Comparing Dyslipidemia Patterns in Newly Diagnosed and Long-Term Type 2 Diabetics in a Tertiary Care Hospital at Mirpur Khas, Sindh

Dyslipidemia Patterns in Newly Diagnosed and Long-Term Type 2 Diabetics

Authors

  • Naveed Ahsan Department of Biochemistry, Bhitai Dental and Medical College, Mirpur Khas, Pakistan
  • Muhammad Anique Department of Pathology, Bhitai Dental and Medical College, Mirpur Khas, Pakistan
  • Rubina Shafi Department of Chemical Pathology, National University of Sciences and Technology, Islamabad, Pakistan
  • Wajahat Ullah Khan Department of Biochemistry, Mohi-Ud-Din Islamic Medical College, Mirpur, Pakistan
  • Shaista Alam Department of Microbiology/Pathology, Pak International Medical College Hayatabad, Peshawar, Pakistan
  • Fakhra Noureen Department of Chemical Pathology, Akhtar Saeed Medical College, Rawalpindi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i12.2225

Keywords:

Type 2 Diabetes Mellitus, Dyslipidemia, Lipid Profile, Cardiovascular Risk

Abstract

Dyslipidemia is a common metabolic condition linked with type 2 diabetes mellitus and is a substantial risk factor for cardiovascular disease. The pathogenicity and pattern of dyslipidemia may vary with the duration of diabetes, requiring investigation of these changes to improve treatment approaches. Objectives: To compare the prevalence and patterns of dyslipidemia in newly diagnosed compared with long-term type 2 diabetes mellitus patients in a tertiary care hospital in Pakistan. Methods: A comparative cross-sectional study was conducted with 300 type 2 diabetes mellitus patients, divided into two groups: 150 newly diagnosed and 150 long-term diabetics. HbA1c and Lipid profiles (total cholesterol, low-density lipoprotein, high-density lipoprotein, and triglycerides) were assessed. Dyslipidemia was defined per American Diabetes Association guidelines. Statistical analysis was performed using SPSS version 25.0, with a p-value of <0.05 considered significant. Results: The results show that the patients with long-term type 2 diabetes mellitus are associated with significantly increased (92%, p<0.05) levels of lipid profile parameters as compared with the newly diagnosed type 2 diabetes mellitus patients (78%). Moreover, the mean HbA1c levels in blood are positively associated with the severity of dyslipidemia. Conclusion: It was concluded that dyslipidemia progressively increases with the advancement of type 2 diabetes mellitus.

References

Bonilha I, Zimetti F, Zanotti I, Papotti B, Sposito AC. Dysfunctional High-Density Lipoproteins in Type 2 Diabetes Mellitus: Molecular Mechanisms and Therapeutic Implications. Journal of Clinical Medicine. 2021 May; 10(11): 2233. doi: 10.3390/jcm10112233.

Zhong X, Xiao C, Wang R, Deng Y, Du T, Li W et al. Lipidomics Based on UHPLC/Q-TOF-MS to Characterize Lipid Metabolic Profiling in Patients with Newly Diagnosed Type 2 Diabetes Mellitus with Dyslipidemia. Heliyon. 2024 Feb; 10(4). doi: 10.1016/j.heliyon.2024.e26326.

Martagon AJ, Zubirán R, González-Arellanes R, Praget-Bracamontes S, Rivera-Alcántara JA et al. HDL Abnormalities in Type 2 Diabetes: Clinical Implications. Atherosclerosis. 2024 Jul; 394: 117213. doi: 10.1016/j.atherosclerosis.2023.117213.

Peng J, Zhao F, Yang X, Pan X, Xin J, Wu M et al. Association Between Dyslipidemia and Risk of Type 2 Diabetes Mellitus in Middle-Aged and Older Chinese Adults: A Secondary Analysis of a Nationwide Cohort. BioMed Journal Open. 2021 May; 11(5): e042821. doi: 10.1136/bmjopen-2020-042821.

Mehta RK, Koirala P, Mallick RL, Parajuli S, Jha R. Dyslipidemia in Patients with Type 2 Diabetes Mellitus in a Tertiary Care Centre: A Descriptive Cross-Sectional Study. Journal of the Nepal Medical Association. 2021 Apr; 59(236): 305. doi: 10.31729/jnma.6278.

Shekhawat VS, Behera V, Nayak AK, Kamal KD, Ramamoorthy A, Kumar RR et al. Evaluation of the Prevalence and Pattern of Dyslipidemia in Newly Detected Type 2 Diabetes Mellitus Patients and Nondiabetic Controls. Journal of Marine Medical Society. 2024 Sep; 26(3): 392-7. doi: 10.4103/jmms.jmms_160_23.

Kaze AD, Santhanam P, Musani SK, Ahima R, Echouffo‐Tcheugui JB. Metabolic Dyslipidemia and Cardiovascular Outcomes in Type 2 Diabetes Mellitus: Findings from the Look AHEAD Study. Journal of the American Heart Association. 2021 Apr; 10(7): e016947. doi: 10.1161/JAHA.120.016947.

Haile K and Timerga A. Dyslipidemia and Its Associated Risk Factors among Adult Type-2 Diabetic Patients at Jimma University Medical Center, Jimma, Southwest Ethiopia. Diabetes, Metabolic Syndrome and Obesity. 2020 Nov: 4589-97. doi: 10.2147/DMSO.S283171.

Tomlinson B, Patil NG, Fok M, Lam CW. Managing Dyslipidaemia in Patients with Type 2 Diabetes. Expert Opinion on Pharmacotherapy. 2021 Nov; 22(16): 2221-34. doi: 10.1080/14656566.2021.1912734.

Aslam R, Suhail S, Sajid R, bin Younis B. Type 2 Diabetes Mellitus (T2DM) in Pakistan: Prevalence, Trends and Management Strategies. Annals of King Edward Medical University. 2022 Aug; 28(2): 247-54. doi: 10.21649/akemu.v28i2.5117.

Khan AR, Muhammad T, Razaq A. Prevalence of Dyslipidemia in Newly Diagnosed Type 2 Diabetes Patients at Diagnosed at KGNTH Bannu. Gomal Journal of Medical Sciences. 2017; 15(4): 178-82.

Haq AU, Usman K, Ullah N, Hassan T, Akhtar J, Ullah I. A Cross-Sectional Study on Prevalence and Pattern of Dyslipidaemia and Its Associated Factors among Patients with Type 2 Diabetes Mellitus. Pakistan Journal of Medical & Health Sciences. 2023 Mar; 17(01): 836-. doi: 10.53350/pjmhs2023171836.

Habib SS. Frequency Distribution of Atherogenic Dyslipidemia in Saudi Type 2 Diabetic Patients. Pakistan Journal of Physiology. 2006 Dec; 2(2): 31-4.

Rizwan A, Attaullah S, Jawad M, Ullah F, Zahid M, Saeed F et al. Prevalence and Association of Dyslipidemia with Diabetic and Hypertension in Population of Takht-e-Nasrati, Khyber Pakhtunkhwa, Pakistan. Pure and Applied Biology. 2022 Sep; 11(3): 696-703. doi: 10.19045/bspab.2022.110070.

Sharahili AY, Mir SA, ALDosari S, Manzar MD, Alshehri B, Al Othaim A et al. Correlation of HbA1c Level with Lipid Profile in Type 2 Diabetes Mellitus Patients Visiting A Primary Healthcare Center in Jeddah City, Saudi Arabia: A Retrospective Cross-Sectional Study. Diseases. 2023 Oct; 11(4): 154. doi: 10.3390/diseases11040154.

Samimagham H, Bargak M, Ghasemzadeh M, Jahromi MK. The Association of Glycated Hemoglobin with Lipid Profile Indices in Type 2 Diabetic Patients. Acta Medica Iranica. 2020 Nov: 376-82. doi: 10.18502/acta.v58i8.4587.

Omar GM, Mehdi MA, AL-Arabi FY, Fawade MM. Correlation between Glycated Hemoglobin Values and the Lipid Profile in Type 2 Diabetic Patients. International Journal of Pharmaceutical Research. 2021 Jan; 13(1). doi: 10.31838/ijpr/2021.13.01.470.

Luo B, Xu W, Ye D, Bai X, Wu M, Zhang C et al. Association Between Glycated Hemoglobin and the Lipid Profile at the Central Yunnan Plateau: A Retrospective Study. Diabetes, Metabolic Syndrome and Obesity. 2024 Dec: 2975-81. doi: 10.2147/DMSO.S469368.

Aliyu FO, Orimogunje T, Bello SI, Abdulbaki M, Jamiu MO, Ogaji IJ. Prevalence of Dyslipidemia, Drug Therapy Problems, and Medication Adherence in Type 2 Diabetes Mellitus Patients in North Central Nigeria. Libyan International Medical University Journal. 2024 Feb; 9(1): 021-027. doi: 10.1055/s-0044-1779340.

Ekpor E, Addo-Mensah D, Akyirem S. Prevalence of Dyslipidemia Among Persons with Type 2 Diabetes in Africa: A Systematic Review and Meta-Analysis. Annals of Medicine and Surgery. 2024 Jun; 86(6): 3468-77. doi: 10.1097/MS9.0000000000002122.

Omodanisi EI, Tomose Y, Okeleye BI, Ntwampe SK, Aboua YG. Prevalence of Dyslipidaemia Among Type 2 Diabetes Mellitus Patients in the Western Cape, South Africa. International Journal of Environmental Research and Public Health. 2020 Nov; 17(23): 8735. doi: 10.3390/ijerph17238735.

Downloads

Published

2024-12-31
CITATION
DOI: 10.54393/pjhs.v5i12.2225
Published: 2024-12-31

How to Cite

Ahsan, N., Anique, M., Shafi, R., Khan, W. U., Alam, S., & Noureen, F. (2024). Comparing Dyslipidemia Patterns in Newly Diagnosed and Long-Term Type 2 Diabetics in a Tertiary Care Hospital at Mirpur Khas, Sindh: Dyslipidemia Patterns in Newly Diagnosed and Long-Term Type 2 Diabetics . Pakistan Journal of Health Sciences, 5(12), 108–113. https://doi.org/10.54393/pjhs.v5i12.2225

Issue

Section

Original Article

Plaudit

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)