[Consequences of insulin resistance on lipid profile in type2 diabetics group: study of 118 cases].

M El Oudi, Z Aouni, C H Mazigh, O Essaies, B Zidi, S Machghoul
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Abstract

Insulin is a hormone which has an essential role in lipids metabolism by modulating the activity of many key enzymes and by its intervention on the production and the catabolism of lipoproteins. The aim of this study was to determine the influence of insulin resistance on lipid profile in a diabetic group. The study group consists of 118 diabetic patients. We assayed for each patient total cholesterol, high density lipoprotein cholesterol, triglycerides and insulin. Insulin resistance was determined by HOMA index. Insulin was found correlated to body mass index, triglycerides, waist circumference, and glycated haemoglobin. Triglycerides and glycated haemoglobin were significantly more elevated in insulin resistant group than in insulin sensitive group. Insulin resistance may be the initial anomaly in type 2 diabetes and incite us to search on molecular anomalies in the insulin action.

胰岛素抵抗对2型糖尿病患者血脂的影响:118例研究
胰岛素是一种激素,通过调节许多关键酶的活性,并通过干预脂蛋白的产生和分解代谢,在脂质代谢中起重要作用。本研究的目的是确定胰岛素抵抗对糖尿病患者血脂的影响。研究组由118例糖尿病患者组成。我们检测了每位患者的总胆固醇、高密度脂蛋白胆固醇、甘油三酯和胰岛素。HOMA指数测定胰岛素抵抗。胰岛素被发现与体重指数、甘油三酯、腰围和糖化血红蛋白相关。胰岛素抵抗组甘油三酯和糖化血红蛋白明显高于胰岛素敏感组。胰岛素抵抗可能是2型糖尿病的初始异常,激发了我们对胰岛素作用分子异常的研究。
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