title: [Peripheral arteriopathy in type 2 diabetes mellitus].
abstract: OBJECTIVE
  To find the prevalence of peripheral arteriopathy (PA) in type 2 diabetics registered at a Health Centre, to detect their main risk factors and examine the usefulness of the portable Doppler in Primary Care consultations.
  
  
  METHODS
  A crossover descriptive study.
  
  
  METHODS
  Urban Health Centre.
  
  
  METHODS
  All the type 2 diabetics registered.
  
  
  RESULTS
  Anamnesis, physical examination, analysis and base ECG were performed. A portable Doppler determined systolic blood pressure in the lower extremities (foot and posterior tibial arteries) and brachial arteries in order to calculate the ankle/arm index (AAI). PA well recorded in the clinical history and AAI < or = 0.90 were considered criteria of PA. Diabetics with AAI > or = 1.25 were analysed separately. 289 patients with an average age of 65.3 (+/- 10.8 SD) were studied. 45.7% were men and 67% had Diabetes Mellitus for less than 10 years. 37.4% followed a dietary treatment and 21.1% were treated with insulin. Multivariate analysis showed that risk factors were: tobacco dependency, age, Hypertension and the type of treatment for the DM.
  
  
  CONCLUSIONS
  The prevalence of PA found (21.4%) was very much higher than what had been previously diagnosed (6.9%). Identified risk factors were tobacco dependency, age, Hypertension and the type of DM treatment. A portable Doppler is easy to handle and allows peripheral arteriopathy to be diagnosed at an early stage.
authors.affiliation: Area Básica de Salud Ronda Prim (ICS), Mataró, Barcelona.
authors.forename: M
authors.initials: M
authors.lastname: Bundó
authors.forename: J
authors.initials: J
authors.lastname: Aubà
authors.forename: R
authors.initials: R
authors.lastname: Vallés
authors.forename: O
authors.initials: O
authors.lastname: Torner
authors.forename: A M
authors.initials: AM
authors.lastname: Pérez
authors.forename: J
authors.initials: J
authors.lastname: Massons
mesh_terms: D000328:Adult; D000368:Aged; D001783:Blood Flow Velocity; D018592:Cross-Over Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D017078:Laser-Doppler Flowmetry; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D012307:Risk Factors