Volume : V, Issue : III, March - 2015

Glycemic Abnormalities in Patients of Acute Coronary Syndrome With Type 2 Dm

Dr Parinita Shinde, Dr Prachee Makashir

Abstract :

Introduction– Diabetes Mellitus comprises of a group of common metabolic disorders that share the phenotype of hyperglycemia. Chronic complications of Diabetes Mellitus affect many organ systems of which Ischemic Heart Disease is the most common cause of mortality. DM increases the risk of ACS and of complications after presenting with ACS. Aims – Correlation of duration of Diabetes Mellitus and Glycemic abnormalities in patients of Acute Coronary Syndrome with Type 2 Diabetic Patients Methods– This prospective study was conducted in indoor patients of a General Hospital, with Type 2 Diabetes Mellitus or newly detected Diabetes Mellitus admitted in the Medical ICU with acute coronary syndromes, during a period of 12 months. The study sample consisted of 50 such patients. Results– Male: Female ratio was 1:1 .More than 70% patients were above 50 years of age. Duration of diabetes had no correlation with ACS. Poor Glycemic control was present in 92% of the patients and its correlation with ACS was statistically significant. Conclusion– The ADA has suggested glycemic goals based on the premise that glycemic control predicts development of DM related complications of which mortality due to Ischemic Heart Disease is common. Studies have suggested that intensive glycemic control results in a trend for reduced MI. Therefore the glycometabolic state at admission, suggested by the BSL on admission and by HbA1c is an important risk factor for patients with DM and ACS. Adequate glycemic control needs to be stressed upon in all Diabetic patients.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Parinita Shinde, Dr Prachee Makashir Glycemic Abnormalities in Patients of Acute Coronary Syndrome With Type 2 Dm Indian Journal of Applied Research, Vol.5, Issue : 3 March 2015

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