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血糖控制良好和不佳的1型糖尿病患者的血液粘度、血脂谱及脂质过氧化情况。

Blood viscosity, lipid profile, and lipid peroxidation in type-1 diabetic patients with good and poor glycemic control.

作者信息

Mishra Neetu, Singh Neelima

机构信息

Amity Institute of Biotechnology, Amity University Rajasthan, Jaipur, Rajasthan, India.

出版信息

N Am J Med Sci. 2013 Sep;5(9):562-6. doi: 10.4103/1947-2714.118925.

Abstract

BACKGROUND

In diabetic patients, persistent hyperglycemia and poor glycemic control cause disturbances of lipid profiles, especially an increased production of oxygen free radicals. Lipid peroxidation has been considered to be a pathogenic factor of diabetic complications in Type-1 Diabetes mellitus.

AIMS

The aim of the present study was to investigate the effect of glycemic control on blood viscosity, lipid profile, and lipid peroxidation in Type-1 Diabetic subjects.

MATERIALS AND METHODS

The study included three groups; Group-I (age-matched healthy control subjects, n = 50), Group-II (Type-1 Diabetics with good glycemic control, n = 10), and Group-III (Type-1 Diabetics with poor glycemic control, n = 15). The Type 1 diabetic patients with duration of diabetes for more than 5 years were taken. Blood samples of all subjects were analyzed for all biochemical, hematological, and oxidative stress parameters.

RESULTS

The Erythrocyte malondialdehyde level was non-significantly changed (P = NS) in group-II patients but significantly increased (P < 0.001) in group-III patients, and no significant changes were found (P = NS) in Blood viscosity of both the groups (group-II and group-III), as compared to healthy control subjects (group-I).

CONCLUSIONS

Our findings suggest that the monitoring of Oxidative stress and Blood Viscosity in poorly controlled Type-1 diabetic patients may be very useful marker of diabetic complications.

摘要

背景

在糖尿病患者中,持续的高血糖和血糖控制不佳会导致脂质谱紊乱,尤其是氧自由基生成增加。脂质过氧化被认为是1型糖尿病患者糖尿病并发症的致病因素。

目的

本研究旨在探讨血糖控制对1型糖尿病患者血液粘度、脂质谱和脂质过氧化的影响。

材料与方法

该研究包括三组;第一组(年龄匹配的健康对照受试者,n = 50),第二组(血糖控制良好的1型糖尿病患者,n = 10),以及第三组(血糖控制不佳的1型糖尿病患者,n = 15)。选取糖尿病病程超过5年的1型糖尿病患者。对所有受试者的血液样本进行所有生化、血液学和氧化应激参数分析。

结果

与健康对照受试者(第一组)相比,第二组患者红细胞丙二醛水平无显著变化(P =无显著性差异),但第三组患者显著升高(P < 0.001),且两组(第二组和第三组)的血液粘度均无显著变化(P =无显著性差异)。

结论

我们的研究结果表明,监测血糖控制不佳的1型糖尿病患者的氧化应激和血液粘度可能是糖尿病并发症的非常有用的标志物。

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