An observational study of the endothelial dysfunction in type 2 diabetes mellitus and its association with risk factors

Autor: Kesar Vinodbhai Prajapati, Archana U Gandhi, Malay Mukeshbhai Rathod, Mihir Hareshkumar Patel, Savan Patel, Tapan Patel
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: APIK Journal of Internal Medicine, Vol 10, Iss 4, Pp 257-262 (2022)
Druh dokumentu: article
ISSN: 2666-1802
2666-1810
DOI: 10.4103/ajim.ajim_128_21
Popis: Background: Cardiovascular diseases (CVDs) are the major culprit to cause morbidity in type 2 diabetes mellitus (T2DM) patients. Endothelial dysfunction (ED) precedes the progressed stage of CVD presentation. This study aimed to study the risk factors for ED and identify the modifiable factors for risk reduction and provide caution measures. Materials and Methods: This cross-sectional observational study included 100 adult patients with T2DM on oral hypoglycemic drugs or insulin therapy. Based on glycemic control, type 2 diabetic patients were divided into four groups: Group 1 (poor glycemic control and hemoglobin A1C (HbA1c) >9%), Group 2 (fair glycemic control and HbA1c 8%–8.9%), Group 3 (good glycemic control and HbA1C 7–7.9%), and Group 4 (excellent glycemic control, HbA1C 4.41 mm) with mean FMD of 4.58%. There was a statistically significant association seen between baseline brachial artery diameter and FMD (P < 0.05). Multivariate linear regression showed that HbA1c and treatment of both Oral hypoglycemic agents (OHA) and insulin were the significant independent factors affecting the ED with OR of 7.566 (P = 0.0003) and 0.013 (P = 0.011), respectively. Conclusion: In diabetics, the risk of ED is increased with worsening levels of lipid profile and glycemia irrespective of the age and duration of the disease.
Databáze: Directory of Open Access Journals
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