Relationship between Serum Magnesium & Lipid Profile in Type 2 Diabetic Patients with and without Foot Ulcer

Laila Sultana, Md. Sadaqul Islam Sikder, Tanzia Tahfim
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Abstract

DBackground: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder associated with various complications, including foot ulcer. Dyslipidemia and hypomagnesemia are common in T2DM patients and may contribute to the development of complications. This study aimed to investigate the relationship between serum magnesium level and lipid profile in T2DM patients with and without foot ulcer. Methods: This cross-sectional study was conducted at the Department of Biochemistry and Molecular Biology, BIRDEM Academy, Dhaka, Bangladesh, involving 120 T2DM patients. Participants were divided into two groups: Group A (T2DM patients with foot ulcer, n=60) and Group B (T2DM patients without foot ulcer, n=60). Serum magnesium level and lipid profile were measured, and their correlations were analyzed. Result: Significant differences were observed between the two groups in terms of serum magnesium level and lipid profile. Group A had a higher prevalence of hypomagnesemia (69.6%) compared to Group B (30.4%). Elevated level of total cholesterol, triacylglycerol, and LDL cholesterol were also observed in Group A. A significant positive correlation was found between serum magnesium level and total cholesterol and LDL cholesterol in Group A, while no significant correlation was observed in Group B. Conclusion: The study revealed that T2DM patients with foot ulcers are more likely to have hypomagnesemia and dyslipidemia compared to those without foot ulcer. A significant correlation between serum magnesium level and lipid profile was observed in patients with foot ulcer. These findings may have important implications for the management and prevention of complications in T2DM patients and warrant further investigation through longitudinal studies.
血清镁与amp的关系伴有和不伴有足部溃疡的2型糖尿病患者的脂质特征
背景:2型糖尿病(T2DM)是一种慢性代谢紊乱,伴有多种并发症,包括足部溃疡。血脂异常和低镁血症在2型糖尿病患者中很常见,并可能导致并发症的发生。本研究旨在探讨伴有和不伴有足部溃疡的T2DM患者血清镁水平与血脂的关系。方法:本横断面研究在孟加拉国达卡BIRDEM学院生物化学和分子生物学系进行,涉及120例T2DM患者。参与者分为两组:A组(伴有足部溃疡的T2DM患者,n=60)和B组(无足部溃疡的T2DM患者,n=60)。测定血清镁水平和血脂,并分析两者的相关性。结果:两组患者血清镁水平及血脂水平均有显著差异。A组低镁血症发生率(69.6%)高于B组(30.4%)。A组总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平均升高,A组血清镁水平与总胆固醇、低密度脂蛋白胆固醇呈显著正相关,b组无显著相关。结论:本研究显示伴有足部溃疡的T2DM患者较无足部溃疡的T2DM患者更易出现低镁血症和血脂异常。足部溃疡患者血清镁水平与血脂有显著相关性。这些发现可能对T2DM患者并发症的管理和预防具有重要意义,值得进一步通过纵向研究进行调查。
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