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Study of fibrinogen in patients with diabetes mellitus
1Care Hospital, New Baneshwor, Kathmandu, Nepal. kafledilli@yahoo.com
Insights
Patients with diabetes mellitus face a higher cardiovascular disease risk. Elevated fibrinogen levels, a key risk factor, were significantly higher in diabetic patients, especially those with coronary artery disease.
Area of Science:
- Cardiology
- Endocrinology
- Biochemistry
Background:
- Diabetes mellitus significantly increases cardiovascular disease (CVD) risk.
- Traditional CVD risk factors do not fully explain this elevated risk in diabetic patients.
- Fibrinogen is an independent CVD risk factor and is linked to traditional risk factors.
Purpose of the Study:
- To investigate fibrinogen levels in patients with diabetes mellitus.
- To compare fibrinogen levels between diabetic patients with and without coronary artery disease (CAD).
Main Methods:
- A descriptive, analytical, cross-sectional study conducted at Tribhuvan University Teaching Hospital.
- 120 patients were enrolled: 30 with diabetes, 30 with diabetes and CAD, 30 with CAD only, and 30 controls.
- Fibrinogen levels were measured and compared across groups.
Main Results:
- Fibrinogen levels were significantly higher in diabetic patients compared to controls.
- Diabetic patients with CAD exhibited significantly higher fibrinogen levels than those with diabetes alone or CAD alone (p<0.01).
Conclusions:
- Fibrinogen is elevated in diabetic patients.
- Elevated fibrinogen is particularly pronounced in diabetic patients with co-existing coronary artery disease, suggesting its role in diabetes-associated CVD.
Abstract:
Patients with diabetes mellitus have 2 to 4 times increased risk for cardiovascular disease than non-diabetic patients. However this excess risk is not fully explained by the traditional cardiovascular risk factors (Hypertension, Hypercholesterolaemia, Smoking and Obesity) which are also associated with diabetes. Fibrinogen has been identified as an independent risk factor for cardiovascular disease and it is associated with traditional cardiovascular risk factors. This is a descriptive analytical cross-sectional study carried out in Tribhuvan University Teaching Hospital (TUTH) medical outpatient department and Medical ward from June 2005 to June 2006. A total of 120 consecutive patients were enrolled; 30 patients having Diabetes. Next 30 patients having both diabetes and coronary artery disease. Thirty patients having only coronary artery disease but no diabetes. And 30 patients (control) not having both diabetes and coronary artery disease. Fibrinogen was found to be significantly higher in patients with diabetes than control. Fibrinogen was significantly higher in diabetic patients with coronary artery disease than those patients who had only diabetes or coronary artery disease (p value<0.01).
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