Effect of highly sensitive C-reactive protein on cardiovascular risk of Type 2 diabetes mellitus adults: A systematic review

Benoy Upreti, Mingma Lhamu Sherpa, Karma Lakhi Bhutia
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Abstract

Diabetes mellitus (DM) is a significant global health issue that affects nearly 537 million of people, with Type 2 DM (T2DM) accounting for the majority of cases. Death is frequently the result of diabetes-related complications, particularly cardiovascular illnesses, neuropathy, retinopathy, and nephropathy. Type 2 diabetes and cardiovascular events, such as coronary heart disease (CHD), are linked to a greater likelihood of creating when C-reactive protein (CRP), a representative acute phase inflammation response protein, is elevated. The purpose of this systematic review is to examine how T2DM adults’ cardiovascular risk is affected by highly sensitive CRP (hsCRP). The information found through searches of digital sources such as EBSCO, EMBASE, PubMed, Scopus, and Web of Science. The investigator separately reviewed each abstract and title in comparison to predetermined inclusion and exclusion standards. Google Scholar was used for further research. Using terms, a thorough search plan was created. The terms “hs-CRP,” “Type 2 diabetes mellitus,” and “cardiovascular disease” have been utilized. To translate the results for other databases, the original search was done in PubMed. To find additional pertinent papers, reference lists of the research included and previously released reviews were also examined. The findings state that people with DM have a higher risk of developing heart disease. Due to their elevated carbohydrate intake, unhealthy diet, and genetic disposition, Asian Indians are at a high risk of developing cardiovascular disease and DM. Diabetes patients’ cardiovascular risk is primarily determined by insulin sensitivity, which can be assessed using the markers hsCRP and tumor necrosis factor-. Lipid profile is important in cardiovascular diseases because high blood glucose levels encourage the body’s production of cholesterol, which increases the risk of heart malfunction in obese diabetic patients.
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高敏 C 反应蛋白对 2 型糖尿病成人心血管风险的影响:系统综述
糖尿病(DM)是一个重大的全球健康问题,影响着近 5.37 亿人,其中 2 型糖尿病(T2DM)患者占大多数。死亡往往是糖尿病相关并发症造成的,尤其是心血管疾病、神经病变、视网膜病变和肾病。当具有代表性的急性期炎症反应蛋白 C 反应蛋白(CRP)升高时,2 型糖尿病和心血管事件(如冠心病)发生的可能性更大。本系统综述旨在研究高敏CRP(hsCRP)如何影响T2DM成人的心血管风险。研究人员通过对 EBSCO、EMBASE、PubMed、Scopus 和 Web of Science 等数字资源的检索找到了相关信息。研究人员对照预先确定的纳入和排除标准,分别审查了每篇摘要和标题。Google Scholar 用于进一步研究。通过使用术语,制定了详尽的搜索计划。使用了 "hs-CRP"、"2 型糖尿病 "和 "心血管疾病 "等术语。为了将结果转化到其他数据库,最初的搜索是在 PubMed 上进行的。为了找到更多相关论文,还研究了收录研究的参考文献目录和之前发布的综述。研究结果表明,糖尿病患者患心脏病的风险较高。由于碳水化合物摄入量高、饮食不健康以及遗传因素,亚洲印第安人患心血管疾病和糖尿病的风险很高。糖尿病患者的心血管风险主要由胰岛素敏感性决定,而胰岛素敏感性可以用 hsCRP 和肿瘤坏死因子来评估。血脂状况对心血管疾病很重要,因为高血糖会促进体内胆固醇的生成,从而增加肥胖糖尿病患者心脏功能失常的风险。
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