Assessment of fasting and postprandial lipid profile in diabetic patients and healthy individuals

T. P. Patel, P. Nitinkumar, Dr. Zeel Niralbhai Kodia, Madhurima Banoth, Sayantika Ghosh
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Abstract

Background: Type II diabetes mellitus (DM) is characterized by insulin resistance such as glucose intolerance, dyslipidemia, and hypertension, and results in an increased predisposition to atherosclerotic vascular disease. The present study was conducted to evaluate fasting and postprandial lipid profile in diabetic patients. Materials & Methods: We put 80 type II diabetes patients in group I and 80 healthy subjects in group II. Parameters such as HbA1c, FBS, PBS, total cholesterol (TC), triglycerides (TG), high density lipoprotein – cholesterol (HDL-C), very-low-density lipoprotein cholesterol (VLDL) and low-density lipoprotein cholesterol (LDL) were determined. Results: Group I had 35 males and 45 females and group II had 40 males and 40 females. The mean VLDL was 35.3 mg/dl and 29.6 mg/dl, LDL was 174.4 mg/dl and 82.2 mg/dl, TG was 180.2 mg/dl and 154.3 mg/dl, TC was 210.8 mg/dl and 172.4 mg/dl, HDL-C was 46.2 mg/dl and 56.2 mg/dl, PBS was 142.2 mg/dl and 130.4 mg/dl and HbA1c was 9.2% and 4.6% in group I and II respectively. The difference was significant ( p <0.05). Conclusion: Postprandial lipid profile had higher values as compared to fasting lipid profile among type 2 DM patients.
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糖尿病患者和健康人空腹和餐后血脂的评估
背景:II型糖尿病(DM)以胰岛素抵抗为特征,如葡萄糖耐受不良、血脂异常和高血压,并导致动脉粥样硬化性血管疾病的易感性增加。本研究旨在评估糖尿病患者的空腹和餐后血脂。材料与方法:将80例2型糖尿病患者作为第一组,80例健康受试者作为第二组。测定HbA1c、FBS、PBS、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白-胆固醇(HDL-C)、极低密度脂蛋白胆固醇(VLDL)、低密度脂蛋白胆固醇(LDL)等指标。结果:ⅰ组男性35例,女性45例;ⅱ组男性40例,女性40例。ⅰ组和ⅱ组的平均VLDL分别为35.3 mg/dl和29.6 mg/dl, LDL分别为174.4 mg/dl和82.2 mg/dl, TG分别为180.2 mg/dl和154.3 mg/dl, TC分别为210.8 mg/dl和172.4 mg/dl, HDL-C分别为46.2 mg/dl和56.2 mg/dl, PBS分别为142.2 mg/dl和130.4 mg/dl, HbA1c分别为9.2%和4.6%。差异有统计学意义(p <0.05)。结论:2型糖尿病患者餐后血脂值高于空腹血脂值。
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