Incidence of macrovascular complications in newly diagnosed diabetics

• Author Details:   
• Leena Firmal
• Avinash Sudan
• KS Butola

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Background: Diabetes is an ‘iceberg” disease. The prevalence of DM is expected to rise more rapidly in future because of increasing obesity and reduced activity levels. The increasing prevalence of type 2 diabetes mellitus (Non-Insulin Dependent Diabetes - NIDDM) is a global problem; and it is unfortunately, a major one in developing countries such as India. Consequent to the rising prevalence of diabetes, the number suffering from the vascular complications of diabetes will also increase. In order to have a holistic view of the challenge, it is essential to have data on the incidence of diabetic complications.
Objective: To find the incidence of macrovascular complications in newly diagnosed (within last 6 months) type 2 diabetes mellitus patients and associated risk factors.
Material and Methods: From the total 496 newly diagnosed (within last 6 months) patients of Type 2 diabetes mellitus from OPDs, wards and ICU of Internal Medicine department, MLB Medical College and Hospital, Jhansi, 209 refused to participate in study so finally 287 patients were selected for study. Data was analyzed using Microsoft excel 2007.
Results: The incidence of macrovascular complications in Type 2 diabetes mellitus (newly diagnosed) were 58.2% in which incidence of cardiovascular, cerebrovascular and peripheral vascular was found to be 40.1%, 10.1% and 8.0% respectively.
Conclusions: Incidence of cardiovascular disease in newly diagnosed type-2 DM found to be 40% and incidence of macrovascular complications were more in those having risk factors like hypertension, dyslipidemia, obesity, smoking and family history of diabetes.

Keywords: Diabetes Mellitus, Macrovascular complications, Risk Factors