Evaluation of Serum Triglyceride and TG/HDL-Cholesterol Ratio in Good and Poor Control Type-2 Diabetes Mellitus

Dalia Sultana, Manindra Nath Roy, Pijush Karmakar, F. Zohora, Md Enamul Hoque, Rawnok Jahan Sharna
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Abstract

Introduction: Patients with type-2 diabetes have an increased prevalence of dyslipidemia, which contributes to their high risk of cardiovascular diseases. The mortality and morbidity are increased if there is poor glycemic control. Diabetic dyslipidemia is characterized by elevated TG levels, decreased HDL-C levels and increased levels of LDL-C. The aim of this study was to evaluate serum triglyceride and TG/HDL-cholesterol ratio in good and poor control type-2 diabetes mellitus. Methodology: The present study was carried out in departments of Biochemistry, Medicine and Endocrinology of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh between the periods of July 2020 to June 2021. By convenient sampling, a total of 50 subjects aged between 30-59 years were enrolled in this study. Study subjects were divided into 2 groups. Group-A included subjects with good glycemic control (n=25) and group-B included subjects with poor glycemic control (n=25). Results: The mean HbA1c level was significantly higher in poor glycemic group than good glycemic group (10.9±12.02% vs. 5.98±0.95%). The mean TG was 173.16±36.9 mg/dl in good glycemic control group and 219.4±70.32 mg/dl in poor glycemic group. There was significant difference in TG/HDL-C ratio in 2 groups. Serum triglyceride and TG/HDL-C ratio had positive correlation with HbA1c but was not significant. Conclusion: Poor glycemic control is associated with dyslipidemia in Type-2 Diabetes Mellitus. Eastern Med Coll J. July 2023; 8 (2): 24-28
评估控制良好和控制不佳的 2 型糖尿病患者的血清甘油三酯和 TG/HDL 胆固醇比率
导言:2 型糖尿病患者血脂异常的发病率较高,这也是他们罹患心血管疾病风险高的原因之一。如果血糖控制不佳,死亡率和发病率都会增加。糖尿病血脂异常的特点是 TG 水平升高、HDL-C 水平降低和 LDL-C 水平升高。本研究旨在评估控制良好和控制不佳的 2 型糖尿病患者的血清甘油三酯和 TG/HDL- 胆固醇比率。研究方法:本研究于 2020 年 7 月至 2021 年 6 月期间在孟加拉国达卡萨利穆拉爵士医学院和米特福德医院的生物化学系、内科和内分泌科进行。通过方便抽样,本研究共招募了 50 名年龄在 30-59 岁之间的受试者。研究对象分为两组。A 组包括血糖控制良好的受试者(25 人),B 组包括血糖控制不佳的受试者(25 人)。研究结果血糖控制不良组的平均 HbA1c 水平明显高于血糖控制良好组(10.9±12.02% vs. 5.98±0.95%)。血糖控制良好组的平均 TG 为 173.16±36.9 mg/dl,血糖控制不良组为 219.4±70.32 mg/dl。两组的 TG/HDL-C 比值有明显差异。血清甘油三酯和 TG/HDL-C 比率与 HbA1c 呈正相关,但不显著。结论血糖控制不佳与 2 型糖尿病患者的血脂异常有关:24-28
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