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Association between hs-CRP and Hba1c in overweight type 2 diabetic female patients
Veerasak Sarinnapakorn1, Warangkana Wanicagool
1Department of Medicine, College of Medicine, Rajavithi Hospital, Rangsit University, Bangkok, Thailand. veerasak_sarin@yahoo.co.th
Insights
High-sensitive C-reactive protein (hs-CRP) is linked to higher HbA1c levels in overweight women with type 2 diabetes. Elevated hs-CRP (≥1 mg/L) indicates a significant increase in mean HbA1c, suggesting a correlation between inflammation and glycemic control.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Clinical Chemistry
Background:
- High-sensitive C-reactive protein (hs-CRP) is a marker for atherosclerosis.
- Previous research links hs-CRP to insulin resistance, type 2 diabetes, and elevated HbA1c.
- Type 2 diabetes is prevalent in overweight women, necessitating investigation into hs-CRP and HbA1c relationships in this demographic.
Purpose of the Study:
- To investigate the relationship between hs-CRP levels and HbA1c in overweight women with type 2 diabetes.
- To determine if hs-CRP levels correlate with glycemic control (HbA1c) in this specific patient group.
Main Methods:
- Retrospective study of 75 female type 2 diabetic patients (age ≥40, BMI >25 kg/m²) at Rajavithi Hospital (Jan 2009–June 2011).
- Collected blood samples to measure hs-CRP and HbA1c levels.
- Patients were categorized into two groups based on hs-CRP levels: <1 mg/L and ≥1 mg/L.
Main Results:
- A significant correlation was observed between hs-CRP levels and HbA1c.
- Patients with hs-CRP levels ≥1 mg/L exhibited higher mean HbA1c (8.77 ± 1.78%) compared to those with hs-CRP <1 mg/L (7.36 ± 1.23%).
- This difference was statistically significant (p < 0.001).
Conclusions:
- hs-CRP levels are correlated with HbA1c levels in overweight women with type 2 diabetes.
- Mean HbA1c levels are significantly higher in patients with hs-CRP levels of 1 mg/L or more.
- Factors like age, blood pressure, BMI, LDL-C, and serum creatinine did not show a correlation with hs-CRP levels in this study.
Background And Objective:
High-sensitive C-reactive protein (hs-CRP) is associated with atherosclerosis. Previous studies have shown that hs-CRP is associated with insulin resistance, type 2 diabetes and higher HbA1c levels. As type 2 diabetes is often found in overweight women, the present study investigated the relationship between hs-CRP and HbA1c levels in such patients.
Material And Method:
This was a retrospective study of type 2 diabetic patients in Rajavithi Hospital from January 2009 until June 2011. All the subjects were females aged 40 years or more who had body mass index (BMI) of more than 25 kilograms per square metre. The patients were examined and blood was collected in order to check hs-CRP and HbA1c levels.
Results:
Data from 75 cases, classified the patients into 2 groups by their levels of hs-CRP and risk of coronary artery disease. Of the 75 patients, 35 had hs-CRP levels less than 1 mg/L, and the remaining 40 patients had hs-CRP levels of 1 mg/ L or more, representing 46.67% and 53.33% respectively, and it was found that hs-CRP values correlated with HbA1c levels. The group with hs-CRP of less than 1 milligram per liter had a mean HbA1c of 7.36 +/- 1.23%, while the group with hs-CRP of 1 mg/L or more had a mean HbA1c of 8.77 +/- 1.78%, with statistical significance at p-value < 0.001.
Conclusion:
In the present study of patients with type 2 diabetes, the authors found that hs-CRP levels correlated with HbA1c levels. Mean HbA1c levels were significantly higher in patients who had hs-CRP levels of 1 mg/L or more (p-value < 0.001). Other factors such as age, blood pressure, BMI, LDL-C, serum creatinine were not correlated with hs-CRP level.
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