Ayak bileği-brakiyal indeksi diyabetik hastalarda mevcut glisemik kontrolle doğrudan ilişkili midir?
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Tarih
2018
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
ÖZ Amaç: Bu çalışmada tip 2 diyabetik hastalarda Ayak bileği-brakiyal indeksinin (ABİ) glisemik kontrolle ilişkisi değerlendirildi. Hastalar ve Yöntemler: Bu kesitsel çalışmaya tip 2 diyabeti olan toplam 136 (41 erkek, 95 kadın; ort. yaş 54.4±8.4 yıl; dağılım, 33-76 yıl) hasta alındı. Hastaların demografik, metabolik özellikleri ve laboratuvar verileri ve komplikasyon durumları kaydedildi. Ayak bileğibrakiyal indeks ölçümü için ayak bileği posterior tibial arterden kan basıncı el Doppleri kullanılarak ölçüldü. Bulgular: Ortalama diyabet süresi 118.6±89.2 ay ve ortalama HbA1c değeri %8.03±1.7 idi. Ayak bileği-brakiyal indeks değerlerine göre, yalnızca bir hasta ABİ <0.9 grubunda idi. Hastalarımızın %65.6’sı ABİ 0.9-1.4 (normal) grubunda, %33.5’i ABİ >1.4 (yüksek) grubundaydı. HbA1c değerlerine göre (HbA1c; <%7, %7-9 ve >%9) ABİ değerleri istatistiksel olarak anlamlı düzeyde farklı değildi (p=0.472). ABİ değeri yalnızca trigliserid (r= -0.173 p=0.049), total kolesterol (r= -0.214 p=0.014) ve glomerüler filtrasyon hızı (r= 0.248 p=0.006) ile ilişkili bulundu. ABİ değeri 0.9-1.4 olan grupta ortalama HbA1c değeri %8.3 iken, ABİ değeri >1.4 olan grupta ortalama HbA1c değeri %7.5 idi (p=0.01). Sonuç: Çalışmamızda ABİ değeri HbA1c değeri ile ilişkili bulunmadı. Yüksek ABİ değeri olan grupta HbA1c değeri daha düşük bulundu.
Objectives: In this study, we aimed to investigate the association between the ankle-brachial index (ABI) and glycemic control in type 2 diabetic patients. Patients and methods: This cross-sectional study included a total of 136 (41 males, 95 females; mean age 54.4±8.4 years; range, 33 to 76 years) type 2 diabetic patients. Demographic, metabolic characteristics, laboratory data and vascular complication status of the patients were recorded. For the ABI measurement, blood pressure on ankle posterior tibialis artery was measured using hand Doppler. Results: The mean duration of diabetes was 118.6±89.2 months and the mean HbA1c value was 8.03±1.7%. According to the ABI values, only one patient was in the ABI <0.9 group. Of our patients, 65.6% were within ABI values of 0.9-1.4 (normal) and 33.5% were within ABI values of >1.4 (high) group. According to the HbA1c values (<7%, 7-9% and >9%), the ABI value was not statistically significantly different (p=0.472). The ABI value was only correlated with triglyceride (r= -0.173 p=0.049), total cholesterol (r= -0.214 p=0.014), and glomerular filtration rate (r=0.248 p=0.006). The mean HbA1c value was 8.3% in the group whose ABI value was between 0.9-1.4, while the mean HbA1c level value was 7.5% in the group whose ABI value was ABI >1.4 (p=0.01). Conclusion: In our study, the ABI value was not found to be correlated with the HbA1c value. The HbA1c value was lower in the group whose ABI values were higher.
Objectives: In this study, we aimed to investigate the association between the ankle-brachial index (ABI) and glycemic control in type 2 diabetic patients. Patients and methods: This cross-sectional study included a total of 136 (41 males, 95 females; mean age 54.4±8.4 years; range, 33 to 76 years) type 2 diabetic patients. Demographic, metabolic characteristics, laboratory data and vascular complication status of the patients were recorded. For the ABI measurement, blood pressure on ankle posterior tibialis artery was measured using hand Doppler. Results: The mean duration of diabetes was 118.6±89.2 months and the mean HbA1c value was 8.03±1.7%. According to the ABI values, only one patient was in the ABI <0.9 group. Of our patients, 65.6% were within ABI values of 0.9-1.4 (normal) and 33.5% were within ABI values of >1.4 (high) group. According to the HbA1c values (<7%, 7-9% and >9%), the ABI value was not statistically significantly different (p=0.472). The ABI value was only correlated with triglyceride (r= -0.173 p=0.049), total cholesterol (r= -0.214 p=0.014), and glomerular filtration rate (r=0.248 p=0.006). The mean HbA1c value was 8.3% in the group whose ABI value was between 0.9-1.4, while the mean HbA1c level value was 7.5% in the group whose ABI value was ABI >1.4 (p=0.01). Conclusion: In our study, the ABI value was not found to be correlated with the HbA1c value. The HbA1c value was lower in the group whose ABI values were higher.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Damar Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
27
Sayı
3
