Buradasınız

TİP II DIABETES MELLİTUS TU HASTALARDA DİSLİPİDEMİ İLE DİYABET REGÜLASYONU ARASINDAKİ BAĞINTI

The correlation of dyslipidemia and diabetic regulation in patients with type II diabetes mellitus

Journal Name:

Publication Year:

Abstract (2. Language): 
Serum lipid and lipoprotein levels of 40 patients (26 female, 14 male) with Type 2 Diabetes mellitus(DM) with a median age of 48,8±13 were compared with 30 healthy controls (18 female, 12 male) with a median age 45±11. In the patients, serum total cholesterol(TC), trigliseride (TG), LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C) and subgroups were examined and changes in diabetic regulation were checked. HDL-C and subgroups were measured by Warnick et al. s double precipitation method. For the patient group, array ofTG,TC, LDC-C levels increased significantly. In the HDL-C and its subgroups, more significantly in HDL2-C and in HDL3-C, a decrease was determined. In correlation analysis, a negative correlation was determined among HbAlc and HDL2-C in patients with Type 2 DM(r =0.71, p<0.01), and a positive correlation was determined between HbAlc and TG (r = 0.68,p<0.01). Our findings support the view that the risk of atherosclerosis increases with distruption of diabetic regualtion in Type II Diabetes Mellitus patients.
Abstract (Original Language): 
Tip 2 Diabetes mellituslu (DM) yaş ortalaması 48.8H3 olan 40 hastanın (26 kadın, 14 erkek) serum lipid ve lipoprotein düzeyleri ortalama yaş grubu 46 ±11 olan 30 sağlıklı (18 kadın, 12 erkek) kontrol grubu ile karşılaşbnldı. Hastalarda serum total kolesterol (TK), trigliserid (TG), LDL-kolesterol (LDL-K), HDL-kolesterol (HDL-K), ve alt gruptan incelendi ve diabet regülasyonu ile değişikliklerine bakıldı. HDL-K ve alt gruplan Warnick ve arkadaşlarının çift presipitasyon yöntemi ile öiçüldü. Hasta grubunda sırası ile TG, TK, LDK-K düzeyleri anlamlı olarak yüksekti. HDL-K ve altguruplannda ise HDLr-K da daha belirgin olmak üzere HDU -K da düşüklük saptandı. Korelasyon analizinde Tip2 DM hastalarda HbAlc ile HDLz-K arasında negatif korelasyon (M).71,p<0.01), HbAlcile TG arasında pozitif korelasyon (r=0.68,p<0.01) saptandı. Bulgulanmız, Tıp 2 DMlu hastalarda diabet regülasyonu bozukluğu ile atheroskleroz riskinin arttığı görüş/erini destek/emektedir
113-115

REFERENCES

References: 

1. Laws A, Marcus EB, Grove JS, Curb JD. Lipids and lipoproteins as risk factors for coronary heart disease in men with abnormal glucose tolerance. J Internal Medicine 1993;234: 471 8.
2. Stone NJ, Blum CB, Winslow E. Management of Lipids in Clinical Practise, Professional Communications, Inc. First Edition, 1997:231 45.
3. Yoshikawa M, Sakuma N, Hibino T, et all. HDL3 exerts more powerful anti oxidative, proctective effects against copper cayalyzed LDL oxidation than HDL 2. Clin Biochem 1997; 30: 221 5.
4. Stein EA, Gary LM. Lipids, lipoproteins and apolipoproteins. In: Carl AB, Edward RA (eds). Tietz Textbook of Clinical Chemistry. Philadelphia: W.B. Saunders Company, 1994: 1002 93.
5. Gidez LI, Miller GO, Burstein M, et all. Separation and quantitation of subclasses of human plasma high density lipoproteins by a simple precipitation procedure. J Lipid Res 1982; 23: 1206 11.
6. Weight MJ, Coetzee HS,et all, Lecithin: Cholesterol acyltransferase activity and high density lipoprotein subfaction composition in type 1 diyabetic patients with improving metabolic control. Acta Diyabetol 30; 1993: 159 65.
7. İpbüker A. Diyabetes Mellitusun Epidemiyolojisi, Sendrom 1997; 9: 27.
8. Warnick RR, Benderson JM, Albers JJ. Quantification of high density lipoprotein subclasses after seperation by dextran sulphate and Mg+2 precipitation. Clin Chem 1982; 28: 1574.
9. Verges B. Anomalies of lipid metabolism in diyabetes mellitus. Rev Med Interne 1991;12: 277 81.
10. Laakso M. Dyslipidemia, morbidity, and mortality in non-insulin-dependent diyabetes mellitus. Lipoproteins and coronary heart disease in non insulin dependent diyabetes mellitus. J Diyabetes Complications 1997;11: 137 41.
11. Syvanne M, Ahola M, Lahdenpera S, et al. High density lipoprotein subfractions in non-insuiin-dependent diyabetes mellitus and coronary artery disease. J Lipid Res 1995;36: 573 82.
12. Verges B, Brun JM, Vaillant G, et al. Influence of obesity and hyper triglyceridaemia on the low HDL2 cholesterol level and on its relationship with prevalence of atherosclerosis in type 2 diyabetes. Diyabete Metab 1992; 18:289 97.
13. Laakso M, Voutilainen E, Sarlund H, Aro A, Pyorala K. Serum lipids and lipoproteins in middle-aged non insulin dependent diyabetics. Atherosclerosis 1985; 56:271 81.

Thank you for copying data from http://www.arastirmax.com