Soha M Abd El Dayem, Ahmed A battah and Abo El Magd El Bohy
National Research Centre, Egypt
Cairo University, Egypt
Posters & Accepted Abstracts: J Diabetes Metab
Objective: To assess aortic intima-media thickness (aIMT) and carotid intima-media thickness (cIMT) in adolescent type 1 diabetic patients. Patients & Methods: The study included 75 type 1 diabetic patients and 30 age and sex matched healthy volunteer. Blood sample was taken for analysis of glycosylated hemoglobin (HbA1), lipid profile and urine sample was taken for analysis of albumin/creatinine ratio. aIMT and cIMT via ultrasound were also done. Results: cIMT & aIMT were significantly higher in diabetics (0.52±0.06 vs 0.4±0.03, P = 0.0001 and 0.72±0.11 vs 0.46±0.04, P=0.0001 respectively). aIMT was found to be significantly higher than cIMT in diabetic patients (0.72±0.11 vs 0.52±0.06, P = 0.0001). Ten of our patients (14%) with normal cIMT revealed significantly increased aIMT. aIMT had a significant positive correlation with age of patients, waist/hip ratio & cIMT. Conclusion: Adolescent type 1 diabetic patients had increased aIMT and cIMT with a relatively greater increase in the aIMT than in the cIMT. Because atherosclerosis begins first in the intima of the aorta, these data suggest that the aIMT might provide the best currently available noninvasive marker of preclinical atherosclerosis in children. We recommend frequent follow up of diabetic patients for early detection of diabetic complication.
Email: S_eldayem@Yahoo.com
