A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS

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 pati...

Full description

Bibliographic Details
Main Authors: Shehar Bano Imran, Shabnam Dildar, Sadia Taj, Afshan Khanum, Qasim Ahmed
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2021-10-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/4918/3594
_version_ 1818916320419250176
author Shehar Bano Imran
Shabnam Dildar
Sadia Taj
Afshan Khanum
Qasim Ahmed
author_facet Shehar Bano Imran
Shabnam Dildar
Sadia Taj
Afshan Khanum
Qasim Ahmed
author_sort Shehar Bano Imran
collection DOAJ
description 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.
first_indexed 2024-12-20T00:16:18Z
format Article
id doaj.art-87a7e8f9da13447b92a5904750a29e8e
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-12-20T00:16:18Z
publishDate 2021-10-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-87a7e8f9da13447b92a5904750a29e8e2022-12-21T20:00:19ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-10-0171516511655A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUSShehar Bano Imran0Shabnam Dildar1Sadia Taj2Afshan Khanum3Qasim Ahmed4Fatima Memorial Hospital, Lahore PakistanNational Institute of Blood Disease and Bone Marrow Transplantation, Karachi PakistanFatima Memorial Hospital, Lahore PakistanFatima Memorial Hospital, Lahore PakistanFatima Memorial Hospital, Lahore PakistanObjective: 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.https://www.pafmj.org/index.php/PAFMJ/article/view/4918/3594high-sensitivity c-reactive proteindiabetes mellitushba1c
spellingShingle Shehar Bano Imran
Shabnam Dildar
Sadia Taj
Afshan Khanum
Qasim Ahmed
A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS
Pakistan Armed Forces Medical Journal
high-sensitivity c-reactive protein
diabetes mellitus
hba1c
title A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS
title_full A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS
title_fullStr A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS
title_full_unstemmed A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS
title_short A COMPARATIVE STUDY OF HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) AND GLYCEMIC MARKERS IN TYPE 2 DIABETES MELLITUS
title_sort comparative study of high sensitivity c reactive protein hs crp and glycemic markers in type 2 diabetes mellitus
topic high-sensitivity c-reactive protein
diabetes mellitus
hba1c
url https://www.pafmj.org/index.php/PAFMJ/article/view/4918/3594
work_keys_str_mv AT sheharbanoimran acomparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT shabnamdildar acomparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT sadiataj acomparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT afshankhanum acomparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT qasimahmed acomparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT sheharbanoimran comparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT shabnamdildar comparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT sadiataj comparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT afshankhanum comparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus
AT qasimahmed comparativestudyofhighsensitivitycreactiveproteinhscrpandglycemicmarkersintype2diabetesmellitus