CAROTID DOPPLER SCREENING IN TYPE 2 DIABETES MELLITUS WITH RISK FACTORS

Abstract

Objective: To find out usefulness of screening by Carotid Doppler in type 2 Diabetes Mellitus with the four major modifiable risk factors i.e. smoking, hypertension, obesity and lipid profile by evaluating for the presence & extent of atherosclerotic carotid artery disease in asymptomatic Type 2 diabetics, by Carotid artery Doppler Ultrasonography.

Methods: This study, conducted in a tertiary care hospital of South Gujarat, enrolled 50 subjects who were known cases of type 2 DM with risk factors for accelerated atherosclerosis.

Result: The target population constituted 60% males and 40% females. There was a positive correlation of increase CIMT with duration of diabetes mellitus, HbA1c, LDL, TG and diabetic retinopathy.

Conclusion: The routine use of carotid Doppler screening of the type 2 DM with risk factors can be recommended in patient with longer duration of DM (>7 years), HbA1c (>7.5%), and altered lipid profile or patient having any end organ damage.