Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels

Background:Prophetic immune marker glutamic acid decarboxylase (GAD) autoantibody is a distinctive diagnosis between Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus. Individuals have diagnose as Latent Autoimmune Diabetes in adults (LADA) has such autoantibody, which those patients  incorrect...

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Main Authors: Lajan Q Rahman, Saeed Kh Hussain, Pinar Kh Khudhur, Amin A Bakir
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2018-06-01
Series:Diyala Journal of Medicine
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/30
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author Lajan Q Rahman
Saeed Kh Hussain
Pinar Kh Khudhur
Amin A Bakir
author_facet Lajan Q Rahman
Saeed Kh Hussain
Pinar Kh Khudhur
Amin A Bakir
author_sort Lajan Q Rahman
collection DOAJ
description Background:Prophetic immune marker glutamic acid decarboxylase (GAD) autoantibody is a distinctive diagnosis between Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus. Individuals have diagnose as Latent Autoimmune Diabetes in adults (LADA) has such autoantibody, which those patients  incorrectly diagnosed as T2DM. Objective: To determines frequency of anti- GAD IgG antibody marker in LADA patients, were misdiagnosed as T2DM in relevance with a Cytomegalovirus infectin antibodies and Hemoglobine A1c levels.  Patients and Methods: Ninety five patients with T2DM chosen, arranged in two groups with and without cardio vascular diseases (CVD) and a garoup of 49 individuals as healthy control matched age and gender. Samples took from subjects that attended to Hawler Cardiac Center and Diabetic Centers at Erbil city in March 2014. Sera subjected to Enzyme-Linked Immunosorbent assay (ELISA) and Glycohemoglobin assay for HbA1c. Results: GAD islet cell autoantibody was seropositive in 3.05% diabetics and 2.04% controls. There were high titers of HbA1c with low C-peptide in diabetics. A weak negative correlation was found with significant difference between anti-GAD IgG and age (r = -0.282, P < 0.017 correspondingly ). Conclusion: Appropriate diagnosis for LADA could help to preserve the residual Beta-cell function. Key words: Anti-GAD-IgG, Anti-CMC-IgG, C-peptide, HbA1c.
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spelling doaj.art-bea38de11fc7479bbc2a26fce827ab3f2023-11-24T23:25:01ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822018-06-01141Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levelsLajan Q RahmanSaeed Kh HussainPinar Kh KhudhurAmin A Bakir Background:Prophetic immune marker glutamic acid decarboxylase (GAD) autoantibody is a distinctive diagnosis between Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus. Individuals have diagnose as Latent Autoimmune Diabetes in adults (LADA) has such autoantibody, which those patients  incorrectly diagnosed as T2DM. Objective: To determines frequency of anti- GAD IgG antibody marker in LADA patients, were misdiagnosed as T2DM in relevance with a Cytomegalovirus infectin antibodies and Hemoglobine A1c levels.  Patients and Methods: Ninety five patients with T2DM chosen, arranged in two groups with and without cardio vascular diseases (CVD) and a garoup of 49 individuals as healthy control matched age and gender. Samples took from subjects that attended to Hawler Cardiac Center and Diabetic Centers at Erbil city in March 2014. Sera subjected to Enzyme-Linked Immunosorbent assay (ELISA) and Glycohemoglobin assay for HbA1c. Results: GAD islet cell autoantibody was seropositive in 3.05% diabetics and 2.04% controls. There were high titers of HbA1c with low C-peptide in diabetics. A weak negative correlation was found with significant difference between anti-GAD IgG and age (r = -0.282, P < 0.017 correspondingly ). Conclusion: Appropriate diagnosis for LADA could help to preserve the residual Beta-cell function. Key words: Anti-GAD-IgG, Anti-CMC-IgG, C-peptide, HbA1c. http://djm.uodiyala.edu.iq/index.php/djm/article/view/30
spellingShingle Lajan Q Rahman
Saeed Kh Hussain
Pinar Kh Khudhur
Amin A Bakir
Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels
Diyala Journal of Medicine
title Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels
title_full Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels
title_fullStr Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels
title_full_unstemmed Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels
title_short Glutamic acid decarboxylase-IgG among T2DM patients with HCMV infection and HbA1c levels
title_sort glutamic acid decarboxylase igg among t2dm patients with hcmv infection and hba1c levels
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/30
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AT saeedkhhussain glutamicaciddecarboxylaseiggamongt2dmpatientswithhcmvinfectionandhba1clevels
AT pinarkhkhudhur glutamicaciddecarboxylaseiggamongt2dmpatientswithhcmvinfectionandhba1clevels
AT aminabakir glutamicaciddecarboxylaseiggamongt2dmpatientswithhcmvinfectionandhba1clevels