Clinical profile and risk factors for type-2 diabetes – A cross-sectional study

P. N. Okoro, Kola Olarinoye, A. Esan
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Abstract

Type 2 diabetes is a chronic metabolic disorder characterised by elevated blood glucose levels due to insulin resistance or insufficient insulin production. Understanding the prevalence, characteristics, and markers of this disease is essential for effective prevention, management and treatment. The study aims to explore the association between type 2 diabetes and, its prevalence, characteristics and markers. Adults with type 2 diabetes and matched healthy controls were enrolled in the study. Statistical calculations were used to establish the sample size. Information on demographics, physical examinations and lab tests were collected. We assessed plasma glucose, glycated haemoglobin (HbA1c), serum lipids and serum DPP4. The mean age (SD) of the population under research was 55.7 (6.12) years for the study subjects and 55.7 (6.11) years for the controls. A positive family history of diabetes was present in 34 (or 33%) of the diabetes patients compared to 11 (or 11%) of the non-diabetic patients (p 0.001). The mean HbA1c in the diabetic group was substantially greater than that of the non-diabetic controls (5.47 1.89%), as expected (7.23 2.69%), p 0.001. It’s interesting to note that total cholesterol was markedly higher in the diabetes participants (5.59 2.24 mmol/L) than in the non-diabetic controls (6.48 1.54 mmol/L), p = 0.001. Due to common risk factors and underlying mechanisms, type 2 diabetes and hypertension may be related, as suggested by the high prevalence of hypertension in the diabetic group. Type 2 diabetes was substantially related to elevated HbA1c and fasting plasma glucose levels, indicating poor glycaemic control. The higher mean serum Dipeptidyl peptidase-4 (DPP4) level in the group with type 2 diabetes shows a link between high DPP4 levels and the disease, which may have an effect on incretin hormone activity, insulin resistance and therapeutic options.
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2 型糖尿病的临床概况和风险因素 - 一项横断面研究
2 型糖尿病是一种慢性代谢性疾病,其特点是由于胰岛素抵抗或胰岛素分泌不足导致血糖升高。了解这种疾病的发病率、特征和标志物对于有效预防、管理和治疗至关重要。本研究旨在探讨 2 型糖尿病及其发病率、特征和标志物之间的关联。统计计算用于确定样本量。我们收集了人口统计学、体格检查和实验室检测的相关信息。我们评估了血浆葡萄糖、糖化血红蛋白(HbA1c)、血脂和血清 DPP4。研究对象的平均年龄(标清)为 55.7(6.12)岁,对照组为 55.7(6.11)岁。有阳性糖尿病家族史的糖尿病患者有 34 人(占 33%),而非糖尿病患者有 11 人(占 11%)(P 0.001)。糖尿病组的 HbA1c 平均值(5.47 1.89%)大大高于非糖尿病对照组(7.23 2.69%),符合预期(P 0.001)。值得注意的是,糖尿病参与者的总胆固醇(5.59 2.24 mmol/L)明显高于非糖尿病对照组(6.48 1.54 mmol/L),P = 0.001。由于存在共同的风险因素和潜在机制,2 型糖尿病和高血压可能存在关联,糖尿病组的高血压患病率也说明了这一点。2 型糖尿病与 HbA1c 和空腹血浆葡萄糖水平升高密切相关,表明血糖控制不佳。2 型糖尿病组的平均血清二肽基肽酶-4(DPP4)水平较高,这表明高 DPP4 水平与该疾病有关,可能会对增量素激素活性、胰岛素抵抗和治疗方案产生影响。
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