Abbas Ali Mansour, Division of Endocrine and Metabolism, Basrah College of Medicine, Basrah 61013, Iraq.
World J Diabetes. 2013 Jun 15;4(3):82-7. doi: 10.4239/wjd.v4.i3.82.
To determine the frequency of atherosclerotic cardiovascular disease and its risk factors among patients with type 2 diabetes in Basrah, Iraq.
Participants in this cross-sectional study were patients who had type 2 diabetes for at least 1 year, presenting at the Al-Faiha Diabetes Endocrine and Metabolism Center in Basrah (Southern Iraq) over the period from January to December 2008.
The series included 1079 patients (58.8% men), of whom 25.0% were smokers. The prevalence of symptomatic cardiovascular disease and hypertension was 16.0%, and 44.3% respectively. Those who were overweight or obese constituted 70.5%. Insulin was used in only 26.9% despite 56.1% having had diabetes for 6 years and more. The mean glycated hemoglobin (HbA1c) was 9.46% ± 2.0% and only 5.5% achieved the target of HbA1c of < 7%. We had 68.7% of patients with total cholesterol of ≥ 200 mg/dL, 21.5% with high density lipoprotein cholesterol of < 40 mg/dL, 84.1% with low density lipoprotein cholesterol of ≥ 100 mg/dL and 71.6% with triglyceride of ≥ 150 mg/dL.
Among adults with type 2 diabetes mellitus, there was increased frequency of cardiovascular disease and its modifiable risk factors. This finding necessitated urgent work to modify these risk factors in a population based setting.
在伊拉克巴士拉确定 2 型糖尿病患者中动脉粥样硬化性心血管疾病及其危险因素的频率。
本横断面研究的参与者为至少患有 1 年 2 型糖尿病的患者，于 2008 年 1 月至 12 月期间在巴士拉（伊拉克南部）的 Al-Faiha 糖尿病内分泌和代谢中心就诊。
该系列包括 1079 名患者（58.8%为男性），其中 25.0%为吸烟者。有症状的心血管疾病和高血压的患病率分别为 16.0%和 44.3%。超重或肥胖者占 70.5%。尽管有 56.1%的患者患有糖尿病 6 年以上，但仅 26.9%使用胰岛素。糖化血红蛋白（HbA1c）的平均值为 9.46%±2.0%，仅 5.5%的患者达到 HbA1c<7%的目标。我们有 68.7%的患者总胆固醇≥200mg/dL，21.5%的高密度脂蛋白胆固醇<40mg/dL，84.1%的低密度脂蛋白胆固醇≥100mg/dL，71.6%的甘油三酯≥150mg/dL。
在 2 型糖尿病成年患者中，心血管疾病及其可改变的危险因素的发生频率增加。这一发现需要在基于人群的环境中紧急努力改变这些危险因素。
