Prevalence and clinical profile of metabolic syndrome among type 1 diabetes mellitus patients in southern India

Billow, A and Anjana, R M and Ngai, M and Amutha, A and Pradeepa, R and Jebarani, S and Unnikrishnan, R and Michael, E and Mohan, V (2015) Prevalence and clinical profile of metabolic syndrome among type 1 diabetes mellitus patients in southern India. Journal of Diabetes and its Complications, 29 (5). p. 659. ISSN 10568727

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Aim: To assess the prevalence of metabolic syndrome (MetS) among patients with type 1 diabetes mellitus(T1DM) and to look at prevalence of diabetes complications in T1DM with and without MetS. Methods: We studied 451 T1DM patients attending a tertiary diabetes centre in Chennai, South India. T1DMwas diagnosed based on absence of beta cell reserve and requirement of insulin from the time of diagnosis. Data on clinical and biochemical characteristics as well as complications details to study the prevalence were also extracted from electronic records. T1DM patients were divided into those with and without MetS[diagnosed according to the harmonizing the metabolic syndrome criteria(IDF/NHLBI/AHA/WHF/IAS/IASO)]. Results: The overall prevalence of MetS among T1DM was 22.2%(100/451). Patients with MetS were older, had longer diabetes duration, acanthosis nigricans, and increased serum cholesterol. In the unadjusted logistic regression analysis, retinopathy, nephropathy and neuropathy were associated with MetS. However after adjustment for age, gender, diabetes duration, HbA1C and BMI significant association was seen only between MetS and retinopathy [odds ratio (OR) 2.82, 95% CI 1.18–6.74, p = 0.020] and nephropathy [OR 4.92, 95% CI 2.59–9.33, p b 0.001]. Conclusion: Prevalence of MetS is high among Asian Indian T1DM patients, and its presence is associated with increased risk of diabetic retinopathy and nephropathy

Item Type:Article
Official URL/DOI:
Uncontrolled Keywords:Metabolic syndrome; Type 1 diabetes; Diabetes complications Children; Adolescents; India
Subjects:Diabetes Epidemiology
Diabetology > Diabetes Mellitus Type 1
Divisions:Department of Epidemiology
Department of Cell and Molecular Biology
ID Code:919
Deposited By:surendar radha
Deposited On:06 Jul 2015 12:54
Last Modified:06 Jul 2015 12:54

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