Giviaeni Santore
Background and aims: Type 2 diabetes mellitus (T2DM) is a significant gamble factor for fringe supply route sickness (Cushion). The Ankle- Brachial Index (ABI) was found to be linked to a higher mortality and cardiovascular (CV) risk. The primary objectives of this study were to determine the prevalence of PAD in a T2DM population and to examine the connection between PAD and the CUORE Project score (CPS) calculated CV risk. Also investigated was the connection between the ABI, the main risk factors for PAD, and T2DM complications.
Methods and results: Two hundred patients were enrolled consecutively. In this population, 17% of the people had PAD. The group with a pathological ABI had a higher CV risk (p = 0.0712) than the group with a normal ABI. Hemoglobin with glycation (r = 0.1591; total cholesterol (r = 0.1958; p = 0.0244), and LDL cholesterol (r = 0.1708; p = 0.0054; systolic blood pressure (r = 0.1523; p = 0.0156; p = 0.0313) had a negative and significant correlation with the left ABI. The group with a pathological ABI had a significantly higher rate of diabetic retinopathy (p = 0.0316).
Conclusions: The data indicate a high prevalence of PAD among T2DM patients. The CPS confirmed that patients with pathological ABI tend to have a higher risk of cardiovascular disease. The findings emphasize the significance of a precise CV assessment, which includes calculating a person's CPS and measuring their ABI, in order to more precisely identify individuals who are at risk for PAD, particularly T2DM patients.