title: Prevalence of dyslipidemia and hypertension in Indian type 2 diabetic patients with metabolic syndrome and its clinical significance.
abstract: OBJECTIVE
  The present study was designed to estimate the prevalence of dyslipidemia and hypertension based on the National Cholesterol Educational Programme Adult Treatment Panel III definition of metabolic syndrome (MetS). The study also focuses on prevalence for MetS with respect to the duration of disease in Gwalior-Chambal region of Madhya Pradesh, India.
  
  
  METHODS
  Type 2 diabetic patients (n = 700) were selected from a cross-sectional study that is regularly being conducted in the School of Studies in Biochemistry, Jiwaji University Gwalior, India. The period of our study was from January 2007 to October 2009. Dyslipidemia and hypertension were determined in type 2 diabetic patients with MetS as per National Cholesterol Educational Programme Adult Treatment Panel III criteria.
  
  
  RESULTS
  The mean age of the study population was 54 ± 9.3 years with 504 (72%) males and 196 (28%) females. The prevalence of MetS increased with increased duration of diabetes in females; however, almost constant prevalence was seen in the males. Notable increase in the dyslipidemia (64.1%) and hypertension (49%) in type 2 diabetic patients were seen. The steep increase in dyslipidemia and hypertension could be the reason for the growing prevalence of diabetes worldwide. The study also noted a close association between age and occurrence of MetS.
  
  
  CONCLUSIONS
  Individual variable of MetS appears to be highly rampant in diabetic population. Despite treatment, almost half of patients still met the criteria for MetS. Effective treatment of MetS components is required to reduce cardiovascular risk in diabetes mellitus hence accurate and early diagnosis to induce effective treatment of MetS in Indian population will be pivotal in the prevention of cardiovascular disease and type 2 diabetes.
authors.affiliation: Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Seoul, Korea ; SOS in Biochemistry, Jiwaji University, Gwalior, Madhya Pradesh, India.
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Yadav
authors.affiliation: School of Life Sciences, Sambalpur University, Jyoti Vihar, Burla, Odisha, India.
authors.forename: Meerambika
authors.initials: M
authors.lastname: Mishra
authors.affiliation: SOS in Biochemistry, Jiwaji University, Gwalior, Madhya Pradesh, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Tiwari
authors.affiliation: SOS in Biochemistry, Jiwaji University, Gwalior, Madhya Pradesh, India.
authors.forename: Prakash Singh
authors.initials: PS
authors.lastname: Bisen
authors.affiliation: SOS in Biochemistry, Jiwaji University, Gwalior, Madhya Pradesh, India.
authors.forename: Hari Mohan
authors.initials: HM
authors.lastname: Goswamy
authors.affiliation: SOS in Biochemistry, Jiwaji University, Gwalior, Madhya Pradesh, India.
authors.forename: G B K S
authors.initials: GB
authors.lastname: Prasad
keywords: Indian diabetics; diabetes mellitus type 2; dyslipidemia; hypertension; metabolic syndrome