Assessment of Cardiovascular Risk Factors Among Sudanese Patients with Type 2 Diabetes

Hisham Mohammed Abdelrahim, Abdelhaleem Mustafa Madani, Tarig Mohammed El-Hadiyah
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Abstract

Background: Individuals with type 2 diabetes who have optimum condition management are exposed to a significantly higher risk of developing cardiovascular disease (CVD) compared to those who do not have diabetes. People with diabetes are estimated to have a fourfold greater risk of developing CVD than people without diabetes. CVD risk factors other than diabetes include older age, obesity hypertension, dyslipidemia, smoking, and a family history of coronary or kidney diseases. Objectives: The study aims to assess the cardiovascular risk factors among type2 diabetes at Ribat Hospital Diabetes Clinic, Sudan. Methods: T2 DM patients were evaluated for the presence of CVD risk factors by using data collecting form to extract data verbally and from patients’ files. Results: Out of 147 T2 DM files, 92 (61.7 %) were female, 57 (38.3 %) were male, and 58 (38.9 %) patients were ≥ 60 year old. Patients who had poor glycemic control were 112 (75.2 %) and those who met the glycemic target were only 37 (24.8 %). Older age (P = 0.01) and diabetes duration (P = 0.026) were associated with poor glycemic control. Prevalence of hypertension was 61 (40.9 %), dyslipidemia 31 (20.8 %), and physical inactivity 112 (75.2 %). All patients had at least one CVD risk factor and those having all three risk factors were 48 (32.2 %). Conclusion: All T2 DM diabetic patients in RHDC had at least one CVD risk factor and almost a third of them had all three risk factors. Poor glycemic control, physical inactivity, hypertension, and age ≥ 60 had a higher prevalence of CVD risk factors.
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苏丹2型糖尿病患者心血管危险因素评估
背景:与没有糖尿病的人相比,拥有最佳病情管理的2型糖尿病患者患心血管疾病(CVD)的风险明显更高。据估计,糖尿病患者患心血管疾病的风险是非糖尿病患者的四倍。除糖尿病外,心血管疾病的危险因素包括年龄较大、肥胖、高血压、血脂异常、吸烟、有冠心病或肾病家族史。目的:本研究旨在评估苏丹Ribat医院糖尿病诊所2型糖尿病患者的心血管危险因素。方法:采用资料收集表口头提取资料和从患者档案中提取资料,评估T2 DM患者是否存在心血管疾病危险因素。结果:147例t2dm患者中,女性92例(61.7%),男性57例(38.3%),年龄≥60岁58例(38.9%)。血糖控制不良的112例(75.2%),血糖达标的37例(24.8%)。年龄(P = 0.01)和糖尿病病程(P = 0.026)与血糖控制不良相关。高血压61例(40.9%),血脂异常31例(20.8%),缺乏运动112例(75.2%)。所有患者至少有一种心血管疾病危险因素,同时有三种危险因素的患者为48例(32.2%)。结论:所有RHDC的T2 DM患者至少存在一种CVD危险因素,近三分之一的患者同时存在三种危险因素。血糖控制不良、缺乏身体活动、高血压和年龄≥60岁的患者有较高的CVD危险因素患病率。
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