Prevalence and pattern of diabetic dyslipidemia in Indian type 2 diabetic patients

Aim: To study prevalence and pattern of dyslipidemia in Indian type 2 diabetic patients. Materials and methods: Fasting serum lipid profiles of 788 consecutive patients with type 2 diabetes were retrieved from hospital records. Patients having one or more parameters (TG, HDL cholesterol or LDL cholesterol) outside the targets recommended by American Diabetes Association (ADA) were considered to have dyslipidemia. Those with dyslipidemia were further classified into mixed dyslipidemia, combined two parameter dyslipidemia and isolated single parameter dyslipidemia (TG, HDL or LDL). Results: Prevalence of dyslipidemia among diabetic patients at baseline was 85.5% among males and 97.8% among females. Among the males with dyslipidemia the proportion of patients with mixed dyslipidemia, combined dyslipidemia and single parameter dyslipidemia were 14.1%, 44.9% and 41%, respectively. Figures for the same among female patients stood at 24.6%, 47.8% and 27.7%, respectively. Combined dyslipidemia with high LDL and low HDL was the most common pattern among males and females both, contributing to 22.7% and 33% patients of diabetic dyslipidemia, respectively. Second most common pattern among males was isolated high LDL, contributing to 21.3% of males with dyslipidemia. While among females isolated low HDL emerged as the second most common pattern affecting 13.4% dyslipidemic females. Conclusions: Majority of Indian type 2 diabetic patients are dyslipidemic at baseline. The most common pattern of dyslipidemia is high LDL and low HDL among both males and females. The most prevalent problem among males is high LDL while among females low HDL emerged as a bigger threat. (C) 2009 Diabetes India. Published by Elsevier Ltd. All rights reserved.