Tanmay Ramesh Gandhi, Anil H. Inamdar
BACKGROUND Diabetes mellitus is a major public health challenge of the twenty-first century. Long standing diabetes mellitus is associated with an increased prevalence of micro-vascular and macro-vascular diseases. Peripheral vascular disease is one of the most common and important complication of diabetes mellitus. The ABI is a very simple, non-invasive test that can be performed easily in the office by using a handheld Doppler device. The ABI is a very simple, non-invasive test that can be performed easily in the office by using a handheld Doppler device. Aims and Objectives- 1) To study the ankle brachial index and prevalence of Peripheral Vascular Disease in young type 2 diabetes mellitus patients. 2) To compare the ankle brachial index in young type II diabetic subjects and non-diabetic subjects. 3. To correlate the findings of Ankle Brachial Index with age, sex, duration of diabetes, lipid profile and risk factors of PVD. MATERIALS AND METHODS Randomly selected 100 cases of Young (Age≤45 years) Type 2 Diabetes Mellitus and 100 non-diabetic young patients of the same age group were studied which were admitted to medical wards or were examined in OPD at Acharya Vinoba Bhave Rural Hospital, Sawangi, Meghe, Wardha between September 2014 to August 2016. It was a prospective type of case control study. RESULTS Abnormal ABI (≤0.9) was noticed in 13% subjects of case group and only in 4% subjects of the control group. The difference in mean ABI in cases and controls was statistically significant (p<0.05). Normal ABI (1.0-1.3) was present in 54% cases and 85% controls. 33% cases and 12% controls had a borderline ABI (0.91-0.99). CONCLUSION Thus, it could be concluded that the subjects of case group had a higher probability for prevalence of PAD (13%) as compared to subjects of the control group with 4% prevalence. This in turn indicated that patients with type 2 diabetes mellitus are at a higher risk for developing PAD as compared to normal subjects.
