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Comparative study of ankle brachial index in controlled and uncontrolled diabetics

Author: 
Dhruvkumar Dave, Sneh Shah, Dhara Patel and Disha Kapoor
Abstract: 

Background: Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. Macro-vascular complications include cerebro-vascular disease, ischemic heart disease and Peripheral arterial disease. Peripheral arterial disease (PAD) is a disorder characterized by decreased blood flow to the limbs, due to an obstruction or narrowing of the vessels tributaries. The ankle brachial index (ABI) is the accepted non-invasive gold standard for both diagnosing PAD and the assessment of disease severity. Objective: To compare Ankle Brachial Index in controlled vs. uncontrolled diabetics. Methods: 23 patients (Age: 55 ± 5.4 years) in controlled group and 30 patients (Age: 56 ± 4 years) in uncontrolled group were chosen by nonrandomized convenient sampling and divided according to their HbA1c. Ankle-brachial index was measured using hand-held Doppler D580 and sphygmomanometer. Results: The mean ABI of controlled group and uncontrolled group is 1.05 ± 0.13 and 1.02 ± 0.12 respectively. There is no significant difference of ABI with t = 0.90 with p = 0.19. Conclusion: There may not be any significant difference in ABI of controlled diabetics and uncontrolled diabetics.

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