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Biomedicine

Volume: 42 Issue: 5

  • Open Access
  • Original Article

The ABC (HbA1c, blood pressure and LDL-cholesterol) of diabetes and oxidative stress: knowing the links

Shreelaxmi V. Hegde1, Prabha Adhikari 2, Shashidhar M. Kotian3, Poornima Manjrekar4, Rajeshwari Shastry5, Vivian D’Souza6

1Department of Biochemistry, 3Department of Research, Srinivas Institute of Medical Science and Research Centre, Mangalore; Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India
2Department of Geriatric Medicine, Yenepoya Medical College, Yenepoya Deemed to be University,
Mangalore, Karnataka, India
4Department of Biochemistry, 5Department of Pharmacology, Kasturba Medical College, Mangalore,
Manipal Academy of Higher Education, Manipal, Karnataka, India
6Department of Biochemistry, Kanachur Institute of Medical Sciences, Mangalore; Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India

Corresponding author: Shreelaxmi V. Hegde. Email: [email protected]

Year: 2022, Page: 925-928, Doi: https://doi.org/10.51248/.v42i5.2006

Abstract

Introduction and Aim: Large body of evidence suggests that oxidative stress has a crucial role to play in diabetes and its related complications. In the present research we have tried to determine potential risk factors for oxidative stress in type 2 diabetes by conducting a cross-sectional study.
Materials and Methods: We studied 238 patients with or without complications of diabetes, aged 40-75 years. Blood samples were analysed for fasting plasma glucose, glycated haemoglobin, malondialdehyde, total cholesterol, triglyceride, LDL-cholesterol and HDL-cholesterol. Each patient’s waist circumference, BMI, blood pressure was measured.
Results: Participants mean age was 57.5 ± 8.9 years. Logistic regression analysis identified glycated haemoglobin (95% CI: 1.02-1.92; p=0.04), hypertension (95% CI: 0.99-4.08; p=0.05) and LDL-cholesterol (95% CI: 1.12-5.87; p=0.03) as independent risk factors for oxidative stress. Other contributors were age and presence of complications like nephropathy, retinopathy, peripheral neuropathy and macrovascular disease in diabetes.
Conclusion: Our data demonstrate that ‘ABCs of diabetes’ namely HbA1c, blood pressure and LDL-cholesterol are independent risk factors for oxidative stress. Oxidative stress aggravates with age and presence of complications. It appears important to achieve a good ABC goal to bring down oxidative stress in diabetes.

Keywords: HbA1c; blood pressure; LDL-cholesterol; type 2 diabetes mellitus; oxidative stress.

Cite this article

Shreelaxmi V. Hegde, Prabha Adhikari, Shashidhar M. Kotian, Poornima Manjrekar, Rajeshwari Shastry, Vivian D’Souza. The ABC (HbA1c, blood pressure and LDL-cholesterol) of diabetes and oxidative stress: knowing the links. Biomedicine: 2022; 42(5): 925-928

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