STUDY OF CORONARY RISK FACTORS AMONG ELDERLY DIABETIC PATIENTS

Background: type 2 diabetes mellitus is very common among elderly diabetic patients and plays a significant role in developing cardiovascular complications. Studying coronary risk factors in elderly diabetics is of utmost importance to decrease progression of vascular complications among diabetics. Objective: to study coronary risk factors among elderly diabetic patients. Method: A case control study involved 90 elderly patients, 60 years and above, was conducted at the inpatient wards and outpatient clinics of Ain Shams University hospitals from the first of January 2016 to the end of April 2018. They underwent detailed history taking, including history of diabetes mellitus if present and coronary risk factors, coronary risk assessment, detailed clinical examination, measurement of Fasting and 2 hours post- prandial blood glucose levels, Hemoglobin A1 C and Lipid profile. Results: The study showed that coronary risk is significantly high in group III (6.4- 38.9) followed by group II (4.4-48.3) then control group (2.2-19.2).Conclusion: Coronary risk is significantly increased in elderly diabetic patients in comparison to non diabetic subjects. Coronary risk factors are directly proportional to diabetic complications and co morbidities