DOI: 10.36347/sjams.2014.v02i05.075

Pages: 1859-1868

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. The vascular complications of diabetes mellitus are further divided into micro vascular and macro vascular complications. There is an observed disparity between various vascular complications of diabetes and the atherogenic factors. The objectives were to study the atherogenic factors in type 2 diabetes patients in relation to complications and without complications. The work was carried out in the outpatient department and medical wards of Mamata General Hospital, Khammam. The study was done over a period of one year that included 100 type-2 diabetic patients. Pregnant and lactating women, patients with chronic alcoholism, hepatic, renal and thyroid disorders and Juvenile diabetes were excluded from the study. The investigations included Fasting blood sugar, Post lunch blood sugar, HbA1C, Lipid profile, Lipoprotein (a), Serum homocysteine, Urine albumin, sugar, ECG, Chest X-ray, Patient’s height and weight, Serum creatinine, Fundoscopy. 93% of total patients with poor glycemic control, 18.27% had micro vascular complications and 13.97% had macro vascular complications. 51.61% of complicated diabetes had normal Lpa levels while 48.38% hadelevated levels.