Cross-sectional study to compare the biochemical parameters in low normal versus high normal plasma glucose levels in euglycemic individuals

Authors

  • Dharmendra Jhavar Department of Medicine, MGM Medical College, Indore, Madhya Pradesh, India
  • Neha Kirti Department of Obstetrics and Gynaecology, ESI Hospital, Indore, Madhya Pradesh, India
  • Sumit Kumar Vishwakarma Department of Medicine, MGM Medical College, Indore, Madhya Pradesh, India
  • Umesh Kumar Chandra Department of Medicine, MGM Medical College, Indore, Madhya Pradesh, India
  • Vinod Verma Department of Medicine, MGM Medical College, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20202117

Keywords:

Cholesterol, Diabetes, Euglycemia, Triglyceride, Uric acid

Abstract

Background: Since a long time ago, the experts have realized that determination of cut-off point for diagnosing diabetes will be revised over time with the lower blood glucose level as the more sensitive diagnosis for detecting the occurring complication and biochemical changes.

Methods: This cross sectional study was carried out in the department of medicine, M.G.M. Medical College and M.Y. Hospital Indore from July, 2016 to August, 2017 in 200 individuals and patients having euglycemic status attending General Medicine OPD.

Results: In the low and high normal group 2 (2.0%) and 8 (8.0%) were having abnormal total cholesterol (TC) level respectively. The mean total cholesterol in the low normal group was 117.16±26.94mg/dl and it was 154.74±28.38mg/dl in the high normal group. The difference was found to be statistically significant (p value 0.000). In the low and high normal group, 4 (4.0%) and 17 (17.0%) were having abnormal triglyceride (TG) levels respectively. The mean TG levels in the low and high normal group were 96.93±22.64mg/dl and 110.55±32.37mg/dl respectively. The difference was found to be statistically significant (p value 0.001). In the low and high normal group, 6 (6.0%) and 14 (14.0%) patient was having abnormal uric acid levels respectively. The mean uric acid levels in the low and high normal group was 4.88±1.10mg/dl and 5.31±1.31mg/dl respectively. The difference was found to be statistically significant (p value 0.013).

Conclusions: Higher levels of Cholesterol and Triglycerides were found more commonly in high normal euglycemic group compared to low normal euglycemic group. Mean cholesterol and mean triglyceride levels were higher in high normal euglycemic group.

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References

Rushforth NB, Miller M, Bennett PH. Fasting and two-hour post-load glucose levels for the diagnosis of diabetes: the relationship between glucose levels and complications of diabetes in the Pima Indians. Diabetol. 1979;16:373-9.

Ketema EB, Kibret KT. Correlation of fasting and postprandial plasma glucose with HbA1c in assessing glycemic control; systematic review and meta-analysis. Arch Public Health. 2015;73:43.

Jarrett RJ, Keen H. Hyperglycaemia and diabetes mellitus. Lancet. 1976;308(7993):1009-12.

Sayegh HA, Jarrett RJ. Oral glucose tolerance tests and the diagnosis of diabetes:results of a prospective study based on the Whitehalll Survey. Lancet. 1979; 2(8140):431-3.

Pettitt DJ, Knowler WC, Lisse, Bennett PH. Development of retinopathy and proteinuria in relation to plasma-glucose consentrations in Pima Indians. Lancet. 1980;2(8203):1050-2.

Rushforth NB, Bennett PH, Steinberg AG, Burch TA, Miller M. Diabetes in the Pima Indians:evidence of biomodality in glucose tolerance distributions. Diabetes. 1971;20:756-65.

Rushforth NB, Bennett PH, Steinberg AG, Miller M. Comparison of the value of the two- and one-hour glucose levels of the oral GTT in the diagnosis of diabetes in Pima Indians. Diabetes. 1975;24:538-46.

Alberti KG, Zimmet P, Shaw J. IDF Epidemiology Task Force ConsensusGroup. The metabolic syndrome a new worldwide definition. Lancet. 2005;366(9491):1059-62.

Alberti KG, Zimmet P, Shaw J. Metabolic syndrome-a new world-wide definition.A Consensus Statement from the International Diabetes Federation. Diabet Med. 2006;23(5):469-80.

Stern M, Williams K, Gonzalez-Villalpando C, Hunt KJ, Haffner SM. Does the metabolic syndromeimprove identifi cation of individualsat risk of type 2 diabetes and/orcardiovascular disease? Diab Care. 2004;27(11):2676-81.

Mithal A, Majhi D, Shunmugavelu M, Talwarkar PG, Vasnawala H, Raza AS. Prevalence of dyslipidemia in adult Indian diabetic patients: A cross sectional study (SOLID). Ind J Endocrinol Metab. 2014;18(5):642-7.

Hajar R. Diabetes as “Coronary Artery Disease Risk Equivalent”: A Historical Perspective. Heart Views. 2017;18(1):34-7.

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Published

2020-05-22

How to Cite

Jhavar, D., Kirti, N., Vishwakarma, S. K., Chandra, U. K., & Verma, V. (2020). Cross-sectional study to compare the biochemical parameters in low normal versus high normal plasma glucose levels in euglycemic individuals. International Journal of Advances in Medicine, 7(6), 997–1000. https://doi.org/10.18203/2349-3933.ijam20202117

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Original Research Articles