open access
Coexistence of chronic obstructive pulmonary disease - retrospective analysis
open access
Abstract
Material and methods: In 213 (135 men and 78 women, mean age 66.3) hospitalized patients due to the COPD the glucose tolerance was assessed. Diabetes mellitus was diagnosed according to WHO criteria of 1985 and COPD was diagnosed with the use of GOLD 2005 criteria.
Results: The coexistence of COPD and glucose metabolic disturbances (diabetes mellitus, impaired glucose tolerance test, impaired fasting glucose) were diagnosed in 74 patients (34.7% of all COPD group). In 22 (29.7%) patients the symptoms of COPD preceded the diagnosis of diabetes mellitus by 5.4 years (1 month-15 years). In 18 (8.4%) the diagnosis of diabetes was established during hospitalization. 16 (7.5%) had impaired fasting glucose level, 18 (8.4%) revealed impaired glucose tolerance test. All the cases were heterogenous in terms of the duration of both diseases, clinical features and therapeutical approaches.
Conclusions: The coexistence of both diseases were independent of the corticosteroids use. The exact analysis of the processes involved in etiopathogenesis of both diseases offers a promise of newer treatment approaches.
Abstract
Material and methods: In 213 (135 men and 78 women, mean age 66.3) hospitalized patients due to the COPD the glucose tolerance was assessed. Diabetes mellitus was diagnosed according to WHO criteria of 1985 and COPD was diagnosed with the use of GOLD 2005 criteria.
Results: The coexistence of COPD and glucose metabolic disturbances (diabetes mellitus, impaired glucose tolerance test, impaired fasting glucose) were diagnosed in 74 patients (34.7% of all COPD group). In 22 (29.7%) patients the symptoms of COPD preceded the diagnosis of diabetes mellitus by 5.4 years (1 month-15 years). In 18 (8.4%) the diagnosis of diabetes was established during hospitalization. 16 (7.5%) had impaired fasting glucose level, 18 (8.4%) revealed impaired glucose tolerance test. All the cases were heterogenous in terms of the duration of both diseases, clinical features and therapeutical approaches.
Conclusions: The coexistence of both diseases were independent of the corticosteroids use. The exact analysis of the processes involved in etiopathogenesis of both diseases offers a promise of newer treatment approaches.
Keywords
chronic obstructive pulmonary disease; diabetes mellitus type 2; coexistence


Title
Coexistence of chronic obstructive pulmonary disease - retrospective analysis
Journal
Advances in Respiratory Medicine
Issue
Article type
Research paper
Pages
230-235
Published online
2007-07-30
Bibliographic record
Pneumonol Alergol Pol 2007;75(3):230-235.
Keywords
chronic obstructive pulmonary disease
diabetes mellitus type 2
coexistence
Authors
Barbara Rogala
Barbara Rymarczyk
Joanna Glück
Sławomir Żegleń