DOI: 10.2337/diacare.29.02.06.dc05-2033 © 2006 by the American Diabetes Association
Association Between Elevated Serum C-Reactive Protein and Triglyceride Levels in Young Subjects With Type 1 Diabetes
1 Bahian Medical and Public Health School and Post-Graduate of Bahian Medical and Public Health School, Science Development Foundation of Bahia, Bahia, Brazil Address correspondence and reprint requests to A.M. Ladeia, Rua Altino S de Barros 241 s506 Itaigara, Salvador-BA, Brazil, CEP 41 810 570. E-mail: analadeia@uol.com.br
Abbreviations: CRP, C-reactive protein hs-CRP, high-sensitivity CRP
Cardiovascular disease is the major cause of mortality and morbidity in individuals with diabetes (1,2). Increased plasma concentrations of acute-phase proteins have been reported in adult patients with either type 2 (3,4) or type 1 (5,6) diabetes. However, there have been few studies to determine plasma high-sensitivity C-reactive protein (hs-CRP) levels in young diabetic patients (7,8). This study evaluated the levels of hs-CRP and their correlation with metabolic profile in very young patients with type 1 diabetes.
This sectional study included 45 consecutive young patients (26 boys) who fulfilled the inclusion criteria (diagnosed as type 1 diabetic, followed up at a public health assistance center, serum creatinine level <1.3 mg/dl, and normal thyroid-stimulating hormone values) and 30 healthy subjects (12 boys) matched by age (±3 years) and BMI. Exclusion criteria were hypertension, overweight or obesity, smoking, any infection having been diagnosed during the previous 3 months, and treatment for inflammatory or chronic infectious disease. Measurements of pulse rate, blood pressure, height and weight, and specific clinical examination of throat, eyes, nose, ears, skin, and feet were performed. Laboratory data included fasting blood glucose, HbA1c (A1C), total cholesterol, HDL and LDL cholesterol, triglycerides, serum creatinine, thyroid-stimulating hormone, and hs-CRP. Hs-CRP was determined by nephelometry.
Differences in the means were evaluated by the Students t test. The hs-CRP data
|
| |||||||||||||||||||||||||||||||||||