Abstract

Dr. Yasir Abdalla Hakim* and Assad Adamabbas

ABSTRACT

Background: Metabolic syndrome is a disorder of energy utilization and storage, diagnosed by a co-occurrence of three out of five of the following medical conditions: abdominal (central) obesity, elevated blood pressure, elevated fasting plasma glucose, high serum triglycerides, and low high-density cholesterol levels. This study was to review the prevalence of the metabolic syndrome in Sudanese type 2 diabetes mellitus. Methods: The study included 80 Sudanese patients; half of them with type 2 diabetes mellitus (cases) and the rest are non-diabetics (control group). Cases and controls blood pressure, abdominal circumference and body mass index were reported. Venous blood samples were taken from all after at least 10 hours fasting for determination of serum level of cholesterol, triglycerides, high density lipoprotein and low density lipoprotein. Glucose level and HbA1c were also measured. Cases and controls were compared in all measures above looking for the differences. The metabolic syndrome was diagnosed according to criteria of national cholesterol education program. Results: in cases fasting blood glucose,waist circumference,serum triglyceride, high density lipoprotein ,blood pressure, total cholesterol were found to be 87.5% (35 cases),130% (52 cases), 50 % (20 cases), 64.5% (28 cases), 62.5%(25 cases), 42.5% (17 cases)respectively. In control group, fasting blood glucose 100% (40 cases), waist circumference 70% (27 cases) , serum triglyceride, high density lipoprotein ,blood pressure, total cholesterol………….. were found to be 40% (16 cases), …. respectively. Conclusion: In this study the frequency of the metabolic syndrome was found significantly high, especially in women between 40 to 60 years. I highly recommended an urgent need t to commence screening for this syndrome based on presence of one or two components of metabolic syndrome.