Abstract
Background: Cardiovascular disease has been suggested to be associated with higher levels of serum uric acid. Dylipidemia in Diabetes mellitus has been linked with cardiovascular complications in these patients. We undertook this study to evaluate the association of uric acid and dyslipidemia in newly detected type 2 Diabetes Mellitus.
Materials and Methods: The study group comprised of 100 newly detected type 2 diabetic patients in the age group of 30-60 years visiting medicine Out Patient Department. As a control group 100 age and sex matched healthy participants were taken. The blood samples were used for measuring various parameters. Serum uric acid was estimated by uricase method. LCAT activity was assessed by measuring the difference between esterified and free Cholesterol. Determination of free and esterified cholesterol was done by using digitonin precipitation method. HDL cholesterol level and total cholesterol was measured by Cholesterol oxidase Peroxidase method. Triacylglycerol estimation was done by Glycerol 3-Phosphate Oxidase – Peroxidase method. VLDL and LDL cholesterol was calculated by formula. Fasting blood glucose was measured by Glucose Oxidase Peroxidase method.
Results: Study found that serum uric acid, LDL, VLDL, Total Cholesterol, Triacylglycerol were significantly increased in type 2 DM when compared to control group. Activity of LCAT and levels of HDL were significantly decreased in newly detected type 2 DM when compared to control group.
Conclusion: Hyperuricemia is found to be associated with dyslipedimia along with decreased LCAT activity in Diabetes mellitus patients. Thus uric acid can be used as a potential biomarker of deterioration of glucose metabolism and dyslipedemia.
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Corresponding Author
Veni U
Research Assistant, Department of Biochemistry, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, Karnataka, India