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\author[1]{RAVIKUMAR RAVINDRAN}%
\affil[1]{Affiliation not available}%


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  \date{May 17, 2024}


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\textbf{Aim:}

Estimation of the prevalence of double diabetes which is the coexistence
of metabolic syndrome and Type 1 diabetes in a busy diabetic outpatient
clinic.

\textbf{Methods:}

Thirty patients with type 1 diabetes were assessed to see if they
fulfilled the criteria for the metabolic syndrome according to the
criteria of the international diabetes federation. A family history of
type 2 diabetes was sought as this is considered an important part of
double diabetes.

The diagnosis of Type 1 diabetes was based on clinical history and
presence of anti-Gad antibodies.

\textbf{Results:}

Thirty patients with Type 1 diabetes were studied (mean age of 41 years,
age range 29 to 64 years; 19 males and 11 females). Out of the 30
patients; raised waist circumference was seen in 5, hypertension was
present in 9, raised triglycerides was seen in 4 people and low HDL in 5
people. The metabolic syndrome criteria was fulfilled in 4 people
(13\%).

Out of seven patients with a family history of Type 2 diabetes, the
metabolic syndrome criteria was fulfilled in 2.

\textbf{Conclusions:}

Our survey identified 4 people with type 1 diabetes and features of
metabolic syndrome suggesting a diagnosis of double diabetes. It would
appear from the data presented that the combination of waist
circumference and HTN appear to be the most consistent indicators of
this condition.

These people have a higher risk of both micro and macrovascular
complications and need appropriate preventive and broad management
strategy for their metabolic syndrome and insulin resistance.

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