Asymptomatic patients with type 2 diabetes exhibit subclinical left ventricular diastolic and systolic dysfunction that correlates with poor glycemic and blood pressure control.
The objective of our study was to determine whether there is statistically significant association between diastolic dysfunction in the asymptomatic and symptomatic (cardiac disease) subjects with type 2 diabetes mellitus and its relation to age, duration of DM, HbA1c, blood pressure, microalbuminuria and e GFR. In this cross-sectional study 90 subjects with type 2 diabetes were categorize in two groups after appropriate inclusion and exclusion criteria. Statistical analysis was done using SPSS 17.0. From this study we conclude that patients of type 2 diabetes mellitus without cardiac disease (asymptomatic) do have left ventricular diastolic dysfunction as well as left ventricular systolic dysfunction and this dysfunction increases with duration of diabetes mellitus, higher blood pressure, higher Hba1c levels and presence of albuminuria but has no significant correlation with eGFR. Strict watch and control of these parameters will help to delay the onset of cardiac disease in asymptomatic patients of type 2 diabetes mellitus.
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Rajendra Kumar Rajendra Kumar Verma (2016) studied this question.
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