Association between Lipid Profile and Glycemic Status in Iraqi patients with Acromegaly Receiving Depot Long-Acting Octreotide

Omar Mohammed Al-Juboori
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Abstract

Background: Treatment modalities of acromegaly and disease control impact differently on glucose homeostasis and lipid changes, and consequently on cardiometabolic risk. Aim: To investigate the possible association of lipid profile changes with the glycemic control status in acromegaly patients treated with octreotide LAR. Methods: This cross-sectional study included 52 Iraqi patients with acromegaly treated with octreotide LAR and not using statins. Demographic, anthropometric, and clinical data were collected, as well as the duration of Octreotide LAR administration. The glycemic state was assessed and classified as DM, prediabetes, or normal. Plasma levels of triglycerides, LDL cholesterol, HDL cholesterol, and non-HDL were evaluated using standard methods. Results: Most of the participants presented with low levels of triglycerides, LDL cholesterol, and HDL cholesterol. The lipid profile variables were not significantly correlated with the glycemic control status after treatment with octreotide LAR. Conclusion: Lipid profile parameters were not associated with the different glycemic control status of acromegaly patients treated with octreotide LAR.
伊拉克肢端肥大症患者接受长效奥曲肽后血脂与血糖的关系
背景:肢端肥大症的治疗方式和疾病控制对葡萄糖稳态和脂质变化的影响不同,从而影响心脏代谢风险。目的:探讨奥曲肽LAR治疗肢端肥大症患者血脂变化与血糖控制状况的关系。方法:本横断面研究纳入52例伊拉克肢端肥大症患者,采用奥曲肽LAR治疗,不使用他汀类药物。收集了人口统计学、人体测量学和临床数据,以及奥曲肽LAR给药的持续时间。评估血糖状态并将其分为糖尿病、糖尿病前期或正常。血浆甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和非高密度脂蛋白胆固醇水平采用标准方法进行评估。结果:大多数参与者表现出低水平的甘油三酯、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇。脂质谱变量与奥曲肽LAR治疗后血糖控制状态无显著相关。结论:脂质参数与奥曲肽LAR治疗肢端肥大症患者的血糖控制状态无关。
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