Duration Of Diabetes Mellitus And Vascular Complications

ABSTRACT

Background:Type 2 diabetes mellitus (DM) is associated with disabling and potentially life-threatening micro-vascular and macro-vascular complications. Common risk factors for vascular complications in people with type 2 diabetes include hyperglycemia, insulin resistance, dyslipidemia, hypertension, tobacco use and obesity. This study aimed to determine the incidence of macro-and micro-vascular complications and risk factors among patients with type 2 diabetes mellitus.Material And Methods:100 Patients with type 2 DM attending the medicine opdatShardaben General Hospital,were included in this observational studywho fulfille d inclusion criteria. Detailed historyof all patients was recorded including the duration of DM, risk factors for DM and complications of DM.Result:Incidence of DM was higher in males (56%). Maximum patients with diabetes were between 51 -70 years. 31% patients were newly diagnosed having DM, 36% had DM of <5 years, 24% had DM duration of 5-10 years and 9% had DM duration of >10 years. Mean fasting Blood sugarwas 186mg/dL. 78% had one or more micro vascular complications. Retinopathy was the most common micro-vascular complication (35%). The most common macro-vascular complication was coronary artery disease (44%). Conclusion:Retinopathy was the most common micro-vascular and coronary artery disease is most common macro vascular complication. Incidence of micro-vascular complication increases with duration of diabetes, while macro-vascular complications doesn’t correlatewiththedurationof diabetes mellitus.