PERIPHERAL ARTERIAL DISEASE (PAD);

Frequency in diabetics.

Abstract

Objectives: (1) To determine the frequency of PAD in diabetic patients. (2) To compare the frequency of PAD in diabetics
taking different treatment modalities. Design: Observational Cross-sectional study. Setting: Diabetic Research Centre Nishtar Hospital
Multan. Period: Dec. 2010 to Dec.2011. Material and method: Four hundred and forty three (443) consecutive diabetic patients were
included in the study .History, Clinical Examination, Blood Sampling, HBA1C and Doppler’s studies for ABI were carried out. Grading of
severity of PAD was done on the basis of ABI. Results: A total of 443 diabetic patients were screened for PAD by ABI. Out of 443 diabetic
patients 346(78.1%) were males and 97(21.9%) were females. 332(74.9%) patients were in age group 35-45 years, having normal ABI.
111(25.1%) patients were in age group of 45-55 years having abnormal ABI. So on the basis of ABI the frequency of PAD was found
25.1%. Among 111 diabetic patients with abnormal ABI 97(87.4%) have mild to moderate PAD while 14(12.6%) have severe PAD.
Patients with severe PAD were in age group 55 and above and they have longer duration of diabetes. Out of 111 diabetic patients with
abnormal ABI 87(78.4%) were males and 24(21.6%) were females indicating disease predominance in males. PAD was more common in
patients who were on Oral hypoglycemic agents Conclusions: The study demonstrates a high prevalence of PAD among people with type
2 diabetes mellitus. This needs to be appropriately evaluated by the medical professionals.