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[Echographic and velocimetric aspects of arteriopathies in the diabetic]
E H Niang1, S N Diop, E A Sidibe
1Centre de Diabétologie Marc, Sankale, Dakar.
Insights
Diabetic arteriopathies, affecting arteries in the neck, brain, and lower limbs, are common in middle-aged individuals. Ultrasound and Doppler analysis are effective for early detection and prevention of vascular complications.
Area of Science:
- Vascular Medicine
- Diabetology
- Medical Imaging
Background:
- Diabetic arteriopathies affect cervico-encephalic arteries and lower limbs.
- Early detection is crucial for preventing vascular complications in diabetes.
Purpose of the Study:
- To investigate the prevalence and characteristics of diabetic arteriopathies.
- To evaluate the effectiveness of ultrasonography and Doppler analysis in detecting these conditions.
Main Methods:
- Echography and Doppler flow velocity waveform analysis were used.
- 60 treated diabetic patients (39-77 years) were studied.
- Patients were categorized by gender, insulin dependency, and age.
Main Results:
- 60% of patients (36/60) showed arterial abnormalities.
- Lesions were more prevalent in supra-aortic trunks (36%) than lower limb arteries (28%).
- Arteriopathies were frequently observed in middle-aged diabetics (40-60 years).
Conclusions:
- Ultrasonography and Doppler methods are highly sensitive and cost-effective for diagnosing diabetic arteriopathies.
- These techniques are recommended for patient follow-up and prevention of vascular complications in Africa.
Aims:
Study of Diabetic arteriopathies Arteriopathies in cervico encephalic arteries and lower limbs were detected both with Echography and Doppler flow velocity waveform analysis from 60 treated patients. They were shared into 34 women (57%) and 26 men (43%). Patients age varied between 39 and 77 years. 85% were non insulin dependent versus 15% insulin dependent patients. 36 patients (60%) presented arterial abnormalities, 14 of which (23.33%) were located in the lower limbs, 19 (31.66%) in the carotid arteries, and 3 (7%) in both carotid arteries and the lower limbs. Arteriopathies were found in medium aged patients (40-60 years). Arteriopathies are often noted in medium aged diabetics. The prevalence of lesions were relatively higher in supra-aortic trunks (36%) than in lower limbs arteries (28%). They are distal in lower limbs and constitute a factor of diabetes prognosis. The sensitivity and the less expensive cost of ultrasonor methods give a first choice to these technics in the patients following up and prevention of vascular complications of diabetes in Africa.