Hypertension and dyslipidemia in type 2 Diabetes Mellitus: a record based study

ABSTRACT

In United Arab Emirates [UAE], the prevalence of Diabetes Mellitus was 19.6% in 1998-2000. Co-morbidity with Hypertension [HT] and Dyslipidemia [DL] increases the probability of cardiovascular complications, and hence the importance of control of all these conditions. The purpose of the present study was to study the distribution of HT and DL in patients with type 2 Diabetes Mellitus [DM] and their control. Source of data was the records of one private and one government hospital in Northern Emirates, UAE. 294 patients with type- 2 DM, who attended the hospitals from September to November, 2009 were included. A checklist was used for collection of data. Relevant data were collected from the records, entered on Microsoft Excel spreadsheet and analyzed using PASW 17.0 statistics. Proportions and Chi-square tests were used for assessing the co-morbidity of DL and HT, and control of DM with respect to socio-demographic variables. Of the total DM patients, 50.7% were males, 95% married, 76.5% of Middle East origin and only 12.6% were paying patients. The most common [49%] age group was 40- 59 years. 8.6% of the DM patients did not have DL or HT, 69.6% had DL, 88% had HT, and 66.1% had both. There was a statistically significant [p<0.05] association between age and DL and nationality and DL, but not with HT. Duration of DL and HT were similar to that of DM. only 32% had DM under control. As for control of DL, 60.2% had triglyceride under control, 59.5% LDL and 7.4% HDL, 39.3% had systolic and 52.7% diastolic blood pressure under control. Co-morbidity with HT and DL is found to be high in the patients with type -2 DM. The poor control of all three conditions highlights the importance of all levels of prevention to reduce the risk of cardiovascular complications