Association of Serum High Sensitivity C-Reactive Protein With Pre-diabetes in Rural Population: A Two-Year
Aishwarya Ghule1, T K Kamble1, Dhruv Talwar1
1Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.
Cureus
|December 6, 2021
Summary
High sensitivity C-reactive protein (hsCRP) is a useful biomarker for early pre-diabetes detection. Elevated hsCRP levels were significantly higher in individuals with pre-diabetes compared to controls.
Area of Science:
- Endocrinology
- Clinical Biochemistry
- Public Health
Background:
- Pre-diabetes is characterized by intermediate hyperglycemia and associated with low-grade inflammation.
- High sensitivity C-reactive protein (hsCRP) is a sensitive indicator of low-grade inflammation.
- Early diagnosis of pre-diabetes is crucial for timely intervention.
Purpose of the Study:
- To investigate the utility of hsCRP as a biomarker for the early diagnosis of pre-diabetes in a rural population.
- To assess the association between hsCRP levels and pre-diabetes status.
Main Methods:
- A case-control study involving 200 participants (100 pre-diabetes cases, 100 controls), matched for age and gender.
- Participants underwent medical history, physical examination, anthropometric measurements, and biochemical analysis including glucose, lipid profile, and hsCRP.
- Pre-diabetes diagnosis was based on World Health Organisation criteria.
Main Results:
- Mean hsCRP levels were significantly higher in pre-diabetic individuals (2.17 ± 0.72 mg/L) compared to controls (0.66 ± 0.22 mg/L) (p < 0.0001).
- hsCRP showed significant positive correlations with age, body mass index (BMI), total cholesterol, low-density lipoprotein (LDL) cholesterol, and waist-hip ratio.
Conclusions:
- Elevated hsCRP levels are associated with pre-diabetes.
- hsCRP may serve as a valuable biomarker for early pre-diabetes detection.
- hsCRP levels correlate with traditional risk factors for cardiovascular disease and diabetes.
Keywords:
body mass indexcardiovascular risk factorshigh sensitivity c-reactive proteininflammationprediabetes

