1. DIABETIC DYSLIPIDEMIA A MAJOR RISK FACTOR IN CARDIOVASCULAR DISEASES
Banciu Andreea Maria
Grigore Mihai
Associated Professor: Minerva Boitan

2. INTRODUCTION
Over the last 30 years, DM had changed from beeing associated with aging to one of the major causes of premature morbidity in most coutries.

3. introduction
The mechanism by which Diabetes leads to these complications is complex and not yet fully underderstood, but involves:
High glucose levels
Abnormal lipid levels
Major Diabetes complications are: Cardiovascular diseases (CVD), nephropathy, retinopathy, amputation.
CVD is the major complication responsable for more than 50 % and up to 80 % of deaths in people with Diabetes

5. Coronary Heart Disease
Cerebrovascular diseases
Retinopathy
Coronary Heart Disease
Nephropathy
Peripheral Vascular Disease
Neuropathy
Diabetic foot

6. Proportion of hospital bed days used for the treatment of diabetic complications
Source: International Diabetes Federation, 1999

7. Matherials and Method
A retrospective study including 100 patients from Sibiu Country Emergency Hospital
61 men
39 women

8. Matherials and method Type of Diabetes Urban 51, Rural 49 Treatment
II - 89
Urban 51, Rural 49
Treatment
Insulin 61
Oral Antidiabetes 39

9. results The mean age of the population was 55.52 years
Range: years
By age, the lot was devided in 4 groups:
I (< 40 years)
II (40 – 50 years)
III (50 – 60 years) – the predominant group
IV (> 60 years)

10. Results

11. results
BMI (Body Mass Index) calculated by deviding weight in kilogrammes by the square of height in metres shown that over 60 % of patients had BMI > kg/m2, most of them are Type II Diabetes Mellitus patients.
60 % of patients are obese (moderate / severe / very severe)
21 % of patients are overweight (> 25 kg/m2)
Mean BMI: 33.45
Mean BMI in men: 31.56
Mean BMI in women: 35.28

12. results

13. Lipid profile 58 % of patients had elevated Cholesterol levels
Over 50 % of patients had increased Triglycerides
41 % had increased LDL – Cholesterol
40 had decreased HDL - Cholesterol

14. Lipid profile

15. conclusions
Besides Obesity, which is the principal risck for DM patients, hypertension, hypothyrodism and other comorbidities had a substantial risk for cardiovascular diseases

16. conclusions
CVD is more frequent in men, the group of age between 50 – 60 years.
Type II Diabetes Mellitus is more preditable to a CV risk
Dyslipidemia is influenced by gender (men had more elevated Tryglicerides, decreased HDL – Cholesterol and descreased LDL – Cholesterol, comparing to women who had increased LDL – Cholesterol than men).
The main CVD, possible complications of dyslipidemia of DM patient are: Coronary Heart Disease (41 %), Arteriopathy (16 %), Cerebrovascular Diseases (4 %).

17. conclusions

18. references
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19. Thank you !