苏丹2型糖尿病患者血清铁蛋白的评价

Hayat Ahmed, N. Ali
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摘要

背景:2型糖尿病(DM2)是世界范围内影响约8%人口的重要健康问题。糖尿病是苏丹最常见的慢性病之一。这些患者的血液中有许多变化,许多因素影响胰岛素介导的葡萄糖耐量,其中一个变化是铁蛋白水平,铁蛋白是铁储存的标志。血清铁蛋白升高,反映机体铁超载,常与胰岛素抵抗有关。铁在糖尿病发病机制中的作用是由多种原因引起的铁超载引起的2型糖尿病发病率增加,以及通过静脉切开术或铁螯合治疗减少铁负荷来逆转或改善血糖控制。目的:评价苏丹2型糖尿病患者血清铁蛋白水平。材料与方法:采用电化学发光免疫分析法(ECLIA)全自动化学分析仪对45例糖尿病患者和45例正常健康人进行血清铁蛋白测定,并进行病例对照研究。COBAS e411机采用罗氏日立试剂盒,i-chroma仪定量HbA1c水平。结果:与年龄、性别匹配的健康人相比,诊断为2型糖尿病的患者血清铁蛋白水平明显升高(p值= 0.008)。血清铁蛋白与HbA1c的相关性不显著(P。值= 0.431)。结论:本研究结果提示糖尿病患者血清铁蛋白升高,这种升高可能与糖尿病的发病机制及并发症的发生有关。因此,应对糖尿病前期和糖尿病患者的血清铁蛋白浓度进行常规筛查,以评估机体的铁储备。
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Evaluation of Serum Ferritin in Type-2 Diabetes Mellitus Sudanese Patients
: Background: Type 2 diabetes mellitus (DM2) is an important health problem worldwide affecting about 8 percent of the population. Diabetes Mellitus is one of the most common chronic diseases in Sudan. These patients have many changes in their blood, and many factors affect the glucose tolerance that is mediated by insulin, one of these changes is S.ferritin level, a marker of iron storage. Increased serum ferritin, reflecting body iron overload, is often associated with insulin resistance. The role of iron in the pathogenesis of diabetes is suggested by an increased incidence of type2 diabetes mellitus in diverse causes of iron overload, and reversal or improvement in glycemic control with a reduction in iron load achieved using either phlebotomy or iron-chelating therapy. Aim: To evaluate serum ferritin level in type-2 Diabetes Mellitus Sudanese Patients. Materials and Method: A case-control study was done in 45diabetic patients and 45normal healthy individuals as a control group, including measurement of serum ferritin by an electrochemiluminescence immunoassay (ECLIA) method full automated chemical analyzer. COBAS e411 machine used Roche HITACHI Kit and quantification of HbA1c level by i-chroma instrument. Results: The study showed that serum ferritin levels were significantly increased in diagnosed cases of type 2 diabetes mellitus in comparison with the age and gender-matched healthy individuals (P. value= 0.008). There was an insignificant correlation between serum ferritin and HbA1c(P. value=0.431). Conclusion: Therefore, the findings of the present study indicate that serum ferritin was increased in diabetes and this increase may contribute to the pathogenesis of this disease as well as to the development of complications. Thus, routine screening for serum ferritin concentration in pre-diabetes and diabetic patients should be done to assess the body's iron stores.
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