THE INFLUENCE OF ATHEROGENIC RISK FACTORS ON THE CONDITION OF INTIMA-MEDIA COMPLEX OF THE GENERAL CAROTID ARTERY IN PATIENTS WITH DIABETES MELLITUS OF THE SECOND TYPE
127 patients (70 male and 57 female) with diabetes mellitus of type-2 at the age of 45-70 (the average age is 52,25±5,62 years) have been examined with the aim of studying the influence of different atherogenic risk factors (hyperglycemia, hyperlipidemia, arterial hypertension (AH), smoking) on the thickness of intima-media complex (IMC) of general carotid arteries. The average duration of diabetes mellitus of type-2 was 14,5±5,23. All the patients underwent hospital physical examination, evaluation of risk factors, electrocardiography, duplex scanning of extra cranial vessels at apparatus «Vivid 3»TM with the linear sensor of 7,5 MHz. We evaluated the level of glycemia fasting in dynamics, of postprandial glycemia, indices of lipid spectrum. The obtained results showed that the ultrasound examination of the thickness of IMC made it possible to evaluate the negative influence of different atherogenic risk factors (mechanical – AH; biochemical - dyslipidemia, hyperglycemia; toxical – smoking) on the condition of the arterial wall in patients with diabetes mellitus of type-2. In future it may facilitate to proper carrying out of active measures of prophylaxis of atherosclerosis, which would allow to hold up the development of the disease considerably and to reduce the frequency of vascular complications.