30DEC

Libyan International Conference for Health Sciences

The First Libyan International Conference for Health Sciences (2024): Open University, Tripoli, Libya
Mediterranean Journal of Pharmacy and Pharmaceutical Sciences
https://ppj.org.ly/article/doi/10.5281/zenodo.13993737

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences

Short communication

Glycosylated hemoglobin in type 2 diabetic patients as a biomarker for predicting dyslipidemia

Elmabruk A. Gamag, Ashraf M. Albakoush, Maha J. Rashed, Braah A. Kassab, Samar A. Albasha

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Abstract

Type 2 diabetes mellites (T2DM) is a common complex disease with multiple factors contributing to its development and progression. Dyslipidemia refers to the abnormality of lipid metabolism, characterized by elevated levels of low-density lipoprotein (LDL), total cholesterol (TC), triglycerides (TG), and decreased levels of high-density lipoprotein (HDL). It is a major risk factor for cardiovascular disease in type 2 diabetic patients. This study aimed to evaluate the diagnostic value of glycosylated hemoglobin (HbA1c) and fasting blood glucose (FBG) in predicting the risk of developing diabetic dyslipidemia. 86 clinically diagnosed Libyan patients with type 2 diabetes mellitus (44 males: 42 females), 30 years and 70 years of age were engaged in this study. Levels of HbA1C, blood glucose, TC, TG, LDL, and HDL were performed using a Lntegra Cobas 400+ analyzer. The findings showed that HbA1c exhibits a significant positive correlation with TC and TG with no significant correlation with LDL and HDL levels. Thus, this study suggests that HbA1c can be used as a potential dual marker of glycemic control and dyslipidemia in type 2 diabetes mellitus. 

Keywords

Diabetes mellitus, glycemic control, HbA1c, Libya, lipid profile

References

  1. Al-Shaheeb S, Hashim KH, Mohammed AK, Almashhadani HA, Fandi AA (2022) Assessment of lipid profile with HbA1c in type 2 diabetic Iraqi patients. Revista Bionatura. 7 (3): 29. doi. 10.21931/RB/2022.07.03.29
  2. Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, Stein C, Basit A, Chan JCN, Mbanya JC, Pavkov ME, Ramachandran A, Wild SH, James S, Herman WH, Zhang P, Bommer C, Kuo S, Boyko EJ, Magliano DJ (2022) IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice. 183: 109119. doi: 10.1016/j.diabres. 2021.109119
  3. Sherwani SI, Khan HA, Ekhzaimy A, Masood A, Sakharkar MK (2016) Significance of HbA1c test in diagnosis and prognosis of diabetic patients. Biomarker Insights. 11: 95-104. doi: 10.4137/BMI.S38440
  4. Sarfraz M, Sajid S, Ashraf MA (2016) Prevalence and pattern of dyslipidemia in hyperglycemic patients and its associated factors among Pakistani population. Saudi Journal of Biological Sciences. 23 (6): 761-766. doi: 10.1016/j.sjbs.2016.03.001
  5. Alam R, Verma MK, Verma P (2015) Glycated hemoglobin as a dual biomarker in type 2 diabetes mellitus predicting glycemic control and dyslipidemia risk. International Journal of Life-Sciences Scientific Research. 1 (2): 62-65. Corpus ID: 212587435.
  6. Sherif FM (1999) Total cholesterol in diabetic Libyans. International Diabetes Digest. 9 (3): 52. doi: Nil.
  7. Almaqati T, Gazwani AM, Taha M, Almusabi S, Elnagi EA, Maawadh RM, Almish M, Alqahtani FA, Alnaam Y (2022) The impact of age, gender, and fasting blood glucose on the serum lipid profile at a tertiary care hospital: A retrospective study. Acta Bio-Medica. 93 (6): e2022341. doi: 10.23750/abm.v93i6.13194
  8. Elmiladi SA, Elgdhafi EO (2023) Prevalence of cardiovascular risk factors in Libyan patients with type 2 diabetes mellitus. Mediterranean Journal of Pharmacy and Pharmaceutical Sciences. 3 (2): 27-33. doi: 10.5281/ zenodo.7877416
  9. Elhamali GJ, Sherif FM (2018) Pre-diabetes and its associated risk factors in Libya: future needs for public health care. Research and Reviews on Healthcare. 1 (1): 1-2. doi: RRHOAJ.MS.ID.000101
  10. Baranwal JK, Maskey R, Majhi S, Lamsal M, Baral N (2015) Association between level of HbA1c and lipid profile in T2DM patients attending diabetic OPD at BPKIHS. Health Renaissance. 13 (3): 16-23. doi: 10.3126/ HREN.V1313.17923
  11. El-hamali GJ, Sherif FM (2017) Public health education in pre-diabetes and diabetes control. JOJ Public Health. 2 (4): 1-3. doi: 10.19080/JOJPH.2017.02.555594
  12. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, Das SR, de Ferranti S, Després JP, Fullerton HJ, Howard VJ, Huffman MD, Isasi CR, Jiménez MC, Judd SE, Kissela BM, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Magid DJ, McGuire DK, Mohler ER 3rd, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Rosamond W, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Woo D, Yeh RW, Turner MB, American Heart Association Statistics Committee, Stroke Statistics Subcommittee (2016) Heart disease and stroke statistics-2016 update: A report from the American Heart Association. Circulation. 133 (4): e38-360. doi: 10.1161/CIR.0000000000000350
  13. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN, Djousse L, Elkind MSV, Ferguson JF, Fornage M, Khan SS, Kissela BM, Knutson KL, Kwan TW, Lackland DT, Lewis TT, Lichtman JH, Longenecker CT, Loop MS, Lutsey PL, Martin SS, Matsushita K, Moran AE, Mussolino ME, Perak AM, Rosamond WD, Roth GA, Sampson UKA, Satou GM, Schroeder EB, Shah SH, Shay CM, Spartano NL, Stokes A, Tirschwell DL, VanWagner LB, Tsao CW, American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2020) Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation. 141 (9): e139-e596. doi: 10.1161/CIR.0000000000000757
  14. Ghaemi N, Vakili R (2005) Evaluation of lipids level and its relation to HbA1C in diabetic children. Iranian Journal of Pediatrics. 15 (2): 111-117. Corpus ID: 71083362
  15. Kidwai SS, Nageen A, Bashir F, Ara J (2020) HbA1c - A predictor of dyslipidemia in type 2 diabetes mellitus. Pakistan Journal of Medical Sciences. 36 (6): 1339-1343. doi: 10.12669/pjms.36.6.2000
  16. Khalid H, Riaz M, Abbasi MK, Haseeb A (2022) Glycosylated Hemoglobin (HbA1c) as a marker for dyslipidemia in type 2 diabetes mellitus. Pakistan Journal of Medical and Health Sciences. 16 (11): 267-267. doi: 10.53350/pjmhs20221611267
  17. Alzahrani SH, Baig M, Aashi MM, Al-Shaibi FK, Alqarni DA, Bakhamees WH (2019) Association between glycated hemoglobin (HbA1c) and the lipid profile in patients with type 2 diabetes mellitus at a tertiary care hospital: a retrospective study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 13: 1639-1644. doi: 10.2147/DMSO.S222271
  18. Devkar V, Desai P, Prajapati P, Rao S, Desai A (2016) Correlation between glycated hemoglobin and dyslipidemia in patients with type 2 diabetes mellitus in a Tertiary Care Hospital, Maharashtra, India. International Journal of Scientific Study. 4 (6): 121-124. Corpus ID: 212517519.
  19. VinodMahato R, Gyawali P, Raut PP, Regmi PP, Sigh KP, Pandeya DR, Gyawali P (2011) Association between glycaemic control and serum lipid profile in type 2 diabetic patients: Glycated haemoglobin as a dual biomarker. Biomedical Research. 22 (3): 375-380. doi: Nil.
  20. Goldberg IJ (1996) Lipoprotein lipase and lipolysis: central roles in lipoprotein metabolism and atherogenesis. Journal of Lipid Research. 37 (4): 693-707. PMID: 8732771.
  21. SirsikarM, Supriya, Mohanty S, Pinnelli VBK (2016) Role of glycated hemoglobin (HBA1c) as a dual marker to predict glycemic status and dyslipidemia in type II diabetes mellitus. International Journal of Research in Medical Sciences. 4 (10): 4524-4529. doi: 10.18203/2320-6012.ijrms20163322
  22. Schofield JD, Liu Y, Rao-Balakrishna P, Malik RA, Soran H (2016) Diabetes Dyslipidemia. Diabetes Therapy. 7 (2): 203-219. doi: 10.1007/s13300-016-0167-x

Submitted date:
10/07/2024

Reviewed date:
10/22/2024

Accepted date:
10/25/2024

Publication date:
11/07/2024

672d2129a9539539ce6dce54 medjpps Articles
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Mediterr J Pharm Pharm Sci

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