The present work was undergone to study the relationship between body mass index, blood pressure and atherosclerosis risk factors on the basis of three lipid ratios by comparing type 1 to type 2 diabetic patients
Anthropometric parameters, systolic and diastolic blood pressures and lipid profile were evaluated in adult patients with type 1 and type 2 diabetes over a period of eleven months. Individual atherogenic risk factors based on lipid ratios were estimated in relation to corpulence and hypertension.
237 adult diabetic patients; ninety type 1 diabetic patients and one hundred forty seven type 2 diabetics were involved in the study. Total cholesterol (TC)/high-density lipoprotein (HDL) and triglycerides (TG)/HDL ratios were significantly higher in normal weight type 2 diabetic comparing to type 1 diabetic patients. The TC/HDL was significantly higher (p=0.046) in obese men. Nevertheless, no significant differences were revealed regarding low-density lipoprotein (LDL)/HDL ratio between type 1 and type 2 diabetic patients. Higher TC/HDL ratios were observed in type 2 diabetic patients (males and females) with normal blood pressure (systolic blood pressure “SBP”£13.5 mmHG and diastolic blood pressure “DBP”£8 mmHg) comparing to type 1 diabetic patients. Likewise, the LDL/HDL ratio was significantly higher in type 2 diabetic men with normal DBP (p=0.044).
Lipid ratios are good indices while managing diabetes, it is also recommended to screen type 1 and type 2 diabetic patients for hypertension, dyslipidemia, and obesity and to initiate management at early stages to prevent related complications such as atherosclerosis as a priority