Javeria Rasheed, Iqra Naz, Zunaira Akram.
Prevalence of PAD in Type II Diabetics and its association with various risk factors.
Pak J Med Health Sci Jan ;12(1):368-70.

Aim : To determine the frequency of Peripheral Arterial Disease (PAD) in Type II diabetic population and to evaluate its association with age, gender, hypertension, smoking and treatment modality of diabetes. Methods: In this cross sectional study 130 diabetic patients were enrolled. Patients of both gender and age more than 30 years diagnosed with type II diabetes were included in the study. Patients with type 1 Diabetes Mellitus (blood fasting >126 mg/dl), hyperlipidemias (triglyceride >150 mg/dl or LDL >100 mg/dl), deranged creatinine (>1.1) or BMI of more than 30 were excluded from this study. For ankle brachial index (ABI) the measurements were done in supine position with a hand held doppler. ABI was calculated by dividing ankle systolic pressure by brachial systolic pressure of the same side. PAD was diagnosed when ankle-brachial index (ABI) was less than 0.9. A p-value of less than 0.05 was considered statistically significant. Results: Out of total 130 cases, peripheral arterial disease was found in 35 (25.1%) patients. No statistically significant association of PAD was observed with age, gender, hypertension, smoking status or diabetes treatment modality Conclusion: Peripheral arterial disease is quite common among people with type II diabetes in Pakistan. Creating public awareness of the disease and its complications is crucial so that the disease can be managed in its early stages.

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