International Journal of Research in Medical Sciences | June 2019 | Vol 7 | Issue 6 Page 2240
International Journal of Research in Medical Sciences
Agarwal A et al. Int J Res Med Sci. 2019 Jun;7(6):2240-2245
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Pulmonary function test in patients of type 2 diabetes mellitus
Amit Agarwal
1
, Ankit Grover
2
*, Amresh Agarwal
2
INTRODUCTION
We are today witnessing a pandemic of diabetes mellitus
(DM), globally and nationally. DM and its complications
have become the most important contemporary and
challenging health problems. There are 347 millions
diabetics worldwide.
1
In India more than 67 millions have
been affected. India has become the diabetic capital of
world. WHO projects that diabetes will be the 7th leading
cause of death in 2030.
1
Diabetes mellitus is a major, rapidly growing public
health care problem. It is increasing in incidence, and
brings with it long term complications.
2
Diabetes mellitus
is an incurable life-long disease, involving multiple
systems, and with devastating complications which end
up in severe disability and death.
3
Diabetes mellitus
complications are mainly the consequences of macro-
vascular and micro-vascular damage.
4
Chronic
hyperglycemia of diabetes mellitus is associated with
continuing damage, dysfunction, and failure of various
organs, especially the eyes, kidneys, nerves, heart, and
blood vessels.
Diabetes is not associated with any specific pulmonary
symptom and hence periodic screening for lung disease is
1
Department of Gastroenterology, MMU Hospital, Mullana, Ambala, Haryana, India
2
Department of Medicine, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
Received: 23 March 2019
Accepted: 03 May 2019
*Correspondence:
Dr. Ankit Grover,
E-mail: angrover@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: We are today witnessing a pandemic of diabetes mellitus (DM), globally and nationally. DM and its
complications have become the most important contemporary and challenging health problems. Diabetes is not
associated with any specific pulmonary symptom and hence periodic screening for lung disease is not done in diabetic
patients. However, an extensive microvascular circulation and an abundant connective tissue in the lung raise the
possibility that the lung may also be a target organ in diabetic patients. The aim and objectives were to study the
pulmonary function of individual with type 2 diabetes mellitus patients by performing spirometry.
Methods: Study included non-smoker diabetic patients, who had no history of respiratory disease, were selected for
this study and undergone pulmonary function test by spirometry. The study was conducted at department of General
Medicine Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
Results: Present study, author found that there was significant derangement in the spirometric readings in the diabetic
patients. The FEV1/FVC values further declines as the duration of diabetes increased.
Conclusions: Spirometric values (FVC, FEV1, FEV1/FVC) were consistently lower in subjects with type 2 diabetes
mellitus. The effect on FVC predicted % was found to be more pronounced in subjects whose duration of DM was
more than 5 years.
Keywords: Diabetes mellitus, FEV1, FVC, FEV1/FVC, Spirometry
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20192505