Increased Risk Of Cardiovascular Disease In Young Diabetics In Correlation With The Poor Glycemic Status And Dyslipidemia In A Tertiary Care Centre Of Upper Assam

Abstract

Diabetes Mellitus is considered to be a cardiovascular disease equivalent. The risk of CVD in DM is manifold, and the implications of the disease becomes even more grave when young diabetics die of cardiovascular diseases. The escalating number of young diabetics emphasises the need for early diagnosis and intervention when necessary to halt the progression of CVD. The present study is a novel attempt to assess the prevalence of CVD in young diabetics in upper Assam with poor glycemia and dyslipidemia with the aims and objectives to study the glycemic status and lipid profile in young diabetics and to study the CVD risk and involvement. It is a hospital based observational study carried over a period of 1 year which showed A total of 42.7% of cardiovascular outcomes, of which Left Ventricular diastolic Dysfunction + Concentric LVH was found in 53.2% cases, Left Ventricular Diastolic Dysfunction alone was found in 21.8%, Concentric LVH alone was found in 25%. HbA1c level was found to be statistically extremely significant with the Cardiovascular Disease outcomes, with Left Ventricular Diastolic Dysfunction (p value 0.0007) and with Concentric LVH (p value 0.003). This was a hospital based observational study conducted in upper Assam among the patients with diabetes diagnosed at an early age of 25 years and below, to identify the presence of cardiovascular risks in young diabetes and the relation with glycemic status.