PMID- 37365577 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230701 IS - 1758-5996 (Print) IS - 1758-5996 (Electronic) IS - 1758-5996 (Linking) VI - 15 IP - 1 DP - 2023 Jun 26 TI - Comparison of fasting and random lipid profiles among subjects with type 2 diabetes mellitus: an outpatient-based cross-sectional study in Bangladesh. PG - 139 LID - 10.1186/s13098-023-01120-y [doi] LID - 139 AB - BACKGROUND: Despite the wide acceptability of fasting lipid profiles in practice, emerging evidence suggests that random lipid profiles might be a convenient alternative for lipid measurement. The objective of the present study was to compare the fasting and random lipid profile among subjects with type 2 diabetes mellitus (T2DM). METHODS: The present cross-sectional study included 1543 subjects with T2DM visiting several endocrinology outpatient clinics throughout Bangladesh from January to December 2021. The fasting lipid profile was measured in the morning following 8-10 h of overnight fasting, and the random lipid profile was measured at any time of the day, irrespective of the last meal. The values of fasting and random lipids were compared using the Wilcoxon signed-rank test and Spearman rank correlation coefficients. RESULTS: In this study, a good level of correlation was observed between fasting and random lipid levels [r = 0.793, p < 0.001 for triglyceride (TG); r = 0.873, p < 0.001 for low-density lipoprotein cholesterol (LDL-C); r = 0.609, p < 0.001 for high-density lipoprotein cholesterol (HDL-C); and r = 0.780, p < 0.001 for total cholesterol (TC)]. In addition, TG and TC levels increased by 14% and 0.51%, respectively, in the random state compared to the fasting state (p- <0.05), while LDL-C levels decreased by 0.71% (p-value 0.42). No change was noticed in the HDL-C level. The difference between fasting and random lipid profiles was similar irrespective of patients' age, sex, BMI, glucose-lowering drug(s), and lipid-lowering therapy. CONCLUSIONS: Random lipid profile correlates significantly with fasting lipid profile with little difference. Hence, it might be a reliable alternative for fasting lipid profile in patients with T2DM. CI - (c) 2023. The Author(s). FAU - Kamrul-Hasan, A B M AU - Kamrul-Hasan ABM AUID- ORCID: 0000-0002-5681-6522 AD - Department of Endocrinology, Mymensingh Medical College, Mymensingh, Bangladesh. rangassmc@gmail.com. FAU - Talukder, Samir Kumar AU - Talukder SK AUID- ORCID: 0000-0001-5240-8225 AD - Department of Endocrinology, Rangpur Medical College, Rangpur, Bangladesh. FAU - Kabir, Md Ahamedul AU - Kabir MA AUID- ORCID: 0000-0003-4410-4808 AD - Department of Endocrinology, Rangpur Medical College, Rangpur, Bangladesh. AD - Department of Endocrinology, TMSS Medical College, Bogura, Bangladesh. FAU - Mustari, Marufa AU - Mustari M AUID- ORCID: 0000-0002-8519-4988 AD - Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. FAU - Un Nabi, Md Masud AU - Un Nabi MM AUID- ORCID: 0000-0002-8749-2575 AD - Department of Endocrinology, Rajshahi Medical College, Rajshahi, Bangladesh. FAU - Gaffar, Abu Jar AU - Gaffar AJ AUID- ORCID: 0000-0002-7334-9751 AD - Department of Pathology, Naogaon Medical College, Naogaon, Bangladesh. FAU - Hossain, Md Firoj AU - Hossain MF AUID- ORCID: 0000-0002-2351-8879 AD - Department of Endocrinology, Mugda Medical College, Dhaka, Bangladesh. FAU - Alam, Muhammad Shah AU - Alam MS AUID- ORCID: 0000-0002-9541-5641 AD - Department of Medicine, Army Medical College Cumilla, Cumilla, Bangladesh. FAU - Islam, Md Rashedul AU - Islam MR AUID- ORCID: 0000-0003-2101-9694 AD - Department of Neurology, BIRDEM General Hospital, Dhaka, Bangladesh. FAU - Hannan, Mohammad Abdul AU - Hannan MA AUID- ORCID: 0000-0002-3285-6343 AD - Department of Endocrinology, North East Medical College, Sylhet, Bangladesh. FAU - Zarin, Nusrat AU - Zarin N AUID- ORCID: 0000-0003-0657-5318 AD - Department of Endocrinology, Bangladesh Institute of Health Sciences, Dhaka, Bangladesh. FAU - Paul, Ajit Kumar AU - Paul AK AUID- ORCID: 0000-0002-2734-3893 AD - Department of Endocrinology, Mainamoti Medical College, Cumilla, Bangladesh. FAU - Akter, Farhana AU - Akter F AUID- ORCID: 0000-0002-4488-9388 AD - Department of Endocrinology, Chittagong Medical College, Chittagong, Bangladesh. FAU - Ahammed, Afsar AU - Ahammed A AUID- ORCID: 0000-0002-1910-0613 AD - Department of Endocrinology, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh. FAU - Kabir, Md Lutful AU - Kabir ML AUID- ORCID: 0000-0003-1376-3376 AD - Department of Endocrinology, Rangpur Medical College, Rangpur, Bangladesh. FAU - Rahman, Mohammad Motiur AU - Rahman MM AUID- ORCID: 0000-0002-6101-3812 AD - Department of Medicine, Rajshahi Medical College Hospital, Rajshahi, Bangladesh. FAU - Asaduzzaman, Md AU - Asaduzzaman M AUID- ORCID: 0000-0002-8354-987X AD - Department of Endocrinology, Shaheed Sheikh Abu Naser Specialized Hospital, Khulna, Bangladesh. FAU - Saifuddin, Mohammad AU - Saifuddin M AUID- ORCID: 0000-0001-6121-1192 AD - Department of Endocrinology, Dhaka Medical College, Dhaka, Bangladesh. FAU - Chanda, Palash Kumar AU - Chanda PK AUID- ORCID: 0000-0003-3083-7779 AD - Department of Endocrinology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh. FAU - Rafi, Md Abdur AU - Rafi MA AD - Pi Research Development Center, Dhaka, Bangladesh. FAU - Hasan, Mohammad Jahid AU - Hasan MJ AD - Pi Research Development Center, Dhaka, Bangladesh. dr.jahid61@gmail.com. FAU - Selim, Shahjada AU - Selim S AUID- ORCID: 0000-0001-7749-3542 AD - Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. LA - eng PT - Journal Article DEP - 20230626 PL - England TA - Diabetol Metab Syndr JT - Diabetology & metabolic syndrome JID - 101488958 PMC - PMC10291787 OTO - NOTNLM OT - Cardiovascular risk OT - Fasting lipid profile OT - Lipid-lowering therapy OT - Random lipid profile OT - T2DM COIS- The authors declare that they have no competing interests. EDAT- 2023/06/27 01:06 MHDA- 2023/06/27 01:07 PMCR- 2023/06/26 CRDT- 2023/06/26 23:39 PHST- 2022/07/15 00:00 [received] PHST- 2023/06/21 00:00 [accepted] PHST- 2023/06/27 01:07 [medline] PHST- 2023/06/27 01:06 [pubmed] PHST- 2023/06/26 23:39 [entrez] PHST- 2023/06/26 00:00 [pmc-release] AID - 10.1186/s13098-023-01120-y [pii] AID - 1120 [pii] AID - 10.1186/s13098-023-01120-y [doi] PST - epublish SO - Diabetol Metab Syndr. 2023 Jun 26;15(1):139. doi: 10.1186/s13098-023-01120-y.