To access the prevalence of undiagnosed type 2 diabetes mellitus in patients with acute coronary syndrome.

Abstract

Objective: To access the prevalence of undiagnosed type 2 Diabetes Mellitus in patients with Acute Coronary Syndrome. Study Design: Cross-sectional study. Setting: Department of Medicine, of Tertiary Care Hospital of Islamabad. Period: 17^th July 2023 to 17^th October 2023. Material & Methods: WHO calculator was used to calculate the sample size and 100 subjects were selected fulfilling the inclusion criteria (Both male and female of age 18 to 65 years retained in ER or admitted with the diagnosis of ACS). Blood samples were obtained for baseline investigations including blood sugar and HBA1C. Results were entered on EXCEL Sheets and analyzed using SPSS V.20. Results: The data showed 47% males, 70% of the participants belonging to the age group 41-65 years ACS presenting with STEMI in 37%, 40% patients with NSTEMI and unstable angina was found in 23%. The Mean BMI was 27±3.2SD mean HBA1C level was 4.3±1.7SD and the mean FBG was 129±17.9SD. Among all the male patients, there were (27.65%) patients with undiagnosed T2DM while among all the female patients, (18.8%) were reported with undiagnosed T2DM. Conclusion: A high prevalence of undiagnosed DM was observed in ACS patients admitted to tertiary care hospital. Research work done in developing countries showed data which was consistent with our study, however, research data from developed world was in contrast to our study.