, respiratory, psychological, and gastrointestinal symptoms. Statistical analysis was performed using the chi-square test and Mann-Whitney test, with a p-value <0.05 considered significant. Results The study findings showed that males exhibited significantly higher weight (p<0.001) and heart rate (p<0.001), while females had significantly higher random blood sugar levels (p<0.001). Females were more likely to belong to the middle socioeconomic class, whereas males had a higher history of smoking (p<0.001). Significant gender-based differences were observed in symptoms such as frequent urination (p<0.001), blurry vision (p<0.001), bilateral edema (p=0.007), dyspnea (p=0.012), burning foot pain (p<0.001), muscular cramps (p<0.001), fatigue (p=0.005), mood changes (p=0.001), and increased thirst (p<0.001). Conclusion This study concluded that significant gender-based differences were observed in various clinical characteristics and symptoms among patients with T2DM. Male patients were found to have a higher mean weight and heart rate, while female patients exhibited higher levels of random blood sugar, as well as a higher prevalence of certain symptoms such as blurry vision, bilateral edema, difficulty breathing, and chest tightness.

摘要

目的 2 型糖尿病(T2DM)是一种以胰岛素抵抗和高血糖为特征的慢性代谢紊乱疾病。尽管其在全球的患病率正在上升,但性别之间临床表现的差异仍未得到充分研究。本研究旨在比较男性和女性 T2DM 患者的人口统计学、生理学和症状特征。方法 本横断面研究在一家二级护理医院采用非概率便利抽样方法进行。研究持续时间约为六个月,从 2024 年 4 月 1 日至 2024 年 9 月 30 日。本研究纳入了 400 例诊断为 T2DM 的患者,其中包括 244 名男性和 156 名女性。通过结构化问卷和临床评估收集数据,包括人口统计学细节、生理参数、合并症以及肾脏、眼部、呼吸、心理和胃肠道症状。使用卡方检验和曼 - 惠特尼检验进行统计分析,p 值<0.05 被认为具有统计学意义。结果 研究结果表明,男性的体重(p<0.001)和心率(p<0.001)显著更高,而女性的随机血糖水平显著更高(p<0.001)。女性更有可能属于中等社会经济阶层,而男性吸烟史更高(p<0.001)。在尿频(p<0.001)、视力模糊(p<0.001)、双侧水肿(p = 0.007)、呼吸困难(p = 0.012)、足部灼痛(p<0.001)、肌肉痉挛(p<0.001)、疲劳(p = 0.005)、情绪变化(p = 0.001)和口渴增加(p<0.001)等症状方面观察到了显著的性别差异。结论 本研究得出结论,在 T2DM 患者的各种临床特征和症状中观察到了显著 的性别差异。发现男性患者的平均体重和心率较高,而女性患者的随机血糖水平较高,以及某些症状如视力模糊、双侧水肿、呼吸困难和胸闷的患病率较高。

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