Vol. 1, Issue 9, Part Q (2015)

Material and Method: Carotid Doppler were performed in all patients to measure the Carotid intimo-medial thickness using Ultrasonographic scanning of the carotid arteries on the machine equipped with colour flow imaging and pulse Doppler, with an electrical linear transducer . The scanning session will be for an average of 30 minutes. The IMT, as defined by Pignoli et al will be measured as the distance from the leading edge of the first echogenic line to the leading edge of the second echogenic line.

Result: In type-2 DM patients without CHD, the mean age was 52.46 ± 10.01 yrs, mean weight was 59.31 ±11.78 kg, mean height was 159.14 ± 10.32 cm, mean BMI was 23.42± 4.45 and the mean WHR is 0.95± 0.03.In these patients, mean duration of DM was 4.53 ±5.19 years. In type-2 DM patients with CHD, the mean BSLF was 185.99 ± 34.05, mean BSLPP was 244.75 ± 49.11, mean HbA1c was 9.22 ± 1.37, mean BUL was 40.09 ± 17.06, mean creatinine was 1.34 ± 0.67, mean of total cholesterol was 171.55 ± 43.54, mean LDL was 93.40 ± 35.01, mean VDRL was 26.58 ± 16.07, mean triglyceride was 118.10 ± 56.36, mean HDL was 41.16 ± 10.88 and the mean M-ALB was 158.42 ± 182.22.

Conclusion: CIMT lends itself conveniently for measurement, it can be utilized as a surrogate marker of CAD. It cannot replace coronary angiography in the assessment of risk/prognosis of CAD but it can help the clinician decide which diabetic is at higher risk for CAD and hence may benefit from coronary angiography.