Determination of Physiological, Biochemical and Anti-oxidative Status in Type 1 Diabetes Mellitus Patients

Hafiz Muhammad Arsalan, Gulnaz Kousar, Amanbekov Akylbek Amanbekovich, Munib Ashfaq
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Abstract

Type 1 Diabetes Mellitus (T1DM) disorganization of glucose equilibrium distinguishes by autoimmune disruption of the insulin producing pancreatic β-cell that constantly leads to insulin scarcity and resulting hyperglycemia Objective: To determine the physiological, biochemical, and anti-oxidant status in Type 1 Diabetes Mellitus Patients. Methods: It is a comparative study. 60 diabetic patients and 50 Samples of healthy individuals were taken from Nawaz Sharif Hospital. Blood samples (5.0 ml) were obtained and centrifuged at 4000 rpm for 10 minutes to separate the serum. Glutathione (GSH), Catalase (CAT), Superoxide Dismutase (SOD), Malondialdehyde (MDA), Nitric oxide (NO), micronutrients (Vitamin A, Vitamin C and Vitamin E) and Electrolytes was determined. Results: MDA level is progressively higher in T1DM (14.01±0.06) as compared to control group (1.27±0.21) (P- Value 0.000). GSH status is notably reduced in diabetic patients (0.15±.05) as compared to normal (6.24±0.33). Comparable anti-oxidant catalase is reduced (2.82±.04) in affected individuals as compared to normal individuals 4.19±1.09. SOD level was remarkably marked up to (13.52±3.21) in susceptible persons as compared to normal (2.15±0.23).  Vitamin A level was markedly reduced to (1.62±0.26) in patients as compared to healthy individuals (7.18±0.33). Conclusions: T1DM patients particularly showed reduced amounts and competency of antioxidant protections due to elevated consumption of specific anti-oxidant components such as low level of intracellular glutathione and Catalase and primarily low levels of vitamin A, vitamin E and vitamin C and exalted level of MDA, SOD and NO.
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1型糖尿病患者生理生化及抗氧化状态的测定
1型糖尿病(T1DM)葡萄糖平衡紊乱的特征是自身免疫破坏产生胰岛素的胰腺β细胞,不断导致胰岛素短缺和高血糖。目的:确定1型糖尿病患者的生理、生化和抗氧化状态。方法:采用比较研究方法。从纳瓦兹谢里夫医院抽取了60名糖尿病患者和50名健康人的样本。取5.0 ml血样,4000rpm离心10分钟分离血清。测定谷胱甘肽(GSH)、过氧化氢酶(CAT)、超氧化物歧化酶(SOD)、丙二醛(MDA)、一氧化氮(NO)、微量营养素(维生素A、维生素C和维生素E)和电解质。结果:T1DM组MDA水平(14.01±0.06)明显高于对照组(1.27±0.21)(P值0.000)。与正常患者(6.24±0.33)相比,糖尿病患者谷胱甘肽水平明显降低(0.15±0.05)。对比抗氧化过氧化氢酶(2.82±0.04),与正常个体(4.19±1.09)相比,受影响个体降低(2.82±0.04)。易感人群超氧化物歧化酶(SOD)水平显著高于正常人群(2.15±0.23),为(13.52±3.21)。与健康个体(7.18±0.33)相比,患者的维生素A水平显著降低至(1.62±0.26)。结论:由于细胞内谷胱甘肽和过氧化氢酶水平较低,主要是维生素A、维生素E和维生素C水平较低,以及MDA、SOD和NO水平较高,T1DM患者的抗氧化保护能力和抗氧化保护能力下降。
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