[Dyslipemia in type-2 diabetes. A risk factor for macroangiopathy?].
OBJECTIVE
To study the association of dyslipemia with macroangiopathy in patients with type II diabetes mellitus.


METHODS
Descriptive crossover study.


METHODS
An urban health district with a socially and economically depressed elderly population.


METHODS
A randomised sample among the diabetics registered in the health district (n = 449).


RESULTS
Different factors in the lipidic profile were studied, as was the presence of diabetic macroangiopathy and some of the associated risk factors. The following were considered cut-off figures with a predictive value of cardiovascular risk: overall cholesterol >or= 240 mg/dl (40% of the sample), HDL < 35 mg/dl (27%), LDL >or= 160 mg/dl (43%), triglycerides >or= 200 mg/dl (25%), atherogenic index >or= 4.5 (73%) and HDL/LDL balance >or= 0.2 (83%). 85.5% of the diabetics in the sample presented one of the lipidic disorders mentioned above. In the multivariant analysis only hypertriglyceridaemia was associated with a higher prevalence of peripheral vasculopathy.


CONCLUSIONS
A high percentage of patients with type II DM presented disorders in their lipidic profile. But, unlike the norm in the general population, only hypertriglyceridaemia displayed a statistically significant association with diabetic macroangiopathy. The role of the other dyslipemic factors was limited.
Lara Suriñach
N
N
ABS Raval Sud, Barcelona.
Franch Nadal
J
J
Morató Griera
J
J
Egido Polo
A
A
Puig Galy
J
J
Castillejo Medina
J
J
D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000453:epidemiology; D003925:Diabetic Angiopathies / Q000097:blood / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood / Q000150:complications* / Q000453:epidemiology; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011897:Random Allocation; D012307:Risk Factors; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data
D008055:Lipids
La dislipemia en la diabetes tipo II. Un factor de riesgo para la macroangiopatía?