EVALUATION OF ANKLE BRACHIAL PRESSURE INDEX IN DRIVERS WITH UNCOMPLICATED DIABETES

*Dr. Nazia Farha, MD Physiology and Dr. Praveena Kumari Kadiri, MD Physiology

ABSTRACT

Introduction: Diabetes mellitus (DM) is an endocrine disorder in which increased blood glucose levels either due to deficiency of insulin or its resistance which is the leading causes of mortality and morbidity. Peripheral arterial disease (PAD) and diabetes mellitus are highly correlated. Ankle brachial index (ABI) is a simple test used to detect PAD. It is the ratio of Ankle systolic blood pressures to arm systolic blood pressure. Heavy vehicle drivers may suffer from pain at back, legs, arms and hands caused by uncomfortable seating for long times. It may predispose to stasis of blood and lead to occlusion of vessels of lower limbs. The primary aim of this study was to determine the ABI in heavy vehicle drivers with diabetes and without type 2 diabetes mellitus. Methodology: This cross-sectional study was conducted in ACSR Medical college Nellore from March 2019 to September 2019. All the subjects were recruited from RTC depot, Nellore, Andhra Pradesh with in a age group of 40-60 years. Ankle brachial pressure index derived from systolic BPs measured in the arms and legs after 10 minutes of rest in a supine position with arms and legs straight and at rest. Arm BPs were measured using a sphygmomanometer and a stethoscope whereas and leg BPs were measured with a phygmomanometer and an 8 MHz Doppler to detect pulses. Left ABI was calculated in a similar way. The lower ratio of either side was considered the participant’s overall ABI. Results: P VALUE IS 0.553, greater than 0.05, so the association is not statistically significant. Conclusion: There is no statistically significant variation of ABI Index values between diabetic and non-diabetic heavy vehicle drivers.

Keywords: Ankle brachial pressure index, PAD.