A 55-year-old man was seen for severe neck pain, numbness in his right upper limb and right shoulder limitation for the last 2-3 weeks. His medical history revealed hyperlipidaemia, smoking (10 packs/year) and diabetes mellitus (DM) Type II. He had also been hospitalized for diabetic ketoacidosis one month ago.
This paper provides an update on the burden of cardiovascular disease
risk factors in Jamaica using data from the most recent national health
survey. The burden of cardiovascular disease remains high with prevalence
of hypertension, 25%; diabetes, 8%; hypercholesterolaemia,
12%; obesity, 25% and overweight, 27%.
Mean platelet volume (MPV) is increased in diabetic patients. It is associated with the degree of glycaemic control. Moreover, MPV is higher in patients with diabetic retinopathy.
Objectives: To investigate the relationship between mean platelet volume (MPV) and glycometabolic indices, to compare MPV according to HbA1c levels, and to analyse the difference in MPV between patients with and without microvascular complications.
A preliminary report on the dental evaluation of
diabetic patients suggests that periodontal disease may
be quite prevalent in diabetic patients in Trinidad.
Collaborative patient care between medical and dental
practitioners should form part of the routine management
of diabetic patients.
Objectives: To describe periodontal disease status in diabetic patients in Trinidad.
Method: A cross-sectional study was conducted. Patients attending a tertiary referral centre for diabetes at an out-patient clinic were invited to undergo oral examinations. The basic periodontal examination (BPE) was used to assess periodontal disease status.
Sudden deaths in an accident and emergency department
in Trinidad and Tobago were examined. The
majority of deaths were cardiovascular, followed by
Objective: To determine the proportion of deaths due to confirmed myocardial infarction (CMI) and the aetiology of sudden death at the Port-of-Spain General Hospital (A&E) department for January to June 2008.
Methods: This retrospective study utilized the death register to determine the number of A&E deaths for the study period. Patients dying from MI were investigated using records to obtain ECG and postmortem reports.
Epidemiological studies over the last 50 years have documented an increase in the prevalence of diabetes mellitus in the Caribbean. Diabetes is associated with a high rate of complications, high economic cost and is a leading cause of mortality in the region.
Patients from two tertiary referral hospitals were assessed to determine whether Type 2 diabetes mellitus was present in Jamaican diabetic youth. Type 2 diabetes accounted for 22% of cases. Obesity was the most important clinical predictor of Type 2 diabetes.
Objectives: To assess the frequency of youth onset Type 2 diabetes mellitus (T2D) in Jamaica and the characteristics of youth with this form of diabetes.
In this study, there was a high prevalence of cardiovascular risk factors in the patients studied regardless of their diabetes type. While patients with Type 2 diabetes mellitus were more obese and had higher blood pressure readings when compared with those with Type1 diabetes, their overall glucose control was better. Differences in lipid profile were no longer significant after adjusting for BMI.
Objective: To assess the effect of diabetes mellitus type on conventional and novel cardiovascular risk factors in patients, diagnosed with diabetes from two major referral hospitals in Jamaica, before age 25 years and with diabetes duration < 6 years.
Environmental and behavioural changes such as lifestyle
related habits represent modifiable risk factors for the
development of cardiovascular diseases. National strategies
should be implemented to control cardiovascular diseases,
educate the population and promote healthy
lifestyle habits in the British Virgin Islands.