Factors associated with parotid gland enlargement among poorly controlled type II diabetes mellitus

Background : Microscopic examination of parotid gland reveals hypertrophy of the aciner cells sometimes two to three times greater than normal size of PG, in cases associated with longstanding diabetes. This study was designed to determine the effects of duration, fasting plasma glucose and glycosylated hemoglobin on parotid gland enlargement among poorly controlled type 2 diabetes mellitus. Subjects, Materials, and Method : This study was conducted on 36 parotid glands of 18 with type 2 DM , at age range (40-60) years, all of them were selected from subjects attending (Endocrine clinic for diabetic patients) in Baghdad Teaching Hospital. , pg was measured with ultrasonography in both longitudinal and horizontal plane. Results : the rate of enlargement of pg was higher with higher duration period of DM study sample, also the rate of enlargement of pg was higher with higher value of HbA1c % and finally the rate of enlargement of pg was higher with higher fasting serum glucose level among DM study group. Conclusion : This result show that the duration is the most effective factor associated with parotid gland enlargement among poorly controlled type 2 DM.