PMID- 38361905 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240217 IS - 2249-4863 (Print) IS - 2278-7135 (Electronic) IS - 2249-4863 (Linking) VI - 12 IP - 12 DP - 2023 Dec TI - Profile of type 2 diabetes mellitus patients attending family medicine clinic in a rural tribal locality in India. PG - 3242-3248 LID - 10.4103/jfmpc.jfmpc_2114_22 [doi] AB - OBJECTIVE: Diabetes prevalence has been predicted to reach 578 million worldwide in 2030 and is estimated to increase by 51% (700 million) in 2045. Type 2 diabetes mellitus (T2DM) is frequently associated with various cardiovascular (CV) risk factors secondary to associated dyslipidemias and good glycemic control is key for the prevention of long-term CV complications; this study was conducted to assess present glycemic status and lipid profile of the population residing in a rural tribal locality of Jharkhand (India). MATERIALS AND METHODS: This cross-sectional study was conducted as a project for Fellowship in diabetes course by the Department of Endocrinology, DEDU, CMC Vellore. Whole blood and sera were analyzed for fasting blood sugar (FBS), glycated-hemoglobin (HbA1c), total cholesterol (CH), triglycerides (TGs), high-density-lipoprotein-cholesterol (HDL-C), low-density-lipoprotein-cholesterol (LDL-C), and very-low-density-lipoprotein-cholesterol (VLDL-C). A correlation test of HbA1c with lipid ratios and individual lipid indexes was done. RESULTS: The mean Hb1Ac level was uncontrolled as 7.24 +/- 1.80 and, interestingly, was marginally higher [7.31 +/- 1.92 Vs 6.92 +/- 1.16] in patients with T2DM <5 years as compared to those with T2DM >5 years. Mixed dyslipidemias were common with abnormal TG, LDL, VLDL, HDL, and total CH values. Hb1Ac levels showed a significant positive correlation with serum CH, TG, LDL, and VLDL levels, while a significant negative correlation with HDL levels in the study. CONCLUSION: Apart from being a reliable indicator of long-term glycemic control, HbA1c can also be used as a surrogate marker of dyslipidemia, and thus early diagnosis and treatment of dyslipidemia can prevent life-threatening cardiovascular complications that can be particularly useful in resource-poor rural tribal locality settings. CI - Copyright: (c) 2023 Journal of Family Medicine and Primary Care. FAU - Kumar, Sumit AU - Kumar S AD - Department of Physiology, Government Medical College, Datia, Madhya Pradesh, India. LA - eng PT - Journal Article DEP - 20231221 PL - India TA - J Family Med Prim Care JT - Journal of family medicine and primary care JID - 101610082 PMC - PMC10866235 OTO - NOTNLM OT - Diabetes OT - Hb1Ac OT - lipid profile COIS- There are no conflicts of interest. EDAT- 2024/02/16 06:42 MHDA- 2024/02/16 06:43 PMCR- 2023/12/01 CRDT- 2024/02/16 03:49 PHST- 2022/10/29 00:00 [received] PHST- 2023/04/03 00:00 [revised] PHST- 2023/07/27 00:00 [accepted] PHST- 2024/02/16 06:43 [medline] PHST- 2024/02/16 06:42 [pubmed] PHST- 2024/02/16 03:49 [entrez] PHST- 2023/12/01 00:00 [pmc-release] AID - JFMPC-12-3242 [pii] AID - 10.4103/jfmpc.jfmpc_2114_22 [doi] PST - ppublish SO - J Family Med Prim Care. 2023 Dec;12(12):3242-3248. doi: 10.4103/jfmpc.jfmpc_2114_22. Epub 2023 Dec 21.