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A comparative study of high sensitivity C-reactive protein (HS-CRP) and glycemic markers in type 2 diabetes mellitus
Author(s)
Shehar Bano Imran Fatima Memorial Hospital, Lahore, Pakistan
Shabnam Khawaja National Institute of Blood Disease and Bone Marrow Transplantation, Karachi, Pakistan
Sadia Taj Fatima Memorial Hospital, Lahore, Pakistan
Afshan Khanum Fatima Memorial Hospital, Lahore, Pakistan
Qasim Ahmed Fatima Memorial Hospital, Lahore, Pakistan
Abstract
Objective: To determine the relationship between high sensitivity CRP (hs-CRP) and glycemic markers in samples of individuals with diabetes. Study Design: Cross sectional study. Place and Duration of Study: Fatima Memorial Hospital Lahore, from Feb to Aug 2019. Methodology: Consecutive patients aged 18-65 years coming for screening of diabetes mellitus (DM) were included. Blood sample for plasma glucose and glycated hemoglobin (HbA1c), high sensitivity CRP (hs-CRP) were analyzed. Results: Total 93 subjects were included, out of which 42 (45.2%) were males and 51 (54.8%) were females with the mean age of 48.3 ± 12 years and 42.6 ± 14 years respectively. Median concentration of hs-CRP in males and females was 0.7 (IQR1.2) mg/L and 0.6 (IQR1.4) mg/L (p-value=0.844) respectively. A significant positive correlation was observed between hs-CRP levels, HBA1c with r=0.205 (p=0.05) and fasting plasma glucose (FPG) with r=0.225 (p=0.03). However, no significant relationship was found between hs-CRP and age, BMI, waist circumference and systolic blood pressure (SBP) and diastolic blood pressure (DBP), cholesterol, LDL-cholesterol, triglycerides (TG), HDL-cholesterol. Conclusion: HbA1c and fasting plasma glucose is significantly associated with hs-CRP. This implies a significant relation between inflammation and glycemic markers. This leads to the conclusion that patients with diabetes and high hs-CRP need further evaluation, follow-up and therapy for inflammation compared to those with low hs-CRP.
Publication Details
Page(s) 1651-1655
DOI 10.51253/pafmj.v71i5.4918
Published Journal: Pakistan Armed Forces Medical Journal, Volume: 71, Issue: 5, Year: 2021
Keywords
Metabolic syndrome HbA1C Highsensitivity Creactive Protein Diabetes Mellitus
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