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Raised Ankle/Brachial Pressure Index in Insulin‐treated Diabetic Patients
Author(s) -
Goss D.E.,
Trafford J.,
Roberts V.C.,
Flynn M.D.,
Edmonds M.E.,
Watkins P.J.
Publication year - 1989
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.1989.tb01231.x
Subject(s) - medicine , diabetes mellitus , peripheral , blood pressure , vascular disease , insulin , ankle , cardiology , endocrinology , surgery
The ankle/brachial blood pressure index (A/B PI) is important in the vascular laboratory assessment of peripheral vascular disease. However it is falsely elevated in diabetes, hence underestimating the true severity of disease. We have therefore examined the influence of diabetes on the A/B PI in 2092 patients, 538 with diabetes, all referred for evaluation of peripheral vascular disease. The prevalence of a raised A/B PI (≤1.5) in insulin‐treated patients (18.3%) was much higher ( p <0.001) than that in both non‐insulin‐treated diabetic patients (4.5%) and patients with no diabetes (2.8%). Insulin‐treated patients with a duration of diabetes of >30 years had a higher prevalence of raised A/B PI than those with a duration of ≥9 years. No significant age effects were seen.