ANKLE BRACHIAL INDEX (ABI) IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Objective: To estimate the ankle brachial index in patients with type 2 diabetes mellitus at tertiary care hospital Patients and Methods: All the diabetic population (≥ 3 years duration) between 40 - 80 years of age, either gender without previous diagnosis of peripheral arterial disease or clinical suggestive of intermittent claudication intermittent visited at tertiary care hospital from January 2016 to June 2016 & gave voluntary consent to participate in the study were recruited. The highest systolic blood pressure of lower limbs was divided by highest systolic blood pressure of lower limb was considered as ABI and the normal range is 0.9 and 1.2 while the ABI <0.9 was considered as low ABI (existence of arterial disease). The quantitative variables are presented as mean (deviation standard) and qualitative as frequencies and percentages by using statistical analyze program SPSS version 16. Results: During six months study period total fifty patients with type 2 diabetes mellitus were evaluate for ankle-brachial index. The mean ± for age (years) & duration of diabetes mellitus (years) for whole population was 60.52±8.92 & 9.95±3.85 respectively. The ABI was detected in 34 (68%) of the patients with male gender predominance 22 (64.7%) while the mean ± SD for ABI in male and female population was 0.51±2.31 and 0.63±1.94 respectively. Conclusion: Low ABI was detected in diabetic population and is strong risk factor for cardiovascular and cerebrovascular diseases. Keywords: Ankle brachial index, Diabetes mellitus and Peripheral vascular disease.