Association between glycemic control and serum lipid profile in known diabetic patients of civil hospital, Ahmedabad

Agarwal, Medhavi; Patel, Jaiminkumar P; Lala, Mrudula K

doi:10.5455/ijmsph.2016.18062015306

Cited by 3 publications

(5 citation statements)

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“…And hypertriglyceridemia with low HDL-C was the most frequent combined type (34%). In tandem with this finding, the highest frequency of low HDL was also apparent in other studies [ 46 , 48 ]. In the United Arab Emirates, low HDL was evident in 60% [ 48 ].…”

Section: Discussionsupporting

confidence: 85%

“…The 46.3% mixed dyslipidemia detected in Northwestern Nigeria is also lower than this study but somehow equivalent to that of Southern Ethiopia. However, the existing finding is in agreement with findings of other studies which have shown 81.1-94% dyslipidemia and as high as 57.3-75% mixed occurrence over the globe [37,[45][46][47][48][49]. Despite such high prevalence dyslipidemia is quite amendable.…”

Section: Plos Onesupporting

confidence: 92%

“…In the United Arab Emirates, low HDL was evident in 60% [ 48 ]. Similarly, it was seen amidst 69.11% of participants in Algeria [ 46 ]. Whereas, in Bangladesh hypertriglyceridemia appeared to be the most frequent type of single dyslipidemia, 60.7% [ 49 ].…”

Section: Discussionmentioning

confidence: 95%

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High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

et al. 2022

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Background Type 2 diabetes mellitus (T2DM) is a chronic disease associated with worse clinical presentation. However, the current investigation practices in Ethiopia have limitations to demonstrate the scope of the clinical burden. Hence, this study was aimed at assessing the glycemic status and coronary heart disease (CHD) risk of persons with T2DM using HbA1c and atherogenic index of plasma (AIP). Method This institution-based cross-sectional study was conducted among 421 adults with T2DM from September to November 2019. Demographic, socioeconomic, and lifestyle data were collected through a face-to-face interview. Clinical information was retrieved from medical records whereas anthropometric and biochemical measurements were performed using the WHO protocols. Glycemic status was determined using HbA1c and CHD risk assessed using an atherogenic index of plasma (AIP). Gaussian variables were expressed using mean and standard deviation (SD), Log-normal variables using geometric mean and 95% CI and non- Gaussian variables using median and interquartile ranges. Categorical variables were summarized using absolute frequencies and percentages. Multivariable logistic regression was used to identify factors associated with glycemic control with a statistical significance set at 5%. Result A total of 195 male and 226 female subjects were involved in this study. The results demonstrated that 77% (324) had HbA1c value ≥7% and 87.2% (367) had high atherogenic risk for CHD. Besides, 57% and 67.9% of persons with T2DM had metabolic syndrome according to International Diabetes Federation (IDF) and the National Cholesterol Education Program—Adult treatment panel III (NCEP-ATP III) criteria, respectively. About 36.8% had one or more comorbidities. Having healthy eating behavior [AOR 1.95; CI 1.11–3.43] and taking metformin [AOR 4.88; CI 1.91–12.44] were associated with better glycemic outcomes. Conclusion High AIP level concomitant with poor glycemic control indicates increased risk for coronary heart disease among persons with T2DM in Northern Ethiopia.

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Section: Discussionsupporting

confidence: 85%

Section: Plos Onesupporting

confidence: 92%

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High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

et al. 2022

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“…15 Agarwal M et al showed that the lipid abnormalities were more among diabetic males than diabetic females which is contrary to our study. 16 The lipid parameters were deranged between controlled and uncontrolled groups in present study and were statistically significant (Table 2). Amer W et al was a similar study where in all the lipid fractions were deranged in uncontrolled type 2 DM patients which is comparable with present study.…”

Section: Discussionmentioning

confidence: 48%

Lipid profile among controlled and uncontrolled type-2 diabetic patients in a rural tertiary care center: a comparative study

Gangadhar¹,

Muthahanumaiah²

2020

Int J Basic Clin Pharmacol

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Background: Diabetes mellitus is one of the major health problem and endemic with rapidly increasing prevalence in both developed and developing countries. It has strong association with dyslipidaemias in relation to glycaemic control and duration of the disease. Dyslipidaemias make diabetic patients more susceptible to coronary artery disease (CAD) which is the major cause of increased mortality and morbidity. Objectives were to estimate the blood glucose levels and lipid profiles among diabetics and to compare the lipid profiles among controlled and uncontrolled diabetic subjects.Methods: A cross sectional study was done including 100 diabetic subjects aged between 40 to 60 years of either sex. Patients were classified into 2 groups with 50 subjects in each group as per their glycemic index. Group 1 was controlled diabetic patients (HbA1c≤7.5%) and Group 2 was uncontrolled diabetic patients (HbA1c>7.5%). Venous blood samples were collected from the subjects. The serum was used for analyzing FBS, PPBS, HbA1c and lipid profiles.Results: FBS, PPBS, HbA1c, total cholesterol, triglycerides and LDL were more in females than male patients but the mean values were not significant statistically except FBS and total cholesterol. All the lipid parameters were elevated among uncontrolled diabetic patients compared to controlled diabetic patients which was statistically significant.Conclusions: Present study concluded that the blood glucose levels and lipid parameters were elevated among uncontrolled diabetics compared to controlled diabetics strongly depicting the co-relation between the glycemic levels and lipid abnormalities. Patients should be educated to monitor regularly and control blood glucose and lipid levels.

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“…Several studies have reported that demographic factors, psychosocial factors, and factors related to healthcare access and utilization have important implications for diabetes management. Psychosocial factors connect individual behaviors and social surroundings and an illness and may have an essential role in the long-term effects of diabetes in these patients [ 11 ]. The ADA suggests that achieving optimal glycemic control is possible in pre-diabetics and diabetics if they have social support, access to healthcare, and help in developing self-management skills [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial and Demographic Factors That Influence HbA1c Testing Frequency in Diabetics: Data From the 2018 Behavioral and Risk Factor Surveillance Survey (BRFSS)

Yadav¹,

Sarangi²,

Amor³

et al. 2022

Cureus

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BackgroundHbA1c testing is an essential measure of glycemic control in diabetic patients. This study aims to determine the social and psychological determinants that have a role in the frequency of HbA1c testing in diabetics. MethodsWe used data from the Behavior and Risk Factor Surveillance Survey to develop a hierarchical linear regression model to examine associations between annual HbA1c testing frequency and the following types of variables: demographics, socioeconomic factors (SES), living environment, healthcare access, psychosocial factors, clinical factors, and diabetes self-care and knowledge. ResultsThe study included 18,505 diabetics from the BRFSS 2018 dataset with a mean age of 61.2 years. There were significant associations between age, gender, race, insurance status, SES, healthcare access, psychosocial factors, and HbA1c testing frequency. Being American Indian or Alaskan Native was associated with increased HbA1c testing frequency compared to Whites, and non-Hispanics. Higher education/income was associated with increased HbA1c testing frequency. Regular doctor visits for diabetes were associated with increased HbA1c testing frequency. ConclusionsIn our analysis of a national survey, income, education level, and diabetes-specific care variables were significantly associated with the frequency of HbA1c testing. These results help identify patient groups that need more attention in managing diabetes, including the use of HbA1c testing.

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Association between glycemic control and serum lipid profile in known diabetic patients of civil hospital, Ahmedabad

Cited by 3 publications

References 0 publications

High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

Lipid profile among controlled and uncontrolled type-2 diabetic patients in a rural tertiary care center: a comparative study

Psychosocial and Demographic Factors That Influence HbA1c Testing Frequency in Diabetics: Data From the 2018 Behavioral and Risk Factor Surveillance Survey (BRFSS)

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