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Vascular complications of diabetes in Lebanon: Experience at the American University of Beirut

Internal Medicine, Endocrinology American University of Beirut Medical Centre

Haytham Salti

Ophthalmology, American University of Beirut Medical Centre

Mona Al-Mokaddam

Internal Medicine, Endocrinology American University of Beirut Medical Centre

Marie Merheb

Internal Medicine, Endocrinology American University of Beirut Medical Centre

Ibrahim Salti

Internal Medicine, Endocrinology American University of Beirut Medical Centre

Mona Nasrallah

Internal Medicine, Endocrinology American University of Beirut Medical Centre, Mn36{at}aub.edu.lb

Aim To examine the metabolic control and presence of

complications, among a cohort of diabetic patients in Lebanon. Method A total of 313 diabetic patients presenting for their usual care were screened in a cross-sectional manner for metabolic control and presence of complications at the American University of Beirut.

Results Only 235 subjects completed their data of whom 220 (93%) had type 2 diabetes with mean duration of disease of 8.2 (±6.6) years. Only 30% had haemoglobin A_1C < 7%, and 35.5% had low-density lipoprotein Cholesterol < 2.6 mmol/L. About 50.5% were obese, 34.9% current smokers, and 40.7% had blood pressure 140/90 mmHg. Microvascular complications were present as 46.3, 39.9 and 33% for albuminuria, neuropathy, 33% for albuminuria, neuropathy, and retinopathy, respectively. Macrovascular complications were as follows: 19.3, 18.3 and 4.1% for coronary artery disease, peripheral vascular disease and cerebrovascular disease, respectively.

Conclusions This study highlights the poor control and high prevalence of vascular complications among adult type 2 diabetic patients in Lebanon.

Key Words: diabetic complications • epidemiology • Lebanon • type 2 diabetes.

The British Journal of Diabetes & Vascular Disease, Vol. 8, No. 2, 80-83 (2008)
DOI: 10.1177/14746514080080020501


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