Correlation between triglyceride level and carotid intima media thickness in patients with type 2 diabetes mellitus
DOI:
https://doi.org/10.18203/2349-3259.ijct20181051Keywords:
Type 2 diabetes mellitus, Carotid intima media thickness, Fasting triglyceride, Postprandial triglycerideAbstract
Background: Type 2 diabetes mellitus (T2DM) is associated with the development of premature atherosclerosis and high cardiovascular morbidity and mortality. Diabetic dyslipidemia is believed to play an important role in the pathogenesis of accelerated atherosclerosis in this condition. The aim of present study was to find out the role of fasting and postprandial triglyceride level and its relation with carotid intima media thickness in patients of T2DM.
Methods: 120 patients of T2DM were included in this study. All patients didn’t have any peripheral vascular disease, IHD or stroke and all were between 30 to 70 years of age. Ultrasonographic evaluation done in all patients to measure CIMT and its correlation seen with fasting and postprandial triglyceride level and other parameters.
Results: All patients are divided into 3 groups according to their triglyceride level NN, NH and HH. The mean CIMT in the NN, NH and HH group was 0.96±0.26, 1.64±0.39 and 1.94±0.57 mm respectively. The CIMT was higher in the NH and HH groups in comparison with that in NN group which is statistically significant (p<0.001).
Conclusions: Fasting and postprandial triglyceride level both correlate significantly with carotid intima media thickness. But the correlation of postprandial triglyceride level with CIMT is better than that of fasting triglyceride level.
Metrics
References
Rosenson RS. Secondary causes of dyslipidemia. UpToDate. Available at: www.uptodate.com. Accessed on 10 February 2016.
Ginsenberg HN. Insulin resistance and cardiovascular disease. J Clin Invest. 2000;106(4):453-8.
Garcia MJ, McNamara PM, Gordon T, Kannel WB. Morbidity and mortality in diabetics in the Framingham population, Sixteen year follow up study. Diabetes. 1974;23:105-11.
Fatan TG, Sower J. Type 2 diabetes mellitus- greater cardiovascular risks and greater benefits of therapy. Arch Intern Med. 1999;159:1033-4.
Haffiner SM, Lehto’s, Ronnemaa T, Pyorala K, Laakso M. Mortality from coronary heart disease in subjects with type 2 diabetes and in non diabetic subjects. N Eng J Med. 1998;339:229-34.
Fronbonne A. Relationship between diabetic dyslipoproteinemia and coronary heart disease risk in non insulin dependent diabetes. Diab Met Rev. 1991;7:179-89.
Frontbonne A, Eschewege E, Cambien F. Hypertriglyceridemia as a risk factor for coronary heart disease mortality in subjects with impaired glucose tolerance or diabetes. Result from 11 year follow up of the Paris Prospective study. Diabetologia. 1989;32:300-4.
Jonathan V, Robert SE. Dyslipidemia in type 2 diabetes: epidemiology and biochemistry. B J Diab Vasc Dis. 2003;3:184-9.
Mohan V, Ravikumar R, Shanthi Rani S, Deepa R. Intimal medial thickness of the coronary artery in south Indian diabetic and non diabetic subjects: the Chennai urban population study (CUPS). Diabetologia. 2000;43(4):494-9.
Bots ML, Dijk JM, Oren A, Grobbee DE. Carotid intima media thickness, arterial stiffness and risk of cardiovascular disease. Current evidence. J Hypertens. 2002;20(12):2317-25.
Shinichi T, Yuko U, Hirotaka N. Association of postprandial hypertriglyceridemia and carotid intima media thickness in patients with type 2 diabetes. Diabetes care. 2000;23:1401-6.
Mory Y, Itoh Y, Komiya H. Association between post prandial remnant like particle triglyceride (RLP- TG) levels and carotid intima media thickness in Japanese patients with type 2 diabetes assessment by meal tolerance test (MTT). Endocrine. 2005;28:157-63.
Ahmed J, Hameed B, Das G, Siddique MA, Ahmed I. Postprandial hypertriglyceridemia and carotid intima media thickness in north Indian type 2 diabetic subjects. Diabetes Res Clin Pract. 2005;69(2):142-50.
Dharmalingham M, Deshpande NR, Vidyasagar S. Triglyceride levels and its correlation with carotid intima media thickness. Int J Diab Dev Countries. 2004;24:19-22.
Rao A, Ramulu K, Marx K, Rao T, Ramana Devi V. Association of post prandial hypertriglyceridemia and carotid intima media thickness in patients with type 2 diabetes mellitus. Int J Diab Res. 2016;5(5):87-91.
Idei M, Hirayama S, Miyake N, Kon M, Horiuchi Y, Ueno T. Mean postprandial triglyceride concentration is an independent risk factor for carotid intima media thickness. Clinica Chimica Acta. 2014;430:134-9.
Christen T, Mutsert R, Gast K, Rensen P, Koning E, Rosendaal F, et al. Association of fasting triglyceride concentration and postprandial triglyceride response with the carotid intima-media thickness in the middle aged: The Netherlands Epidemiology of Obesity study. Clin Lipidol. 2017;11(2):377-85.
Batluk J, Leonard CO, Grittner U, Lange LS, Schreiber SJ, Endres M, et al. Triglycerides and carotid intima-media thickness in ischemic stroke patients. Atherosclerosis. 2015;241(1):186-91.
Chen Xiang, Tian H, Liu R. Association between fasting and postprandial triglyceride levels and carotid intima media thickness in type 2 diabetes patients and healthy subjects. Chin Med J. 2003;116(12):1933-5.
Esposito K, Ciotola M, Carleo D, Schisano B, Sardelli L, Di Tommaso D. Post meal glucose peaks at home associate with carotid intima media thickness in type 2 diabetes. J Clin Endo Met. 2008;93(4):1345-50.