Screening of Peripheral Arterial Disease in Patients with Diabetes

  • Mahesh Raj Ghimire Department of Internal Medicine, Devdaha Medical College and Research Institute,Lumbini, Nepal https://orcid.org/0000-0003-4759-673X
  • Sumnima Acharya Department of Radio-diagnosis, Devdaha Medical College and Research Institute, Lumbini, Nepal
  • Sundar Pandey Department of Internal Medicine, Devdaha Medical College and Research Institute,Lumbini, Nepal
  • Deepak Aryal Department of Internal Medicine, Devdaha Medical College and Research Institute,Lumbini, Nepal
  • Pooja Shah Department of Internal Medicine, Devdaha Medical College and Research Institute,Lumbini, Nepal
  • Binita Soti Department of Nursing, Maharajgunj Nursing College, Institute of Medicine, Kathmandu, Nepal
  • Sulochana Ghimire Department of Nursing, Universal College of Medical Sciences, Bhairahawa, Nepal
  • Lekhjung Thapa Neuro and Allied Clinic, Anchalpur, Bhairahawa.
DOI: https://doi.org/10.33314/jnhrc.v21i1.4402

Abstract

Background: Out of many atherosclerotic complications, peripheral arterial disease (PAD) is also important one. To prevent morbidity and mortality related with PAD, early detection is must, and is possible by duplex screening. This study aims at screening for PAD in patients with type 2 Diabetes mellitus.
Methods: This study is single centered cross- sectional, observational study conducted in department of internal medicine of DMCRI- a tertiary care hospital. A total of 140, type 2 diabetes patients were screened for peripheral arterial disease by duplex ultrasound after taking informed consent and fulfilling inclusion and exclusion criteria.
Results: In our study among 140 Participants, 50% are male and 50% are female with mean age of 57.6 ± 10.4 years standard deviation (SD) and mean duration of diabetes was 8.31± 5.9 SD years with 13.6% were alcohol consumer; 1.4% were smokers; 59.3% of them had high blood pressure; (28.6%) had dyslipidaemia and 11.4% had hypothyroidism. The prevalence of PAD in type 2 diabetes was 27.1% in our study. The mean of glycated hemoglobin (HBA1c) was 7.23 ± 1.75% and while performing analytical test {chi-square (χ)}, we found there was no association between HBA1c level and presence of peripheral arterial disease.
Conclusions: The prevalence of peripheral arterial disease is high almost more than one quarter (27.1%). Screening of diabetic patients is must especially those aged and high glycated hemoglobin for early detection and effective management of PAD.
Keywords: Diabetes mellitus; glycated hemoglobin; peripheral arterial disease; screening

Published
2023-09-08
How to Cite
GhimireM. R., AcharyaS., PandeyS., AryalD., ShahP., SotiB., GhimireS., & ThapaL. (2023). Screening of Peripheral Arterial Disease in Patients with Diabetes. Journal of Nepal Health Research Council, 21(1), 46-49. https://doi.org/10.33314/jnhrc.v21i1.4402
Issue
Vol. 21 No. 1 (2023): Issue 58 Jan-March, 2023
Section
Original Article

Copyright (c) 2023 Mahesh Raj Ghimire, Sumnima Acharya, Sundar Pandey, Deepak Aryal, Pooja Shah, Binita Soti, Sulochana Ghimire, Lekhjung Thapa

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