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jsmc-10012


PREVALENCE OF METABOLIC SYNDROME AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS IN DUHOK


Zana Sidiq Mohammed Saleem *and Hama Najm Jaf**


* School of Medicine, Faculty of Medical Sciences, University of Duhok. Duhok Dialysis and Transplantation Center. 
** Head Kurdistan Board for Medical Specializations.


Submitted: 10/4/2011; Accepted: 14/9/2011


ABSTRACT


Background 

The  metabolic  syndrome  is  a  constellation  of  risk  factors  of  metabolic  origin  that  are  accompanied  by increased risk for cardiovascular disease and type 2 diabetes. These risk factors are atherogenic dyslipidemia, elevated  blood  pressure,  elevated  plasma  glucose,  a  prothrombotic  state,  and  a  proinflammatory state. Metabolic  syndrome  is associated with overall mortality; with cardiovascular mortality  in particular;  it has been  shown  that  metabolic  syndrome  is  an  independent  clinical  indicator  of  macro-  and  microvascular complications in diabetics. 

Objective 

The objective of this study was to estimate the prevalence and characteristics of metabolic syndrome among type-2 diabetic patients in Duhok Governorate.

Materials and Methods 

This study involved 394 randomly selected patients from those suffering from type-2 diabetes mellitus, from 1st  February  through  30th June  2009  and who were attending Duhok Diabetic  Center. The  patients were interviewed and examined, and  their  lipid profiles and  fasting blood  sugar were checked 12 hours after an
overnight  fasting. Metabolic  syndrome was  defined  according  to  the  criteria  of  the National  Cholesterol Education Program Adult Treatment Panel III. 

Results 

Three hundred ninety four patients (males 33%, females 67 %) were screened and their mean age was (52 ± 8) years, 77% of participants were found to have metabolic syndrome. Metabolic syndrome was more among females  (89%),  those with high  fasting blood glucose  (93%),  those with high waist circumference (80%), those  with  high  triglyceride  (72%),  those  with  low  high  density  lipoprotein  (90%),  high  blood  pressure (68%), and those who lacked physical activities. .

Conclusion 

A  comprehensive  protocol  for  management  of  diabetic  patients  needs  to  be  adopted  involving  not  only control of blood sugar but also other risk factors like obesity, high blood pressure and dyslipidemia.


KEYWORDS

 Metabolic Syndrome, Type 2 Diabetes Mellitus, Duhok