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Peripheral artery disease in type II diabetes
Zeeshan Ali1, Syed Masroor Ahmed, Abdul Rabb Bhutto
1Medical Unit III, Ward-7, Jinnah Postgraduate Medical Centre (JPMC), Karachi. dr.zeeshan.j@gmail.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 14, 2012
Summary
Peripheral arterial disease (PAD) affects nearly 40% of type 2 diabetes patients, with higher prevalence in females and those with hypertension. Early detection is crucial for managing this common complication.
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Public Health
Background:
- Type 2 diabetes is a global health concern associated with numerous microvascular and macrovascular complications.
- Peripheral arterial disease (PAD) is a significant manifestation of atherosclerosis, increasing cardiovascular risk in diabetic patients.
- Understanding the prevalence of PAD in type 2 diabetes is essential for targeted screening and intervention strategies.
Purpose of the Study:
- To investigate the frequency of peripheral arterial disease (PAD) among patients diagnosed with type 2 diabetes.
- To identify demographic and clinical factors associated with PAD in this population.
Main Methods:
- A cross-sectional observational study was conducted at a Diabetes Clinic.
- 387 type 2 diabetic patients were enrolled, excluding those with specific vascular histories or conditions.
- Peripheral arterial disease (PAD) was diagnosed using the ankle-brachial index (ABI) < 0.9.
Main Results:
- Out of 387 participants, 152 (39.28%) were diagnosed with PAD.
- PAD was significantly more prevalent in females (46.71%) compared to males (24.22%) (p = 0.001).
- Hypertension was identified as a significantly associated risk factor for PAD (p = 0.002).
Conclusions:
- The study reveals a high frequency of peripheral arterial disease (PAD) in the type 2 diabetic population.
- PAD is notably more prevalent in female diabetic patients.
- The findings underscore the importance of screening for PAD in diabetic individuals, especially those with co-existing hypertension.
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