Evaluation of metabolic syndrome in diabetic patients referred to university diabetes care centers from 2016 to June 2021 based on NPPCD data and its relationship with cardiovascular complication
Metabolic syndrome is a set of problems including high blood pressure, high blood sugar, excess fat around the waist, and abnormal levels of cholesterol and triglycerides that occur together and increase the risk of cardiovascular disease, stroke, and diabetes in the affected person. , is >100, Tg>150, HDL<40M ,<50F and blood pressure higher than 140 over 90, or taking blood pressure medication, the presence of metabolic syndrome was calculated.
All people with type 2 diabetes in the country who visited any university diabetes clinic in the NPPDD plan from 2015 to June 1400 were included in the study. Analysis of trend analysis was done based on month, season and year, and in the annual analysis, the variables affecting the trend were analyzed separately. The results were reported based on trend analysis and point estimation with a confidence interval of 95%.
Results
The trend of changes in metabolic syndrome over time (year, season and month) is significant, and in general, the significant trend of reduction can be seen during the years of implementation of the NPPCD project. Although in the first year of the covid-19 epidemic in the country, an increase in frequency has been observed. Changes in the components of metabolic syndrome, fasting blood sugar, triglycerides and blood pressure have shown a significant increase, while HDL and obesity and overweight have shown a significant decrease. Among the independent variables studied are the age group less than 50 years old, with the lowest frequency, female gender, the presence of cardiovascular disease, the presence of diabetic foot, the presence of retinopathy, the presence of nephropathy, the presence of neuropathy, HbA1c above 7 and fasting blood sugar above 130 mg. per deciliter were associated with a higher frequency of metabolic syndrome in a statistically significant way.
Conclusion
Although the general trend of metabolic syndrome shows a decreasing trend based on NPPCD data in the country, this trend is not uniform and with the start of the Covid-19 epidemic, the trend of decreasing has increased at least temporarily. This process is decreasing in some components of metabolic syndrome and increasing in others. Diabetes control criteria, complications of diabetes and cardiovascular diseases are significantly associated with metabolic syndrome. Paying attention to this disease and its correct management as well as more intensive interventions to control diabetes and its complications in diabetic patients with metabolic syndrome are recommended. Recommending comprehensive interventions to change the trend of the criteria with increasing trend of metabolic syndrome and emphasizing the continuation of effective interventions to decrease the trend of decreasing criteria of metabolic syndrome in community-oriented approaches.
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