The relationship between plasma levels of hs-CRP and some clinical and subclinical characteristics in patients with type 2 diabetes

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Keywords

High sensitivity reactive Protein C, cardiovascular risk factors, type 2 diabetes

Abstract

Summary


Objective: To investigate the relationship between plasma levels of hs-CRP with some clinical and subclinical characteristics of type 2 diabetic patients treated at 175 Military Hospital. Subject and method: A cross-sectional descriptive study was conducted on 118 patients with type 2 diabetes. They were treated at 175 Military Hospital from April 2018 to March 2019. Result: Plasma concentrations of hs-CRP had a low positive correlation significantly with age (r = 0.256, p<0.01), and BMI (r = 0.233, p<0.05). At the same time, plasma hs-CRP concentrations had a low negative correlation significantly with HDL-C (r = -0.29, p<0.05). The average concentration of Hs-CRP plasma gradually increased with the number of risk factors, in which the patients had 4 risk factors with the highest average plasma hs-CRP level with 12.16 ± 32.85mg/L, the group with 1 risk factor was the lowest with 2.61 ± 4.68mg/L, this difference was not statistically significant with p>0.05. Increased hs-CRP had an independent association with positive protein, protein risk factors with OR = 6.282, p<0.05. The mean concentration of hs-CRP plasma between blood cholesterol groups according to treatment goals (good, accepted, poor) was significantly different with p<0.05. Conclusion: Plasma concentrations of hs-CRP have a low positive correlation with age and BMI, and a low inverse correlation with HDL-C. Increased hs-CRP has an independent association with positive urine protein. There were difference significantly in plasma hs-CRP concentrations between blood cholesterol groups according to treatment goals.


Keywords: High sensitivity reactive Protein C, cardiovascular risk factors, type 2 diabetes.

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References

1. Đào Thị Dừa, Trần Thừa Nguyên, Trần Huy Hoàng và cộng sự (2017) Nghiên cứu mối tương quan giữa nồng độ Hs-CRP huyết thanh với một số yếu tố nguy cơ tim mạch ở bệnh nhân đái tháo đường type 2. Chuyên đề đái tháo đường, Hội Nội tiết - Đái tháo đường Việt Nam.
2. Nguyễn Thị Thanh Nga (2014) Nghiên cứu tình trạng kháng Insulin và mức độ kiểm soát một số chỉ số ở bệnh nhân đái tháo đường týp 2 có tổn thương thận. Luận án Tiến sỹ y học, Học viện Quân y.
3. Trần Thanh Sang, Nguyễn Thị Bích Đào (2014) Hs-CRP và fibrinogen ở bệnh nhân đái tháo đường type 2 không bệnh lý tim mạch. Tạp chí nghiên cứu y học, Tạp chí Y học Thành phố Hồ Chí Minh, 18 (4/2014), tr. 53-59.
4. Amanullah S, Jarari A, Govindan M et al (2010) Association of Hs-CRP with diabetic and non-diabetic individuals. Jordan Journal of Biological Sciences 3(1): 7-12.
5. Dongway Angelo C, Faggad Areeg S, Zaki Hani Y et al (2015) C-reactive protein is associated with low-density lipoprotein cholesterol and obesity in type 2 diabetic Sudanese. Diabetes Metab Syndr Obes. 8: 427-435.
6. Mahajan A, Jaiswal A, Tabassum R et al (2012) Elevated levels of C-reactive protein as a risk factor for metabolic syndrome in Indians. Atherosclerosis 220(1): 275-281.
7. Tajiri Y, Mimura K, Umeda F (2005) High-sensitivity C-reactive protein in Japanese patients with type 2 diabetes. Obes Res 13(10): 1810-1816.