Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention-A single institution experience.

Abstract:

AIMS:To evaluate the incidence and risk factors for carotid artery stenosis amongst asymptomatic type 2 diabetes from a single Malaysian tertiary institution. METHODS:This is a prospective cross-sectional study of asymptomatic type 2 diabetics selected from the outpatient ophthalmology and endocrine clinics for carotid duplex ultrasound scanning performed by a single radiologist. The duplex ultrasound criteria were based on the North American Symptomatic Carotid Endarterectomy Trial (NASCET) classification of carotid artery stenosis. Univariate and multivariate analysis was performed to identify possible risk factors of carotid artery stenosis. RESULTS:Amongst the 200 patients, the majority were males (56%) and Malay predominance (58.5%). There were 12/200 patients (6%) with mean age of 69.2 years identified to have carotid artery stenosis. Univariate analysis of patients with asymptomatic carotid artery stenosis identified older age of 69.2 years (p=0.027) and duration of exposure to diabetes of 17.9 years (p=0.024) as significant risk factors. CONCLUSION:Patients with longer exposure of diabetes and older age were risk factors of carotid artery stenosis in asymptomatic type 2 diabetics. These patients should be considered for selective screening of carotid artery stenosis during primary care visit for early identification and closer surveillance for stroke prevention.

journal_name

Prim Care Diabetes

journal_title

Primary care diabetes

authors

Safri LS,Lip HTC,Saripan MI,Huei TJ,Krishna K,Md Idris MA,Harunarashid H

doi

10.1016/j.pcd.2019.10.001

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

364-369

issue

4

eissn

1751-9918

issn

1878-0210

pii

S1751-9918(19)30401-2

journal_volume

14

pub_type

杂志文章
  • Managing type 2 diabetes in Soweto-The South African Chronic Disease Outreach Program experience.

    abstract::Diabetes (DM) and its resultant complications are a problem worldwide, and especially in developing countries like South Africa (SA). Risk factors associated with DM are potentially modifiable, but DM control is poor. Problems in SA include high prevalence of morbidity from DM and hypertension (HTN), lack of recogniti...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2009.06.007

    authors: Katz I,Schneider H,Shezi Z,Mdleleni G,Gerntholtz T,Butler O,Manderson L,Naicker S

    更新日期:2009-08-01 00:00:00

  • Comparison of efficacy and safety of once- versus twice-daily insulin detemir added on to oral antidiabetics in insulin-naive type 2 diabetes patients: 24-week, crossover, treat to target trial in a single center.

    abstract:AIM:To compare once- versus twice-daily insulin detemir added on OADS therapy in insulin-naive type 2 diabetes patients in terms of efficacy and safety. METHODS:An open-label study performed at a single center, comprised a randomized, crossover 24 week with insulin-naive type 2 diabetes patients. Insulin detemir was i...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pcd.2014.01.010

    authors: Cander S,Dizdar OS,Oz Gul O,Guclu M,Unal OK,Tuncel E,Erturk E,Imamoglu S,Ersoy C

    更新日期:2014-10-01 00:00:00

  • Screening for and subsequent participation in a trial for depression and anxiety in people with type 2 diabetes treated in primary care: Who do we reach?

    abstract:AIMS:This study investigated (factors related to) (a) the response to a screening procedure for depression and anxiety in people with type 2 diabetes in primary care, and (b) participation in a subsequent randomised controlled trial targeting depressive or anxiety symptoms. METHODS:People with type 2 diabetes (n=1837)...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pcd.2017.02.006

    authors: Stoop CH,Nefs G,Pop VJ,Pouwer F

    更新日期:2017-06-01 00:00:00

  • Glycemic control and use of A1c in primary care patients with type 2 diabetes mellitus.

    abstract:AIMS:To evaluate the degree of glycemic control and its relationship with disease characteristics and antidiabetic treatment in patients with type 2 diabetes mellitus (DM), as well as the frequency of A1c use. METHODS:For this purpose, an observational, cross-sectorial, and multicenter study was performed. A total of ...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.pcd.2015.01.006

    authors: Alonso-Fernández M,Mancera-Romero J,Mediavilla-Bravo JJ,Comas-Samper JM,López-Simarro F,Pérez-Unanua MP,Iturralde-Iriso J,Work Group of Diabetes SEMERGEN (Sociedad Española de Médicos de Atención Primaria).

    更新日期:2015-10-01 00:00:00

  • Association of age at menopause and type 2 diabetes: A systematic review and dose-response meta-analysis of cohort studies.

    abstract:AIMS:Early age at menopause has been associated with increased incidence of type 2 diabetes mellitus (T2DM), but the quantitative association between age at menopause and T2DM was unclear. We performed a meta-analysis to assess the dose-response association between age at menopause and T2DM. METHODS:PubMed, Embase and...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.pcd.2019.02.001

    authors: Guo C,Li Q,Tian G,Liu Y,Sun X,Yin Z,Li H,Chen X,Liu X,Zhang D,Cheng C,Liu L,Liu F,Zhou Q,Wang C,Li L,Wang B,Zhao Y,Liu D,Zhang M,Hu D

    更新日期:2019-08-01 00:00:00

  • Are blood pressure levels taken during a secondary care diabetic clinic likely to be higher than when measured in primary care?

    abstract::Blood pressure management guidelines are widely available. Our aim was to examine differences in blood pressure on the same subjects in primary and secondary care. We identified 661 diabetic subjects with measurements with the aid of the SAIL databank. Blood pressure in primary care was significantly lower than second...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2009.06.001

    authors: Brooks CJ,Tang TS,Ford DV,Lyons RA,Price DE,Bain SC,Stephens JW

    更新日期:2009-08-01 00:00:00

  • Self-perceived risk for diabetes among non-diabetic adolescents with overweight/obesity: Findings from NHANES.

    abstract:AIMS:The prevalence of Type 2 Diabetes Mellitus among adolescents in the United States continues to rise, following the trajectory of the obesity epidemic which posits not only a substantial health burden to our society, but also a significant threat to the wellbeing of America's youth. While a number of studies have e...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2020.05.017

    authors: Twarog JP,Russo BN,Russo AT,Krichevsky AF,Peraj E,Sonneville KR

    更新日期:2021-02-01 00:00:00

  • Falsely low HbA1c value due to a rare variant of hemoglobin J-Baltimore.

    abstract::HbA1c values are heavily relied on to assess glycemic control. Hemoglobin variants may interfere with measurements of HbA1c resulting in falsely low values. We present the first report of a rare variant of Hb in a patient with type 2 diabetes, which lead to a falsely low HbA1c. ...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2008.05.003

    authors: Barakat O,Krishnan ST,Dhatariya K

    更新日期:2008-09-01 00:00:00

  • Restless legs syndrome in type 2 diabetes mellitus.

    abstract:AIMS:This study aimed to investigate the prevalence of restless leg syndrome (RLS) in type-2 diabetes mellitus (DM) patients and to determine the risk factors. METHODS:Patients were recruited from the Dr. Lütfi Kırdar Kartal Training and Research Hospital Diabetes Center. Patients between 18-80 years of age and meetin...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2018.08.006

    authors: Akın S,Bölük C,Türk Börü Ü,Taşdemir M,Gezer T,Şahbaz FG,Keskin Ö

    更新日期:2019-02-01 00:00:00

  • Seasonal variation in fasting glucose and HbA1c in patients with type 2 diabetes.

    abstract::Seasonal variations in fasting glucose and HbA1c levels in 638 diabetic patients (attending a primary care diabetic clinic during 2003-2007) were examined and found to be significantly higher in colder than in warmer months. Moreover, there were apparent peaks in fasting glucose levels after Christmas and Easter month...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2009.05.004

    authors: Gikas A,Sotiropoulos A,Pastromas V,Papazafiropoulou A,Apostolou O,Pappas S

    更新日期:2009-05-01 00:00:00

  • Incidence of filled antidepressant prescriptions among people with newly diagnosed diabetes and its interaction with occupational status within the working population of Denmark 1996-2010.

    abstract:AIMS:People with diabetes have heightened levels of depressive symptoms, but less is known about the development of these symptoms in relation to diabetes duration. In this study, we examined the use of prescribed antidepressants in the first five years after diagnosis of diabetes among the working-age population in De...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2018.01.002

    authors: Cleal B,Panton UH,Willaing I,Holt R

    更新日期:2018-08-01 00:00:00

  • Utilizing the Ipswich Touch Test to simplify screening methods for identifying the risk of foot ulceration among diabetics: The Saudi experience.

    abstract::Our study demonstrates that Ipswich Touch Test is reliable and comparable to established standardized tests that identify the risk of foot ulceration among Saudi patients with diabetes mellitus. The simplicity of the test will assist in overcoming the barriers to screen for and detect the risk of foot ulceration. ...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2014.10.007

    authors: Madanat A,Sheshah E,Badawy el-B,Abbas A,Al-Bakheet A

    更新日期:2015-08-01 00:00:00

  • Diagnostic accuracy of the Finnish Diabetes Risk Score (FINDRISC) for undiagnosed T2DM in Peruvian population.

    abstract:AIMS:To assess the diagnostic accuracy of the Finnish Diabetes Risk Score (FINDRISC) for undiagnosed T2DM and to compare its performance with the Latin-American FINDRISC (LA-FINDRISC) and the Peruvian Risk Score. MATERIALS AND METHODS:A population-based study was conducted. T2DM and undiagnosed T2DM were defined using...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2018.07.015

    authors: Bernabe-Ortiz A,Perel P,Miranda JJ,Smeeth L

    更新日期:2018-12-01 00:00:00

  • Screening for type 2 diabetes and pre-diabetes in general practice: a descriptive study of Maltese practices.

    abstract:OBJECTIVE:The aim of this research study was to ascertain the awareness of Maltese family doctors to the prevalence and significance of impaired glucose regulation and early diagnosis of type 2 diabetes and whether practices were influenced by employment status, post-graduate training in diabetes or years since graduat...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2013.12.003

    authors: Grech M,Chaney D

    更新日期:2014-10-01 00:00:00

  • Metabolic syndrome is not associated with erectile dysfunction in apparently healthy men.

    abstract:AIMS:To investigate whether metabolic syndrome (MetS) is associated with erectile dysfunction (ED) among apparently healthy men when depressive symptoms and serum testosterone levels are taken into account. METHODS:A study population of 549 men at risk for cardiovascular disease or type 2 diabetes was drawn from the p...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2019.12.008

    authors: Kuneinen S,Kaaja RJ,Vahlberg TJ,Korhonen PE

    更新日期:2020-10-01 00:00:00

  • Importance of hyperglycemia in COVID-19 intensive-care patients: Mechanism and treatment strategy.

    abstract::This review reported that coronavirus disease 2019 (COVID-19) infected patients with short time bed rest or quarantine and airway inflammation are at more risk of developing hyperglycemia and insulin resistance. This condition can induce oxidative stress, decrease immune system function, impair endothelial function, i...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcd.2021.01.002

    authors: Mirzaei F,Khodadadi I,Vafaei SA,Abbasi-Oshaghi E,Tayebinia H,Farahani F

    更新日期:2021-01-09 00:00:00

  • Effects of concomitant drugs on sitagliptin-mediated improvement in glycemic control in Japanese patients with type 2 diabetes.

    abstract:AIMS:We investigated to clarify factors associated with the efficacy of sitagliptin, a dipeptidyl peptidase (DPP)-IV inhibitor, for glycemic control including the confounding effect of concomitant drugs in patients with type 2 diabetes. METHODS:We included type 2 diabetes patients with HbA1c levels of ≥7% who were not...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.pcd.2014.01.008

    authors: Hirata T,Inukai K,Morimoto J,Katayama S,Ishida H

    更新日期:2014-10-01 00:00:00

  • Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes.

    abstract:AIMS:To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients. METHODS:Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to ...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2017.07.001

    authors: Aro AK,Karjalainen M,Tiihonen M,Kautiainen H,Saltevo J,Haanpää M,Mäntyselkä P

    更新日期:2017-12-01 00:00:00

  • Investigation on the association between diabetes distress and productivity among patients with uncontrolled type 2 diabetes mellitus in the primary healthcare institutions.

    abstract:AIMS:To investigate associations between diabetes distress and productivity, and to identify the potential risk factors that could affect these particular associations. METHODS:This cross-sectional study was conducted in three outpatient healthcare institutions. Patients aged ≥21 years with uncontrolled T2DM and polyp...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2020.04.004

    authors: Xu Y,Tong GYY,Lee JY

    更新日期:2020-10-01 00:00:00

  • PAIT-survey-Prevalence of albuminuria in patients with diabetes and hypertension in Turkey.

    abstract:BACKGROUND:Albuminuria is an early marker of kidney disease in patients with diabetes and/or hypertension undetected or untreated albuminuria is a leading cause of chronic kidney disease and cardiovascular events, The purpose of the present survey was to assess the prevalence of albuminuria in patients with diabetes an...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2018.08.008

    authors: Fici F,Bakir EA,Beyaz S,Makel W,Robles NR

    更新日期:2018-12-01 00:00:00

  • Falls in older people with diabetes: Identification of simple screening measures and explanatory risk factors.

    abstract:AIMS:To identify risk factors for falls in older people with diabetes mellitus (DM) and to develop a low-cost fall risk screening tool. METHODS:Older adults with DM (n = 103; age = 61.6 + 6.0 years) were recruited from diabetic clinics. Demographic, DM specific factors, lower limb strength and sensation, cognition, fe...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2020.05.006

    authors: Wettasinghe AH,Dissanayake DWN,Allet L,Katulanda P,Lord SR

    更新日期:2020-12-01 00:00:00

  • Leukocyte count, C-reactive protein level and incidence risk of type 2 diabetes among non-smoking adults: A longitudinal finding over 12 years from the Korean Genome and Epidemiology Study.

    abstract:AIMS:Chronic low-grade inflammation is closely linked to the development and progression of type 2 diabetes mellitus (T2DM). Since inflammatory markers tend to be chronically elevated in current smokers, we examined the association of inflammatory markers, including leukocyte counts and C-reactive protein (CRP) levels,...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2020.11.010

    authors: Cho AR,Lee JH,Lee HS,Lee YJ

    更新日期:2020-12-03 00:00:00

  • The effect of the BATHE interview technique on the empowerment of diabetic patients in primary care: A cluster randomised controlled study.

    abstract:AIM:To investigate the effect of the BATHE therapeutic interview technique on the empowerment of diabetes mellitus patients in primary care. METHOD:A cluster randomised controlled study using the BATHE interview technique was conducted on diabetes mellitus patients in primary care. Physicians in the intervention group...

    journal_title:Primary care diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pcd.2016.12.003

    authors: Akturan S,Kaya ÇA,Ünalan PC,Akman M

    更新日期:2017-04-01 00:00:00

  • Foot examinations of diabetes patients by primary health care nurses in Auckland, New Zealand.

    abstract:AIMS:To identify factors associated with patients receiving foot examinations by primary health care nurses. METHODS:A cross-sectional survey of 287 randomly sampled primary health care nurses, from a total of 1091 in Auckland, completed a postal self-administered questionnaire and telephone interview. Biographical an...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2013.10.002

    authors: Daly B,Arroll B,Sheridan N,Kenealy T,Stewart A,Scragg R

    更新日期:2014-07-01 00:00:00

  • Glycemic control among patients with type 2 diabetes at a primary health care center in Oman.

    abstract:AIMS:To determine the status of blood sugar control by using fasting blood sugar (FBS) of ≤6.1 mmol/l and glycosyted hemoglobin A1c (HbAc1) of <7% as indictors of glycemic control and to assess the influence of demographic, blood pressure (BP) and lipid characteristics on glycemic control. METHODS:This retrospective s...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2014.01.003

    authors: Al Balushi KA,Al-Haddabi M,Al-Zakwani I,Al Za'abi M

    更新日期:2014-10-01 00:00:00

  • Qualities of care managers in chronic disease management: patients and providers' expectations.

    abstract:BACKGROUND:The collaborative care model has been shown in studies to be effective in achieving sustained treatment outcomes in chronic disease management. Its success is highly dependent on active patient engagement, provider endorsement and effective care management. This study sought to ask patients and providers wha...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2012.03.003

    authors: Dejesus RS,Vickers KS,Howell LA,Stroebel RJ

    更新日期:2012-10-01 00:00:00

  • Diabetes care in Ireland: a survey of general practitioners.

    abstract:AIM:To investigate the organisation of diabetes care in general practice in Ireland and identify areas for future development. METHODS:Survey of a representative sample of 600 general practitioners (GPs). The questionnaire contained closed and open-ended questions addressing 4 topics; characteristics of the practice, ...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2009.09.002

    authors: Mc Hugh S,O'Keeffe J,Fitzpatrick A,de Siún A,O'Mullane M,Perry I,Bradley C,National Diabetes Register Project (NDRP).

    更新日期:2009-11-01 00:00:00

  • Delivery of an LGA infant and the maternal risk of diabetes: A prospective cohort study.

    abstract:AIMS:Was to determine whether the birth weight of the infant predicts prediabetes (impaired fasting glucose, impaired glucose tolerance, or both) and type 2 diabetes (T2DM) during long-term follow-up of women with or without gestational diabetes mellitus (GDM). METHODS:The women with or without GDM during their pregna...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2018.04.002

    authors: Hakkarainen H,Huopio H,Cederberg H,Voutilainen R,Heinonen S

    更新日期:2018-08-01 00:00:00

  • Variables associated with insulin production in persons with type 2 diabetes treated with multiple daily insulin injections.

    abstract::From the MDI-liraglutide study, we evaluated variables associated with endogenous insulin production in persons with multiple daily insulin injections-treated type 2 diabetes by relating C-peptide, proinsulin and proinsulin/C-peptide ratio at baseline to baseline variables. Lower insulin production was related to long...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2020.11.005

    authors: Westman K,Imberg H,Albrektsson H,Hirsch IB,Tuomilehto J,Dahlqvist S,Lind M

    更新日期:2020-12-07 00:00:00

  • Psychological distress and mental disorders among Spanish diabetic adults: a case-control study.

    abstract:AIM:To compare the prevalence of psychological distress and mental disorders between diabetes and non-diabetes sufferers and to identify associated factors. METHODS:Case-control study based on data from the 2006 to 2007 Spanish National Health Survey. We identified 2193 type 2 diabetic adults. Non-diabetic controls we...

    journal_title:Primary care diabetes

    pub_type: 杂志文章

    doi:10.1016/j.pcd.2011.10.002

    authors: Jimenez-Garcıa R,Martinez Huedo MA,Hernandez-Barrera V,Lopez de Andres A,Martinez D,Jimenez-Trujillo I,Carrasco-Garrido P

    更新日期:2012-07-01 00:00:00