Serum lipoprotein-a levels and glyco-metabolic control in insulin and non-insulin dependent diabetes mellitus

Objectives: Conflicting results for lipoprotein-a (Lp(a)) levels in diabetic patients exist in the literature. Normal, increased, and decreased values are described, and a relation to glycometabolic control is not unequivocally established. Design and Methods: In our study Lp(a) was measured in a la...

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Veröffentlicht in:Clinical biochemistry 1996-06, Vol.29 (3), p.255-259
Hauptverfasser: Westerhuis, Lambertus W.J.J.M., Venekamp, Wim J.R.R.
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Venekamp, Wim J.R.R.
description Objectives: Conflicting results for lipoprotein-a (Lp(a)) levels in diabetic patients exist in the literature. Normal, increased, and decreased values are described, and a relation to glycometabolic control is not unequivocally established. Design and Methods: In our study Lp(a) was measured in a large group of diabetics (80 patients with IDDM and 90 patients with NIDDM) in relation to glycometabolic control and the presence of microalbuminuria, retino and/or neuropathy. Long-term and short-term glycometabolic control were assessed by HbA1 and fructosamine assays, respectively. Results: Statistically significant differences between Lp(a) levels in IDDM and NIDDM and a control group of 110 healthy nondiabetics could not be established. It appeared that the level of Lp(a) in IDDM and NIDDM is independent of short-term and long-term glycometabolic control or the occurrence of microalbuminuria, neuro or retinopathy. However, poor glycometabolic control affected the number of Lp(a) levels elevated above a threshold of 0.25 g/L in IDDM. Conclusion: These results suggest that the level of Lp(a) in serum is not influenced by diabetes imellitus, glycemic control, or the occurrence of microalbuminuria, neuro or retinopathy.
doi_str_mv 10.1016/0009-9120(96)00002-5
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Normal, increased, and decreased values are described, and a relation to glycometabolic control is not unequivocally established. Design and Methods: In our study Lp(a) was measured in a large group of diabetics (80 patients with IDDM and 90 patients with NIDDM) in relation to glycometabolic control and the presence of microalbuminuria, retino and/or neuropathy. Long-term and short-term glycometabolic control were assessed by HbA1 and fructosamine assays, respectively. Results: Statistically significant differences between Lp(a) levels in IDDM and NIDDM and a control group of 110 healthy nondiabetics could not be established. It appeared that the level of Lp(a) in IDDM and NIDDM is independent of short-term and long-term glycometabolic control or the occurrence of microalbuminuria, neuro or retinopathy. However, poor glycometabolic control affected the number of Lp(a) levels elevated above a threshold of 0.25 g/L in IDDM. 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subjects Adult
Aged
Albuminuria - blood
Albuminuria - metabolism
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - metabolism
Diabetic Neuropathies - blood
Diabetic Neuropathies - metabolism
Diabetic Retinopathy - blood
Diabetic Retinopathy - metabolism
Female
fructosamine
Fructosamine - blood
Fructosamine - metabolism
HbA
Hemoglobins - analysis
Humans
Lipoprotein(a) - blood
Male
microalbuminuria
Middle Aged
retino and/or neuropathy
title Serum lipoprotein-a levels and glyco-metabolic control in insulin and non-insulin dependent diabetes mellitus
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