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Glycosylated proteins and serum lipid profile in complicated and uncomplicated NIDDM patients |
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| Authors: | Bhalla Kapil Shukla Rimi V P Gupta S Pugazhenthi K M Prabhu |
| Institution: | 1. Central Reserve Police Force, 110 029, Delhi 2. Department of Biochemistry, University College of Medical Sciences and G.T.B. Hospital, Shahdara, 110 095, Delhi 3. Department of Medicine, Safdarjung Hospital, 110 029, Delhi 4. Department of Biochemistry, University of Saskatchewan, Saskatoon, Canada |
| Abstract: | In the present study, 58 diabetic patients (type II) comprising uncomplicated (27) and complicated (31) cases along with 38 healthy matched controls were investigated for glycosylated hemoglobin (HbA1), glycosylated serum proteins (GSP) and serum lipid profile viz. triacylglycerol, total cholesterol, HDL-cholesterol (HDL-C), VLDL-C, LDL-C and their ratios. HbA1 and GSP were significantly elevated in diabetic group as a whole when compared with controls (p<0.01), but comparison of mean values of complicated and uncomplicated group revealed (though higher in complicated) that the difference between two groups was not statistically significant (p>0.05). Follow-up studies showed that while GSP levels reflect variations in blood glucose over a shorter period of 15 days, those of HbA1 do so for about 3 months. HbA1 correlated with fasting blood glucose (p<0.01), whereas GSP showed correlation with both fasting (p<0.01) and postprandial (p<0.05) blood glucose. Hypercholesterolemia and hypertriacylglycerolemia were observed (p<0.01) in both the groups. However no significant change was seen in HDL-C (p>0.05) even after accounting for sex in both the groups. Interestingly TC:HDL-C was elevated significantly (p<0.01) in the above groups. These findings seem to suggest that at the levels of hyperglycemia, hypercholesterolemia and hypertriacylglycerolemia observed, some patients are prone to develop complications earlier. |
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