PMID- 29207691 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 2249-782X (Print) IS - 0973-709X (Electronic) IS - 0973-709X (Linking) VI - 11 IP - 9 DP - 2017 Sep TI - A Comparative Study of High Sensitivity C-Reactive Protein and Metabolic Variables in Type 2 Diabetes Mellitus with and without Nephropathy. PG - BC01-BC04 LID - 10.7860/JCDR/2017/30272.10528 [doi] AB - INTRODUCTION: Diabetic nephropathy is a serious chronic complication of Type 2 Diabetes Mellitus (T2DM) which impairs the quality of life, leading to increased morbidity and mortality. The high sensitivity C-reactive protein (hs-CRP) is an acute phase reactant which acts as a non-specific systemic marker of inflammation. AIM: To find out the relationship between serum hs-CRP and metabolic variables in Type 2 diabetic patients with and without nephropathy. MATERIALS AND METHODS: The study group consists of 96 subjects that include non-diabetic healthy controls, Type 2 diabetic patients without any complications and patients with diabetic nephropathy. The study group was composed of both genders, aged 31-70 years, who reported after 10-12 hours overnight fasting; then, venous blood and fresh urine samples were collected, in the morning from all the study subjects. Data were analysed using Statistical Package for the Social Sciences (SPSS). Independent t-test was used to compare between the groups and Chi square test was used to find out the relationship between serum hs-CRP and metabolic variables. RESULTS: The results showed a significantly (p<0.05) increasing trend of serum hs-CRP with the degree of microalbumin excretion and the severity of nephropathy in Type 2 diabetic patients. The result showed a significant (p<0.05) relationship between hs-CRP and the metabolic variables like Fasting Blood Glucose (FBG), Post Prandial Blood Glucose (PPBG), Total Cholesterol (TC), Triglycerides (TG), LDL-Cholesterol (LDL-C), TC:HDL-Cholesterol (HDL-C) ratio and estimated Glomerular Filtration Rate (eGFR) and no significance (p>0.05) between hs-CRP and HDL-Cholesterol in both diabetic and diabetic nephropathy subjects. CONCLUSION: Hs-CRP was strongly associated with the metabolic variables and predictors of cardiovascular risk in Type 2 diabetes mellitus with and without nephropathy. The hs-CRP might be considered as a predictor or illness indicator for the development of nephropathy and cardiovascular risk in Type 2 diabetic patients. FAU - Shaheer, Abid K AU - Shaheer AK AD - Postgraduate Student, Department of Biochemistry, School of Health Sciences, University of Calicut, Malappuram, Kerala, India. FAU - Tharayil, Jithesh K AU - Tharayil JK AD - Associate Professor, Department of Biochemistry, MES Medical College, Perinthalmanna, Kerala, India. FAU - Krishna, Parvathi W AU - Krishna PW AD - Professor and Head, Department of Biochemistry, MES Medical College, Perinthalmanna, Kerala, India. LA - eng PT - Journal Article DEP - 20170901 PL - India TA - J Clin Diagn Res JT - Journal of clinical and diagnostic research : JCDR JID - 101488993 PMC - PMC5713713 OTO - NOTNLM OT - Dyslipidemia OT - Hyperglycemia OT - Inflammation OT - Insulin resistance EDAT- 2017/12/07 06:00 MHDA- 2017/12/07 06:01 PMCR- 2017/09/01 CRDT- 2017/12/07 06:00 PHST- 2017/05/21 00:00 [received] PHST- 2017/08/08 00:00 [accepted] PHST- 2017/12/07 06:00 [entrez] PHST- 2017/12/07 06:00 [pubmed] PHST- 2017/12/07 06:01 [medline] PHST- 2017/09/01 00:00 [pmc-release] AID - 10.7860/JCDR/2017/30272.10528 [doi] PST - ppublish SO - J Clin Diagn Res. 2017 Sep;11(9):BC01-BC04. doi: 10.7860/JCDR/2017/30272.10528. Epub 2017 Sep 1.