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Risk factors for coronary heart disease in type II diabetes mellitus
H Surekha Rani1, G Madhavi, V Ramachandra Rao
1Dept. of Cell Biology, Institute of Genetics amd Hospital for Genetic Diseases, Osmania University, Begumpet, 16 Hyderabad.
Insights
Diabetic patients with type II diabetes exhibit elevated oxidative stress markers and reduced antioxidant capacity, increasing their risk for coronary heart disease. Assessing these factors is crucial for preventing cardiovascular complications.
Area of Science:
- Cardiology
- Endocrinology
- Biochemistry
Background:
- Cardiovascular complications are a leading cause of death in diabetic patients.
- Type II diabetes is associated with an increased risk of coronary heart disease.
Purpose of the Study:
- To evaluate the risk factors for coronary heart disease in type II diabetics.
- To assess markers of oxidative stress and antioxidant capacity in type II diabetics.
Main Methods:
- Comparison of fasting and postprandial plasma glucose, lipid profiles (total cholesterol, LDL, triglycerides, HDL), malondialdehyde, nitrite/nitrate, and total antioxidant status between type II diabetics and control groups.
Main Results:
- Type II diabetics showed higher levels of plasma glucose, total cholesterol, LDL, triglycerides, malondialdehyde, and nitrite/nitrate compared to controls.
- Type II diabetics had lower levels of HDL and total antioxidant status compared to controls.
Conclusions:
- Diabetic patients exhibit increased oxidative stress and diminished antioxidant capacity, contributing to coronary heart disease risk.
- Routine assessment of oxidative stress markers and antioxidant status is recommended for diabetic patients.
- Antioxidant therapy, alongside preventive measures, may mitigate cardiovascular complications in type II diabetes.
Abstract:
Cardiovascular complications are the major cause of morbidity and mortality in diabetic patients. An attempt has been made to evaluate the risk factors for coronary heart disease in type II diabetics. In the present study the levels of fasting and postprandial plasma glucose, total cholesterol, low density lipoproteins, triglycerides were high and the levels of high density lipoproteins were low in the type II diabetics compared to controls. The markers of free radical induced injury i.e. malondialdehyde and nitrite/nitrate were high while total antioxidant status a marker for antioxidant protection against reactive oxygen species was low in diabetics compared to controls. The study therefore suggests the importance of assessing these markers of oxidative stress and antioxidant capacity along with the other routine investigations in diabetic patients for initiating antioxidant therapy in addition to primary and secondary preventive measures to mitigate the devastating consequences of diabetes leading to coronary heart disease.
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