A clinical study of peripheral vascular diseases in type 2 diabetes mellitus

AUTHORS : Bhattacharyya Dipen K1 , Bhattacharyya Dipak K2 , Barua Swaroop K3 , Nath Sivam RK4
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Peripheral Vascular Disease (PVD) is a very common complication of Diabetes Mellitus, but as the whole spectrum of PVD is mostly asymptomatic or only mildly symptomatic, it is likely to be under-estimated or under- diagnosed and lack of awareness may lead to significant morbidity and mortality. Methods: The study was done on 74 patients of type 2 diabetes mellitus, admitted into the department of Medicine and allied specialities. Detailed history, clinical examination, biochemical parameters, ankle- brachial index (ABI) and all other relevant investigations were done in all patients. Results: In the total of 74 patients, the prevalence of PVD is found to be 17.56% where the mean duration of diabetes was 9.24.3 years. About one-third of the patients were asymptomatic while 53.8% were of foot ulcer, followed by intermittent claudication and gangrene. Longer duration of diabetes, deranged lipid profile, raised levels of HbA1C and CRP and smoking habit were found to be significantly related to the incidence of PVD. Conclusion: PVD, in most cases is asymptomatic, but carry significant risks regarding morbidity and mortality. Early detection by screening for PVD may go a long way in preventing these in the high risk groups.

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