Hadjari Mohammed, Bereksi Karima
Department of Biology, Faculty of Nature and Life, University of Mascara, Mascara, Algeria.
Department of Biology, Faculty of Sciences, Djilali Liabes University of Sidi-Bel-Abbès, Sidi-Bel-Abbès, Algeria.
Iran J Public Health. 2023 Apr;52(4):732-740. doi: 10.18502/ijph.v52i4.12441.
Several studies show the relationship between chronic hyperglycemia and the appearance of macroangiopathy, microangiopathy and neuropathy. The major objective of this study was to investigate the serum lipids, renal function tests and inflammatory markersin type 2 diabetes patients.
The study lasted eight years between Feb-2013 and Mar-2021 (Mascara, Algeria). Overall,197 patients and 197 controls were selected during general medicine examinations; enzymatic and immunoturbidimetric colorimetric methods were used to determine the serum levels offasting glycaemia, total cholesterol, highdensity lipoprotein cholesterol, triglycerides, low-density lipoprotein cholesterol, fibrinogen, urea, acid uric, albumin and creatinine, C protein reactive; the glomerular filtration rate is calculated according to the MDRD equation; the glycatedhaemoglobin levels were determined by an ion-exchange resin separation method.
Patients had 2.44 times higher fasting glycaemia, 1.71 times higher HbA1c, 1.23 times higher body mass index, 1.30 times higher waist circumference and 1.25times higher systolic blood pressure than control subjects; the findings of the present study also indicate that a significant differences between patients and controls were observed regarding triglycerides (=0.008), LDL-cholesterol (=0.011), HDL-cholesterol (=0.009), urea (=0.013), uric acid (=0.015), creatinine (=0.007), glomerular filtration rate (=0.006), albumin (=0.018), fibrinogen (=0.023) and C protein reactive (=0.019).
All this metabolic disordercould facilitate the appearance of serious complications in future.
多项研究表明慢性高血糖与大血管病变、微血管病变及神经病变的出现之间存在关联。本研究的主要目的是调查2型糖尿病患者的血脂、肾功能检查及炎症标志物。
该研究于2013年2月至2021年3月在阿尔及利亚马斯卡拉持续了八年。总体而言,在普通内科检查期间选取了197例患者和197例对照;采用酶法和免疫比浊比色法测定空腹血糖、总胆固醇、高密度脂蛋白胆固醇、甘油三酯、低密度脂蛋白胆固醇、纤维蛋白原、尿素、尿酸、白蛋白和肌酐、C反应蛋白的血清水平;根据MDRD方程计算肾小球滤过率;采用离子交换树脂分离法测定糖化血红蛋白水平。
患者的空腹血糖比对照者高2.44倍,糖化血红蛋白高1.71倍,体重指数高1.23倍,腰围高1.30倍,收缩压高1.25倍;本研究结果还表明,患者与对照者在甘油三酯(P = 0.008)、低密度脂蛋白胆固醇(P = 0.011)、高密度脂蛋白胆固醇(P = 0.009)、尿素(P = 0.013)、尿酸(P = 0.015)、肌酐(P = 0.007)、肾小球滤过率(P = 0.006)、白蛋白(P = 0.018)、纤维蛋白原(P = 0.023)和C反应蛋白(P = 0.019)方面存在显著差异。
所有这些代谢紊乱可能会在未来促使严重并发症的出现。