Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus

Background: Dyslipidemia is a common issue among diabetic patients and is associated with an increased risk of cardiovascular disease. Non-High Density Lipoprotein-cholesterol has emerged as a valuable marker for assessing combined cardiovascular risk in diabetes. Measures to improve the Non-High De...

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Main Authors: Saroj Thapa, Nirish Vaidya, Rachana Pandey, Jyoti Shrestha Takanche
Format: Article
Language:English
Published: Nobel Medical College Teaching Hospital 2023-12-01
Series:Journal of Nobel Medical College
Subjects:
Online Access:https://www.nepjol.info/index.php/JoNMC/article/view/61111
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author Saroj Thapa
Nirish Vaidya
Rachana Pandey
Jyoti Shrestha Takanche
author_facet Saroj Thapa
Nirish Vaidya
Rachana Pandey
Jyoti Shrestha Takanche
author_sort Saroj Thapa
collection DOAJ
description Background: Dyslipidemia is a common issue among diabetic patients and is associated with an increased risk of cardiovascular disease. Non-High Density Lipoprotein-cholesterol has emerged as a valuable marker for assessing combined cardiovascular risk in diabetes. Measures to improve the Non-High Density Lipoprotein-cholesterol within optimal level might improve the glycemic status and decrease the cardiovascular risk. This study aims to examine the relationship between Non-High Density Lipoprotein-cholesterol and glycated hemoglobin levels in type 2 diabetic patients. Materials and Methods: A hospital-based comparative cross-sectional study was conducted on 544 individuals diagnosed with type 2 diabetes. The classification of lipid profile and glycemic control was carried out as per the National Cholesterol Education Program Adult Treatment Plan III and American Diabetes Association guidelines. Results: Our study found that Non-High Density Lipoprotein-cholesterol levels was higher in uncontrolled diabetes (157.9±46.8) compared to controlled diabetes (132.6±40.6), with a statistically significant difference (P<0.001). There was a weak positive correlation between Non-High Density Lipoprotein-cholesterol and glycated hemoglobin levels (r=0.37).Among the total participants, 226 (41.5%) had optimal Non-High Density Lipoprotein-cholesterol level whereas 318 (58.5%) had high Non-High Density Lipoprotein-cholesterol. Conclusion: This study confirms a positive correlation between Non-High Density Lipoprotein-cholesterol and HbA1c levels in type 2 diabetic patients. Dyslipidemia prevalence was substantial, emphasizing the importance of achieving target Non-High Density Lipoprotein-cholesterol levels for improved glycemic control and cardiovascular risk reduction.
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spelling doaj.art-8fb7dbf492984e5aba0214e5a5bff2fc2024-01-21T09:26:59ZengNobel Medical College Teaching HospitalJournal of Nobel Medical College2091-23312091-234X2023-12-01122303510.3126/jonmc.v12i2.6111188226Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes MellitusSaroj Thapa0https://orcid.org/0000-0003-1234-644XNirish Vaidya1Rachana Pandey2Jyoti Shrestha Takanche3Department of Clinical Biochemistry, Kathmandu University School of Medical Sciences, Dhulikhel, NepalDepartment of Internal Medicine, Kathmandu University School of Medical Sciences, Dhulikhel, NepalDepartment of Clinical Biochemistry, Kathmandu University School of Medical Sciences, Dhulikhel, NepalDepartment of Clinical Biochemistry, Kathmandu University School of Medical Sciences, Dhulikhel, NepalBackground: Dyslipidemia is a common issue among diabetic patients and is associated with an increased risk of cardiovascular disease. Non-High Density Lipoprotein-cholesterol has emerged as a valuable marker for assessing combined cardiovascular risk in diabetes. Measures to improve the Non-High Density Lipoprotein-cholesterol within optimal level might improve the glycemic status and decrease the cardiovascular risk. This study aims to examine the relationship between Non-High Density Lipoprotein-cholesterol and glycated hemoglobin levels in type 2 diabetic patients. Materials and Methods: A hospital-based comparative cross-sectional study was conducted on 544 individuals diagnosed with type 2 diabetes. The classification of lipid profile and glycemic control was carried out as per the National Cholesterol Education Program Adult Treatment Plan III and American Diabetes Association guidelines. Results: Our study found that Non-High Density Lipoprotein-cholesterol levels was higher in uncontrolled diabetes (157.9±46.8) compared to controlled diabetes (132.6±40.6), with a statistically significant difference (P<0.001). There was a weak positive correlation between Non-High Density Lipoprotein-cholesterol and glycated hemoglobin levels (r=0.37).Among the total participants, 226 (41.5%) had optimal Non-High Density Lipoprotein-cholesterol level whereas 318 (58.5%) had high Non-High Density Lipoprotein-cholesterol. Conclusion: This study confirms a positive correlation between Non-High Density Lipoprotein-cholesterol and HbA1c levels in type 2 diabetic patients. Dyslipidemia prevalence was substantial, emphasizing the importance of achieving target Non-High Density Lipoprotein-cholesterol levels for improved glycemic control and cardiovascular risk reduction.https://www.nepjol.info/index.php/JoNMC/article/view/61111dyslipidemiaglycated hemoglobintype 2 diabetes
spellingShingle Saroj Thapa
Nirish Vaidya
Rachana Pandey
Jyoti Shrestha Takanche
Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus
Journal of Nobel Medical College
dyslipidemia
glycated hemoglobin
type 2 diabetes
title Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus
title_full Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus
title_fullStr Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus
title_full_unstemmed Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus
title_short Association of Non High Density Lipoprotein-Cholesterol and HbA1c in Type 2 Diabetes Mellitus
title_sort association of non high density lipoprotein cholesterol and hba1c in type 2 diabetes mellitus
topic dyslipidemia
glycated hemoglobin
type 2 diabetes
url https://www.nepjol.info/index.php/JoNMC/article/view/61111
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AT rachanapandey associationofnonhighdensitylipoproteincholesterolandhba1cintype2diabetesmellitus
AT jyotishresthatakanche associationofnonhighdensitylipoproteincholesterolandhba1cintype2diabetesmellitus