scholarly journals Analysis of serum lipid profile and apolipoprotein in patients with concurrent gallbladder stone disease and type 2 diabetes mellitus: a population-based study in China

2021 ◽  
Author(s):  
Song Liang ◽  
Pin Jiang ◽  
Xue-Yi Feng ◽  
Rong-rong Zhai ◽  
Li Yang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Serum Lipid ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Stone Disease ◽  
Low Density ◽  
Gallbladder Stone ◽  
Gallbladder Stones ◽  
Over 40 Years

Abstract Background Gallbladder stone diseases being common disorder, prior studies have identified an association between gallstones and abnormal lipids, type 2 diabetics have higher rates of significant abnormalities in lipid metabolism, so the prevalence of dyslipidemia may be higher in gallstone disease patients with type 2 diabetes mellitus (T2DM) than in the general population. This study aimed to compare the serum lipid and lipoprotein abnormalities between gallbladder stone patients who have T2DM and controls in China. Methods Retrospective analysis of serum lipid and apolipoprotein levels in patients aged 40 years and older with gallbladder stone combined with T2DM, T2DM, gallbladder stone, and a normal group of 407 individuals in four groups. 135 cases with gallbladder stones combined with T2DM were compared with 102 cases with T2DM, 119 cases with gallbladder stones, and 51 normal individuals respectively among four groups. Triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), serum apolipoprotein (apo) AI (ApoAI), apolipoprotein (apo) B (ApoB) and their ratio (ApoAI/ApoB) were collected from the four groups and compared. One-way ANOVA and nonparametric tests (Kruskal-Wallis H tests) were used to compare groups. P < 0.05 was considered statistically significant. Results Compared to three control groups, the patients over 40 years old with gallbladder stone combined with T2DM had significant abnormal changes in lipids: the LDL and APoB levels were significantly raised in patients with gallbladder stones combined with T2DM (P < 0.05), and in males LDL levels were significantly higher in gallbladder stones patients with concomitant T2DM (P < 0.05). Conclusions The study showed that LDL and APoB levels were statistically significant in patients over 40 years of age with concurrent gallbladder stone disease and T2DM, with male patients having significantly higher LDL levels but no statistically significant parameters were found in female patients.

scholarly journals Analysis of serum lipid profile and apolipoprotein in patients with concurrent gallbladder stone disease and type 2 diabetes mellitus: a population-based study in China

2021 ◽  
Author(s):  
Song Liang ◽  
Pin Jiang ◽  
Xue-Yi Feng ◽  
Rong-rong Zhai ◽  
Li Yang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Serum Lipid ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Stone Disease ◽  
Low Density ◽  
Gallbladder Stone ◽  
Gallbladder Stones ◽  
Over 40 Years

Abstract Background Gallbladder stone diseases being common disorder, prior studies have identified an association between gallstones and abnormal lipids, type 2 diabetics have higher rates of significant abnormalities in lipid metabolism, so the prevalence of dyslipidemia may be higher in gallstone disease patients with type 2 diabetes mellitus (T2DM) than in the general population. The aim of this study was to compare the serum lipid and lipoprotein abnormalities between gallbladder stone patients who have T2DM and controls in China. Methods Retrospective analysis of serum lipid and apolipoprotein levels in patients aged 40 years and older with gallbladder stone combined with T2DM, T2DM, gallbladder stone and normal group of 407 individuals in four groups. 135 cases with gallbladder stones combined with T2DM were compared with 102 cases with T2DM, 119 cases with gallbladder stone and 51 normal individuals respectively among four groups. Triglyceride (TG), total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), very low-density lipoprotein (VLDL), serum apolipoprotein (apo) AI (ApoAI), apolipoprotein (apo) B (ApoB) and their ratio (ApoAI/ApoB) were collected from the four groups and compared. One-way ANOVA and nonparametric tests (Kruskal-Wallis tests) were used to compare groups. P < 0.05 was considered statistically significant. Results Compared to three control groups, the patients over 40 years old with gallbladder stone combined with T2DM had significant abnormal changes in lipids: the LDL and APoB levels were significantly raised in patients with gallbladder stones combined with T2DM (P < 0.05), and in males LDL levels were significantly higher in gallbladder stones patients with concomitant T2DM (P < 0.05). Conclusions The study showed that LDL and APoB levels were statistically significant in patients over 40 years of age with concurrent gallbladder stone disease and T2DM, with male patients having significantly higher LDL levels but no statistically significant parameters were found in female patients.

scholarly journals Impact of Adoption of Directly Measured Low-Density Lipoprotein-Cholesterol (LDL-C) on Targets of Lipid Control and Its Comparison With Friedewald Formula-Calculated LDL Cholesterol in People With Type-2 Diabetes Mellitus

2020 ◽  
pp. 263246362097804
Author(s):  
Rejitha Jagesh ◽  
Mathew John ◽  
Manju Manoharan Nair Jalaja ◽  
Tittu Oommen ◽  
Deepa Gopinath
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Atherosclerotic Cardiovascular Disease ◽  
Low Density ◽  
Low Density Lipoprotein Cholesterol ◽  
Friedewald Formula

Objectives: The accurate and precise measurement of low-density lipoprotein-cholesterol (LDL-C) is important in the assessment of atherosclerotic cardiovascular disease risk (ASCVD) in people with diabetes mellitus. This study aimed at comparing directly measured LDL-C with Friedewald formula (FF)-calculated LDL-C (c-LDL-C) in people with type-2 diabetes. Methods: Fasting lipid profiles of 1905 people with type-2 diabetes, whose LDL-C was estimated by direct LDL assay, were chosen for the study. In the same group, LDL-C was calculated with FF. Correlation and agreement between these methods were analyzed at various strata of triglycerides (TGs). The possibility of misclassifying people at various levels of LDL-C targets proposed in literature was calculated. Results: The mean LDL-C levels were lower in the c-LDL-C group across various TG strata. A significant correlation was found between c-LDL-C and direct LDL-C for all the study samples ( r = 0.948, P < .001) and across all TG strata. Analysis of agreement showed a positive bias for direct LDL-C which increased at higher strata of TGs. c-LDL-C underestimated ASCVD by misclassifying people at various LDL-C target levels. Conclusion: There is a difference between direct LDL-C and c-LDL-C values in people with diabetes and this may result in misclassifying ASCVD especially at lower levels of LDL-C and higher levels of TGs.

scholarly journals Correlation of Serum Low Density Lipoprotein Cholesterol and High Density Lipoprotein Cholesterol with Type 2 Diabetes Mellitus

2018 ◽  
Vol 26 (2) ◽  
pp. 140-147
Author(s):  
Nahid Yeasmin ◽  
Qazi Shamima Akhter ◽  
Sayeeda Mahmuda ◽  
Sultana Yeasmin ◽  
Rumana Afroz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Low Density ◽  
Low Density Lipoprotein Cholesterol ◽  
Fasting Serum ◽  
Medical College

Background: Diabetes mellitus is one of the most widespread endocrine disorders in female and its complications are increasing all over the world, leading to life threatening medical problems like cardiovascular diseases, stroke and end stage renal diseases. A correlation between hyperlipidemia and type 2 diabetes mellitus has been identified. The study was carried out to observe the correlation of serum low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) level with type 2 diabetes mellitus in adult female subjects.Method: This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka, during the period of January 2011 to December 2011. Total sixty female subjects were selected with age ranging from 30 to 50 years. Among them 30 female subjects with diabetes mellitus were included from out-patient department of Endocrinology, Dhaka Medical College Hospital, Dhaka as study group (B) and 30 apparently healthy females were taken as control group (A) for comparison. Estimation of serum fasting serum LDL-C and HDL-C levels was done by enzymatic method in the department of Physiology, Dhaka Medical College Dhaka in both groups. Fasting serum insulin level was measured by ELISA method in the laboratory of National Institute of ENT, Dhaka and fasting blood glucose was estimated by glucose oxidase method in the department of Physiology, Dhaka Medical College in both groups. Data were analyzed by Unpaired Student’s- test and Pearson’s correlation co-efficient (r) test as applicable.Results: The value of fasting serum LDL-C level was significantly higher in study subjects than those of control. Again, fasting serum HDL-C level was significantly lower in study subjects in comparison to controls. In study subjects fasting serum LDL showed positive correlation and fasting serum HDL-C levels showed negative correlation with fasting blood glucose and serum insulin level.Conclusion: Present study reveals that serum insulin and blood glucose level have positive relationship with low density lipoprotein cholesterol (LDL-C) and negative relationship with high density lipoprotein cholesterol (HDL-C) levels.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 140-147

scholarly journals Evaluation of type-2 diabetes mellitus patients for dyslipidemia in a tertiary care centre

2020 ◽  
Vol 7 (4) ◽  
pp. 586
Author(s):  
Janak G. Chokshi ◽  
Apal P. Gandhi ◽  
Ishvarlal M. Parmar ◽  
Dipen R. Damor
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Total Cholesterol ◽  
Plasma Glucose ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Diabetic Patients ◽  
Low Density ◽  
Increased Risk

Background: Diabetes mellitus (DM) is a syndrome consisting of metabolic, vascular and neuropathic components that are interrelated. Diabetes mellitus is associated with a considerably increased risk of premature atherosclerosis, particularly coronary heart disease (CHD) and peripheral arterial disease. Dyslipidemia is a common feature of diabetes. There is an association between atherosclerotic cardiovascular disease and serum cholesterol and triglyceride levels in both type 1 and type 2 diabetes.Methods: The study was done on 50 adult diabetes mellitus (T2) patients from IPD of General Medicine wards at SMS Hospital, Ahmedabad, Gujarat. 50 healthy age and sex matched healthy volunteers were taken as control. They were evaluated for lipid profile i.e., Total Cholesterol (TC),Triglyceride (TG), Low-density lipoprotein (LDL), High density lipoprotein (HDL), Very low density lipoprotein (VLDL) and glycemic status i.e., Fasting blood glucose (FBS), Postprandial 2 hours blood glucose (PP2BS) & Glycosylated haemoglobin(HbA1C).Results: Diabetic cases had statistically highly significant (p<0.001) elevated levels of total Cholesterol, Triglycerides and VLDL as compared to controls. Serum TG, serum TC, LDL-C and VLDL-C had positive correlation with the postprandial plasma glucose, fasting plasma glucose and HbA1c.Conclusions: Significant correlations between HbA1c levels and lipid levels point towards the usefulness of HbA1c for screening high-risk diabetic patients. High TC, TG, LDL-C and HbA1c with normal or low HDL-C is seen in almost all diabetic patients either alone or in combinations.

Lipid Disorders

2016 ◽  
pp. 179-184
Author(s):  
Ekta Kapoor
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Low Density Lipoprotein ◽  
Lipoprotein Metabolism ◽  
Density Lipoprotein ◽  
Low Density ◽  
Lipid Disorders ◽  
Genetic Abnormalities ◽  
Excessive Alcohol

Lipid disorders result from genetic abnormalities in lipoprotein metabolism, other medical conditions (eg, type 2 diabetes mellitus, nephrotic syndrome, hypothyroidism, and excessive alcohol use), and the use of certain drugs (corticosteroids and immunosuppressants The most common disorders in this group are the disorders of low-density lipoprotein cholesterol, which often lead to premature atherosclerosis in patients and their family members.

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