“Comparison of common carotid artery intima media thickness between diabetic patients with non-blood pressure component metabolic syndrome and diabetic patients without metabolic syndrome”

Abstract

Background and Purpose: - Patients with metabolic syndrome have greater carotid artery intima media thickness and they are at risk for generalized atherosclerosis. In this study, we planned to compare common carotid artery intima media thickness between diabetic patients with non-blood pressure component metabolic syndrome and diabetic patients without this syndrome.

Materials and Methods: - Fifty diabetic patients of both sexes with systolic blood pressure <130 mm Hg and diastolic blood pressure <85 mm Hg were subjected to high resolution B-mode ultrasonography of the common and internal carotid arteries. Patients were grouped into those without metabolic syndrome (Group I) and with non-blood pressure component metabolic syndrome (Group II).

Results:- Significantly higher mean thickness was observed in the common carotid intima media (0.867 ± 0.125mm) in group II patients compared to group I patients (0.612 ±0.075mm). Group II also had significant number of patients with increased lesion intima media thickness (≥1.1 mm).

Conclusion: - Even in the absence of the blood pressure component, metabolic syndrome in type 2 diabetes mellitus patients is associated with greater common carotid intima media-thickness (IMT) values than in those who don’t have metabolic syndrome.

Keywords: - Intima media thickness; Metabolic syndrome; Diabetes mellitus