PMID- 30254819 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 10 IP - 7 DP - 2018 Jul 23 TI - Investigating the Atherogenic Risk of Lipoprotein(a) in Type 2 Diabetic Patients. PG - e3030 LID - 10.7759/cureus.3030 [doi] LID - e3030 AB - Type 2 diabetes mellitus (T2DM) has high morbidity and results in increased risk of mortality mainly due to cardiovascular diseases. Different factors have been found to be responsible for the increased prevalence of coronary artery disease (CAD) in T2DM. One of these factors includes raised serum levels of lipoprotein(a) (Lp(a)). The present study was designed to evaluate the association of Lp(a) levels with T2DM in Libyan patients and find the degree of association between Lp(a), glycemic control, insulin, and lipid profile. The study included 100 T2DM patients, recruited from the Benghazi Center for Diagnosis and Treatment of Diabetes, and 30 apparently healthy age and sex-matched individuals, to serve as controls. All participants completed a questionnaire to obtain clinical information and medical history. Blood samples were collected and analyzed for Lp(a), fasting blood glucose (FBS), HbA1c, insulin, total cholesterol (TC), triglycerides (TAG), low-density lipoprotein c (LDL-c), and high-density lipoprotein c (HDL-c). The results from the comparison between the control and experimental groups showed that Lp(a) was significantly higher in diabetic patients. It showed the positive correlation with TC and LDL-c. On the contrary, it showed no significant correlations with glycemic control parameters nor insulin, TAG, HDL-c, body mass index (BMI), and blood pressor (BP). Cardiovascular disease (CVD) risk in type 2 diabetic patients could be dependent on risk factors other than LDL-c, which may not be an independent risk factor for the development and progression of atherogenesis in T2DM. Lp(a) may be a new metabolic syndrome risk factor, and it may be useful as a cardiovascular risk biomarker in future clinical practice. FAU - Peela, Jagannadha R AU - Peela JR AD - Genetics, St Matthew's University School of Medicine, Grand Cayman, CYM. FAU - Latiwesh, Omar B AU - Latiwesh OB AD - Medical Laboratory, Higher Institute of Medical Professions, Benghazi, LBY. FAU - Elshaari, Farag AU - Elshaari F AD - Biochemistry, Higher Institute of Medical Professions, Benghazi, LBY. FAU - Hussain, Azhar AU - Hussain A AD - Medicine, Xavier University School of Medicine, Oranjestad, ABW. FAU - Tabrez, Elsa AU - Tabrez E AD - Medicine, St. Matthew's University School of Medicine, George Town, CYM. FAU - Viglianco, Emily AU - Viglianco E AD - Medicine, Xavier University School of Medicine, Oranjestad, ABW. FAU - Edwards, Ajene AU - Edwards A AD - Medicine, Xavier University School of Medicine, Oranjestad, ABW. FAU - Ali, Farwa AU - Ali F AD - Medicine, American University of Antigua College of Medicine, New York, USA. FAU - Rawal, Avinash K AU - Rawal AK AD - Biochemistry, St. Matthew's University School of Medicine, Grand Cayman, CYM. LA - eng PT - Journal Article DEP - 20180723 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC6150746 OTO - NOTNLM OT - cardiovascular disease OT - diabetic dyslipidemia OT - hyperglycemia OT - lipoprotein(a) OT - type 2 diabetes mellitus COIS- The authors have declared that no competing interests exist. EDAT- 2018/09/27 06:00 MHDA- 2018/09/27 06:01 PMCR- 2018/07/23 CRDT- 2018/09/27 06:00 PHST- 2018/09/27 06:00 [entrez] PHST- 2018/09/27 06:00 [pubmed] PHST- 2018/09/27 06:01 [medline] PHST- 2018/07/23 00:00 [pmc-release] AID - 10.7759/cureus.3030 [doi] PST - epublish SO - Cureus. 2018 Jul 23;10(7):e3030. doi: 10.7759/cureus.3030.