Role of Indian diabetic risk score in assessing non alcoholic fatty liver disease and coronary artery disease in obese diabetics

Smita K Trivedi; Aakash S Shah; Krupa Pathak; Shreya K Mahajan

Role of Indian diabetic risk score in assessing non alcoholic fatty liver disease and coronary artery disease in obese diabetics

Authors
Smita K Trivedi, Aakash S Shah, Krupa Pathak, Shreya K Mahajan

Abstract
India is deemed as the world’s capital of diabetes, with majority of people being undiagnosed. Therefore, a diabetes risk score will help us to device effective screening strategies to unmask hidden burden of the disease. Indian Diabetic Scoring System (IDRS) is one of the scoring system which uses 4 simple parameters namely age, abdominal obesity, family history of diabetes and physical activity. Non Alcoholic Fatty Liver Disease (NAFLD) is the most common chronic liver disease in the world with increase in its prevalence in patients with type 2 diabetes mellitus. The aim of this study is to compare the efficacy of IDRS with USG in diagnosing NAFLD as well as to find correlation between IDRS and ECG as well as 2D echo changes in patients with ischaemic heart disease. The study included 120 patients with type 2 diabetes mellitus. Prevalence of NAFLD is more in type 2 diabetes mellitus. High risk IDRS (IDRS ≥ 60) has positive predictive value for fatty liver changes in patients with diabetes and also in patients with ischaemic heart disease with ECG changes.

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