SERUM HIGH-SENSITIVITY C-REACTIVE PROTEIN (hs-CRP) IN ASSEMENT OF CARDIOVASCULAR DISEASE RISK IN TYPE 2 DIABETIC PATIENTS
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Abstract
Background: Assessment of serum hs-CRP according to cardiovascular risk with characteristics in diabetic patients is necessary to support treatment timely for these patients. Material and methods: Cross-sectional study. Analysis of hs-CRP levels of 118 type 2 diabetic patients, who came for examination and treatment at the University Medical Center Ho Chi Minh City 2nd from September 2020 to June 2021. Results: Most of the patients were female. There were 33.1% of patients who were overweight or obseve, and 64.4% of patients had hypertension. The mean hs-CRP concentration was 3.9±1.7mg/L, and belonged to high-risk cardiovascular. The mean fasting blood glucose concentration of 174.1±82.8 mg/dL and the mean HbA1c index of 8.3±2.4 mg/dL were also distributed mainly within the high cardiovascular risk threshold. At a high-risk cardiovascular threshold, those with a BMI of less than 25 kg/m2 were significantly different from the other groups (p = 0.015). Conclusion: High hs-CRP levels and cardiovascular risk were associated with BMI, high blood glucose and the HbA1c index, but no association was found with other characteristics such as age, sex, period of time and hypertension.
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Keywords
hs-CRP, cardiovascular disease risk, type 2 diabetic
References
2. Stratton IM, Adler AI, Neil HA, et al. (2000). Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ; 321(7258):405–12.
3. Mazidi M, Toth PP, Banach M. (2018). C-reactive protein is associated with prevalence of the metabolic syndrome, hypertension, and diabetes mellitus in US adults. Angiology; 69(5):438–42.
4. Hwang YC, Morrow DA, Cannon CP, et al. (2018). High-sensitivity C-reactive protein, low-density lipoprotein cholesterol and cardiovascular outcomes in patients with type 2 diabetes in the EXAMINE (examination of cardiovascular outcomes with Alogliptin versus standard of Care) trial. Diabetes Obes Metab; 20(3):654–9.
5. Al-Shukaili A, et al. (2013). Analysis of inflammatory mediators in type 2 diabetes patients. International journal of endocrinology, pp. 7.
6. Kanter JE, et al. (2008). "Diabetes-accelerated atherosclerosis and inflammation". Circulation research, 103 (8), p116-117.
7. American Diabetes Association (2020) "Standards of medical care in diabetes ". Diabetes Care 43 (1), p 7-14.
8. Garcia, VP, Rocha HN, Sales AR, Rocha NG, & da Nóbrega AC (2016). Sex Differences in High Sensitivity C-Reactive Protein in Subjects with Risk Factors of Metabolic Syndrome. Arquivos brasileiros de cardiologia, 106(3), 182–187.