Abstract

Background: The commonest cause of mortality & morbidity in Type 2 diabetes is cerebrovascular accident & coronary artery disease. The study shows that only good blood glucose control, along with BP control in Type 2 diabetic patients cannot reduce mortality & morbidity due to cerebrovascular accident & coronary artery disease; but dyslipidaemia & life style modification is the cornerstone to reduce mortality & morbidity for those events. Dyslipidaemia in diabetes mellitus is a common accompaniment. Prevalence of lipid profile abnormality may not uncommon in young Type 2 diabetics which is common in elderly Type 2 diabetic patients.Aims: The aim of the study is to look after the prevalence of dyslipidaemia in younger age group & to compare it with elderly age group with the same anthropometric parameters.Methodolgy: A prospective cohort study was undertaken to find out the prevalence of diabetic dyslipidemia in younger and adult age group among patients attending Medical OPD & Diabetic clinic in M.G.M. Medical college &L.S.K. Hospital, Kishanganj, Bihar& to compare it between young and adult age group.Results: In the present study majority of patients of older age group have high LDL and low HDL in comparison to younger age group. Increased triglyceride level is not significantly high.Conclusion: Aggressive therapy of diabetic dyslipidemia will probably reduce the risk of CHD in patients with diabetes. Primary therapy should be directed first at lowering LDL levels & improving HDL levels.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.557-563

Highlights

  • Diabetes is the common cause of mortality & morbidity in all over the World

  • Type 2 DM is becoming Study Population and sampling frame: common in younger age group and the management Young people below 25 years & adult of age group is not depended upon blood glucose control only as above 60 years were the target population in this mentioned and lipid profile abnormality is common study

  • The aim of the study is to look after the prevalence of dyslipidaemia in younger age group & to patients those who were on oral hypoglycemic agent (Glimepiride 1-2 mg daily & metformin 1 gm daily) for more than 6 months & have good blood glucose control (HbA1c

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Summary

Introduction

Diabetes is the common cause of mortality & morbidity in all over the World. The global prevalence of Type 2 diabetes will be double between 1995 & 2025, to 270 million people with the greatest number of cases being expected in China & India[1].Type 2 diabetes is the common form of diabetes accounting for 85% – 95 % of all cases of diabetes worldwide, and affecting 5% - 7% of the World’s population. The study shows that only good blood glucose control, along with BP control in Type 2 diabetic patients cannot reduce mortality & morbidity due to cerebrovascular accident & coronary artery disease; but dyslipidaemia& life style modification is the cornerstone to reduce mortality & morbidity for those events. Type 2 DM is becoming Study Population and sampling frame: common in younger age group and the management Young people below 25 years & adult of age group is not depended upon blood glucose control only as above 60 years were the target population in this mentioned and lipid profile abnormality is common study. Because younger age groups require longer group patients were taken for study as Type 2 diabetic survival compared to elderly.

Lipid Fractions Total cholesterol LDL cholesterol
Intensity of the color formed is directly proportional
Frequency Percent
Age Group optimal very high near optimal borderline high high
HDLcholesterol low Normal high
TG normal borderline high
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