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Lipid profile of type 2 diabetic and hypertensive patients in the jamaican population
Lorenzo Gordon1, Dalip Ragoobirsingh, Errol Y A Morrison
1Department of Medicine, The University of the West Indies, Kingston 7, Jamaica.
Insights
Type 2 diabetes and hypertension increase lipid levels, particularly in females. Hypertensive type 2 diabetic females show higher total cholesterol, indicating a greater risk of cardiovascular disease.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Metabolic Disorders
Background:
- Diabetes mellitus (DM) is a known risk factor for cardiovascular diseases (CVDs), with a disproportionately higher risk observed in females compared to males.
- Understanding lipid profile variations in diabetic populations is crucial for assessing CVD risk.
Purpose of the Study:
- To evaluate and compare the lipid profiles of males and females with type 2 diabetes.
- To investigate potential sex-based differences in lipid dysregulation within diabetic and hypertensive diabetic cohorts.
Main Methods:
- A cross-sectional study involving type 2 diabetic patients and hypertensive type 2 diabetic patients (aged 15+).
- Analysis of lipid profiles, including Total Cholesterol (TC), Triglycerides (TG), LDL-C, VLDL-C, and HDL-C, using standard biochemical assays.
- Comparison of lipid parameters between sexes and between diabetic/hypertensive diabetic groups and controls.
Main Results:
- Type 2 diabetic and hypertensive type 2 diabetic patients exhibited higher lipid concentrations and ratios compared to non-diabetic controls, though not always statistically significant.
- Hypertensive type 2 diabetic females showed significantly higher serum Total Cholesterol (TC) than hypertensive non-diabetic males.
- While most lipid parameters were non-significantly higher in females, TC was notably elevated in hypertensive type 2 diabetic females.
Conclusions:
- Dyslipidemia is prevalent in the studied type 2 diabetic population.
- Hypertensive type 2 diabetic females present with higher Total Cholesterol compared to their male counterparts, suggesting increased atherogenic risk.
- These findings highlight a potentially greater susceptibility of hypertensive type 2 diabetic females to cardiovascular risk factors, including atherogenic dyslipidemia.
Aims:
Previous studies have shown that diabetes mellitus (DM) increases the risk of cardiovascular diseases in females to a greater extent than in males. In this cross-sectional study, we evaluated the lipid profiles of type 2 diabetic males and females.
Materials And Methods:
The study included 107 type 2 diabetic patients (41 males and 66 females), and 122 hypertensive type 2 diabetic patients (39 males and 83 females), aged 15 years and older. Total cholesterol (TC), triglycerides (TG), low density lipoprotein-cholesterol (LDL-C), very low density lipoprotein-cholesterol (VLDL-C) and high density lipoprotein-cholesterol (HDL-C) concentrations were assayed for each group using standard biochemical methods.
Results:
The mean TC, TG, VLDL-C, HDL-C and LDL-C concentrations, TG/HDL and LDL/HDL ratios were higher in type 2 diabetic and hypertensive type 2 diabetic patients compared with non-diabetic, and hypertensive non-diabetic control subjects, although these were not significant (P > 0.05). Hypertensive type 2 diabetic females had significantly higher serum TC (7.42 ± 1.63 mmol/L) than hypertensive non-diabetic males (5.76±1.57 mmol/L; P < 0.05). All the other lipid and lipoprotein parameters except HDL-C were non-significantly higher in females with type 2 DM and those with hypertension and type 2 DM, compared with type 2 diabetic and hypertensive type 2 diabetic males, respectively (P > 0.05).
Conclusion:
This study demonstrated that dyslipidemia exists in our type 2 diabetic population with greater TC in hypertensive type 2 diabetic females compared with hypertensive type 2 diabetic males. This suggests that hypertensive type 2 diabetic females are exposed more profoundly to risk factors including atherogenic dyslipidemia compared with males.
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