A Study on The Prevalence And Risk Factors Associated with Peripheral Vascular Disease In Type2 Diabetes Mellitus
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Context: Although Diabetic Peripheral Neuropathy and Peripheral Vascular Disease (PVD) both contribute to the development of diabetic foot, the risk of amputation raises steeply only if there is associated PVD . Hence the importance lies in identifying the risk factors responsible for the development of PVD in type 2 diabetes, and in active screening for PVD in all diabetic subjects. Aim Of The Study 1.To investigate the prevalence of PVD among type 2 diabetes patients. 2.To assess the risk factors associated with development of PVD. 3.To correlate the prevalence of cardiovascular risk factors and vascular complications of type 2 diabetes with abnormal ankle brachial index (ABI<1) Settings And Design : cross sectional observational analytical study Materials and Methods:112 randomly chosen type 2 diabetic subjects attending GovernmentRajaji Hospital, Madurai, Diabetology department OP have formed the study sample. All patients underwent a fasting blood sugar,lipid profile,Urea,creatinine,urine albumin screening,dilated fundus examination,ECG,Echocardiogram and ABI estimation Statistical Analysis: Mean,standard deviation,correlation coefficient Results : Prevalence of peripheral vascular disease is about 18% in the present study. About 50% of the PVD patients are totally asymptomatic . Central obesity, Uncontrolled hyperglycaemia, hypertension, high LDL cholesterol, high triglycerides, low-HDL cholesterol and smoking are the modifiable risk factors associated with development of PVD. Advancing age and male gender were found to be the non modifiable risk factors. Concordance rate for co-morbid CAD was very high (>50%) in PVD patients . Low ABI is associated with cardiovascular complications. Conclusion: ABI is a good indicator of underlying complications of diabetes mellitus, particularly PVD and CAD. ABI estimation is a non invasive cheap, bed-side, and rapid test with a high degree of validity and predictive power Hence, ABI estimation should be done for all diabetic patients annually.
Authors and Affiliations
Eagappan Subbiah
Keywords
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- EP ID EP597283
- DOI 10.9790/0853-1605044652.
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