PMID- 36039271 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220831 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 14 IP - 7 DP - 2022 Jul TI - Adiponectin Can Be an Early Predictable Marker for Type 2 Diabetes Mellitus and Nephropathy. PG - e27308 LID - 10.7759/cureus.27308 [doi] LID - e27308 AB - Background Several studies have examined serum adiponectin concentrations in prediabetes, newly diagnosed type 2 diabetes mellitus (T2DM), and other types of diabetes associated with the risk of T2DM and diabetic nephropathy (DN); however, the results to date are inconclusive. An aim of the current study is to determine whether adiponectin is a useful marker for the earlier development of T2DM and DN. Methodology This cross-sectional study included 400 subjects. Among the subjects, 100 were prediabetes subjects, 200 were T2DM patients, and the remaining 100 were healthy controls. The biochemical and clinical parameters of all patients were analyzed and the data were recorded. Results The mean levels of adiponectin were significantly lower in prediabetic subjects than in healthy controls (3.22 +/- 0.98, 5.36 +/- 2.24, p = 0.0001**). Furthermore, the levels of adiponectin were significantly higher in both the groups of T2DM patients when compared to healthy controls (19.85 +/- 3.31, 11.83 +/- 3.01, and 5.36 +/- 2.24, p = 0.0001**). In both diabetic groups, adiponectin was positively correlated with body mass index, glycated hemoglobin, insulin, homeostasis model assessment of insulin resistance, and microalbuminuria, while negatively correlated with estimated glomerular filtration rate. Interestingly, adiponectin had a reversed correlation in the prediabetic group. Conclusion Based on the results, the present study suggests that significantly decreased levels of serum adiponectin in prediabetic subjects might be used as a variable marker for T2DM. Moreover, adiponectin may useful for detecting the early onset of nephropathy, compared to microalbumin, as its concentration was significantly elevated in patients who were newly diagnosed with T2DM without nephropathy. CI - Copyright (c) 2022, Ganesh et al. FAU - Ganesh, Veluri AU - Ganesh V AD - Biochemistry, Aarupadai Veedu Medical College & Hospital, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, IND. FAU - M, Murugan AU - M M AD - Biochemistry, Aarupadai Veedu Medical College & Hospital, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, IND. FAU - Palem, Siva Prasad AU - Palem SP AD - Biochemistry, JJM (Jagadguru Jayadeva Murugarajendra) Medical College and Hospital, Davanagere, IND. LA - eng PT - Journal Article DEP - 20220726 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC9403389 OTO - NOTNLM OT - adiponectin OT - egfr OT - microalbumin OT - nephropathy OT - type 2 diabetes mellitus COIS- The authors have declared that no competing interests exist. EDAT- 2022/08/31 06:00 MHDA- 2022/08/31 06:01 PMCR- 2022/07/26 CRDT- 2022/08/30 01:48 PHST- 2022/07/26 00:00 [accepted] PHST- 2022/08/30 01:48 [entrez] PHST- 2022/08/31 06:00 [pubmed] PHST- 2022/08/31 06:01 [medline] PHST- 2022/07/26 00:00 [pmc-release] AID - 10.7759/cureus.27308 [doi] PST - epublish SO - Cureus. 2022 Jul 26;14(7):e27308. doi: 10.7759/cureus.27308. eCollection 2022 Jul.