Dobrev D, Terzieva Ts, Krŭstev I, Svinarov D, Petrova V
Vutr Boles. 1988;27(6):31-5.
In 38 patients with diabetes mellitus type II and in 20 healthy controls the total amount of saturated and unsaturated fatty acids was examined in the serum and in the high density lipoproteins (HDL) as well as the following fatty acids: palmitic, stearic, oleic and arachidonic. In decompensated diabetes an increase of the saturated fatty acids with a parallel decrease of the unsaturated fatty acids were found in the serum and in the HDL. The compensation of the diabetes led to normalization of the ratio between the saturated and unsaturated fatty acids. In decompensated diabetes an increase of the palmitic and stearic acids with a parallel decrease of the oleic and arachidonic acids were found. After compensation of the diabetes was achieved the fatty acids levels became normal again. Knowing the role of the fatty acids in the atherogenesis it may be assumed that the changes of the fatty acids levels in diabetes mellitus contribute to the vascular lesions.
在38例II型糖尿病患者和20名健康对照者中,检测了血清和高密度脂蛋白(HDL)中饱和脂肪酸和不饱和脂肪酸的总量,以及以下脂肪酸:棕榈酸、硬脂酸、油酸和花生四烯酸。在失代偿性糖尿病患者中,血清和HDL中饱和脂肪酸增加,不饱和脂肪酸相应减少。糖尿病得到代偿后,饱和脂肪酸与不饱和脂肪酸的比例恢复正常。在失代偿性糖尿病患者中,棕榈酸和硬脂酸增加,油酸和花生四烯酸相应减少。糖尿病得到代偿后,脂肪酸水平再次恢复正常。鉴于脂肪酸在动脉粥样硬化形成中的作用,可以推测糖尿病患者脂肪酸水平的变化会导致血管病变。