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AIM:To determine the frequency of atherosclerotic cardiovascular disease and its risk factors among patients with type 2 diabetes in Basrah,Iraq.METHODS:Participants in this cross-sectional study were patients who had type 2 diabetes for at least 1 year,presenting at the Al-Faiha Diabetes Endocrine and Metabolism Center in Basrah(Southern Iraq) over the period from January to December 2008.RESULTS:The series included 1079 patients(58.8% men),of whom 25.0% were smokers.The prevalence of symptomatic cardiovascular disease and hypertension was 16.0%,and 44.3% respectively.Those who were overweight or obese constituted 70.5%.Insulin was used in only 26.9% despite 56.1% having had diabetes for 6 years and more.The mean glycated hemoglobin(HbA1c) was 9.46% ± 2.0% and only 5.5% achieved the target of HbA1c of < 7%.We had 68.7% of patients with total cholesterol of ≥ 200 mg/dL,21.5% with high density lipoprotein cholesterol of < 40 mg/dL,84.1% with low density lipoprotein cholesterol of ≥ 100 mg/dL and 71.6% with triglyceride of ≥ 150 mg/dL.CONCLUSION:Among adults with type 2 diabetes mellitus,there was increased frequency of cardiovascular disease and its modifiable risk factors.This finding necessitated urgent work to modify these risk factors in a population based setting.
AIM: To determine the frequency of atherosclerotic cardiovascular disease and its risk factors among patients with type 2 diabetes in Basrah, Iraq. METHODS: Participants in this cross-sectional study were patients who had type 2 diabetes for at least 1 year, presenting at the Al-Faiha Diabetes Endocrine and Metabolism Center in Basrah (Southern Iraq) over the period January to December 2008.RESULTS: The series included 1079 patients (58.8% men), of whom 25.0% were smokers. Prevalence of symptomatic cardiovascular disease and hypertension was 16.0%, and 44.3% respectively.Those who were overweight or obese composed 70.5% .Insulin was used only only 26.9% despite 56.1% having had diabetes for 6 years and more.The mean glycated hemoglobin (HbA1c) was 9.46% ± 2.0% and only 5.5% achieved the target of HbA1c of <7%. We had 68.7% of patients with total cholesterol of ≥ 200 mg / dL, 21.5% with high density lipoprotein cholesterol of <40 mg / dL, 84.1% with low density lipoprotein cholesterol of ≥ 100 mg / dL and 71.6% with triglyceride of ≥ 150 mg / dL. CONCLUSION: Among adults with type 2 diabetes mellitus, there was increased frequency of cardiovascular disease and its modifiable risk factors. This finding necessitates urgent work to modify these risk factors in a population based setting.