Abstract
Background and Objectives: Diabetes is the most common endocrine disorder and a burdensome chronic disease in the world today. The objective of the study is to assess the Microvascular complication-diabetic nephropathy in patients with type 2 DM with respect to their serum levels of Lp (a).
Methodology: The present one year correlation study was conducted in the Department of Medicine, Navodaya Medical College Hospital and Research Centre, Raichur on 100 patients diagnosed to have type 2 DM, proved by laboratory reports during the period of August 2013 to July 2014. A detailed history, physical examination and laboratory tests were done. Serum lipoprotein (a) levels were measured by randox immunoturbido-metric immunoassay. Fasting blood sugar levels along with other relevant investigations were also done.
Results: The results of the study showed that, Lp (a) values progressively increased as age increased. Diabetic patients with nephropathy had increased levels of Lp (a). The present study indicated that better the glycemic control, lesser the mean Lp (a) levels. Lp (a) levels may be used as a screening or predictive tool for development of Microvascular complication like diabetic nephropathy in Diabetic patients.
Conclusion and Interpretation: Lp (a) may be an independent risk factor for the development of diabetic nephropathy in type 2 diabetes mellitus.
Keywords: Lipoprotein (a); Diabetes mellitus; Nephropathy.
References
- Mann JI, Lewis B, Shepherd J, Winder AF, Fenster S, Rose L et al. Blood lipid concentrations and other cardiovascular risk factors. Br Med J 1988; 296: 1702-6.
- Marcovina SM, Koschinsky ML. Lipoprotein (a) as risk factor for coronary artery disease. Am J Cardiol 1998; 82; 57U-66U.
- Diagnosis and classification of diabetes mellitus. Diabetes Care. Jan 2010; 33 Suppl 1:S62-9.
- Radhakrishnan Chandni and Kollengode Parameswaran Ramamoorthy, Lipoprotein (a) in type 2 diabetic subjects and its relationship to diabetic microvascular complications. World J Diabetes. 2012 May 15; 3(5): 105–109.
- Habib SS, Aslam M et al. Lipoprotein (a) is associated with basal insulin levels in patients with type 2 Diabetes Mellitus. Arq Bras Cardiol 2009 Jul; 93(1):28-33.
- Emin K, Faruk O, Zeki A, Ramazan YM, Ali SR, Sami IS. Relationship Between Serum Lipoprotein (a) Levels and Retinopathy in Patients With Type 2 Diabetes. Annal Ophthalmol 2002; 34 (4): 198-203.
- Song KH, Ko SH, Kim HW, Ahn YB, Lee JM, et al. Prospective study of lipoprotein (a) as a risk factor for deteriorating renal function in type 2 diabetic patients with overt proteinuria. Diabetes care.2005 Jul;28(7):1718-23.
- Lakhotia M, Gehlot RS, Jain P, Sharma S, Singh M. Lipoprotein (a) in Type 2 Diabetic Subjects in relation to Diabetic Microvascular Complications. JIACM 2003; 4(4): 304-7.
- Khare KC, Raman PG, Bhatnagar AD, Bhavsar R. Serum Lp(a) levels in patients of diabetes mellitus Int J Diab Dev countries 2000; 20: 79-83.
- Habib SS, Aslam M, Naveed AK, Razi MS. Comparison of lipid profiles and lipoprotein (a) levels in patients with type 2 diabetes mellitus during oral hypoglycemic or insulin therapy. Saudi Med J 2006; 27: 174-80.
- Rainwater DL, Haffner SM. Insulin and 2-hour glucose levels are inversely related to Lp (a) concentrations controlled for LPA genotype. Arterioscler Thromb Vasc Biol 1998; 18(8): 1335-41.
- Diagnosis and classification of diabetes mellitus. Diabetes Care. Jan 2010; 33 Suppl 1:S62-9.
Corresponding Author
Dr Muralidhar H
Post Graduate, Department of General Medicine, S.S. Institute of Medical Sciences & Research Centre, Davangere, Karnataka, India