Key result
Elevated CRP, HbA1c, BMI, and longer T2D duration are linked to impaired endothelial function.
Why the study?
Endothelial dysfunction is a crucial precursor to atherosclerosis and cardiovascular complications in type 2 diabetes mellitus, prompting the evaluation of its correlation with clinical and metabolic risk factors.
Does flow-mediated dilatation (FMD) correlate with HbA1c, CRP, BMI, and diabetes duration in patients with type 2 diabetes mellitus?
Cross-Sectional (n=100)
Yes
Does flow-mediated dilatation (FMD) correlate with HbA1c, CRP, BMI, and diabetes duration in patients with type 2 diabetes mellitus?
In patients with type 2 diabetes mellitus, impaired endothelial function as measured by flow-mediated dilatation is significantly correlated with poor glycemic control, elevated systemic inflammation, and higher body mass index.
Answers are grounded in this paper and cite their sources.
May support endothelial risk stratification in T2D; leaves open causal and therapeutic implications.
Background and Aim: Endothelial dysfunction is a crucial precursor to atherosclerosis and cardiovascular complications, particularly prevalent in individuals with type 2 diabetes mellitus (T2DM).This study aimed to assess endothelial impairment in T2DM using flow-mediated dilatation (FMD) and to determine its correlation with body mass index (BMI), duration of diabetes, C-reactive protein (CRP) levels, and glycemic control. Materials and Methods:A total of 100 T2DM patients aged thirty to sixty participated.Doppler ultrasonography was used to measure brachial artery FMD, while blood samples were used to assess glycosylated hemoglobin A1c (HbA1c) and CRP levels.Correlations were evaluated using the Pearson correlation coefficient.Result: The duration of diabetes r value is negative 0.866, p-value less than 0.001, CRP levels as "r value" is negative 0.724, "P-value" less than 0.001, and HbA1c levels "r value" is negative 0.722, "P-value" less than 0.001 were observed to have negative relationships with FMD.Additionally, there was a significant association r value was negative 0.342, "P-value" less than 0.001 between BMI and FMD.These results were corroborated by subgroup analyses, which highlighted the intricacy of "endothelial dysfunction" in T2DM and the significance of comprehensively addressing several risk variables.This study elucidates the intricate interplay of metabolic, inflammatory, and vascular factors contributing to "endothelial dysfunction" in T2DM patients.Elevated HbA1c and CRP levels, prolonged diabetes duration, and high BMI were linked to impaired endothelial function, underscoring the importance of holistic risk factor management.Conclusion: For patients with T2DM, maintaining endothelial function and reducing cardiovascular risk require comprehensive treatment plans that target inflammation, obesity, and glycaemic management.Timely intervention and vigilant monitoring of risk factors are crucial to prevent vascular complications in high-risk populations.
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Sabapathi et al. (2024) conducted a cross-sectional in Type 2 diabetes mellitus (T2DM) (n=100). Elevated CRP, HbA1c, BMI, and prolonged diabetes duration vs. Lower levels of these risk factors was evaluated on Correlation between flow-mediated dilatation (FMD) and CRP levels (r = -0.866, p=<0.001). Elevated CRP, HbA1c, BMI, and prolonged diabetes duration were significantly associated with impaired endothelial function, as measured by reduced flow-mediated dilatation, in patients with type 2 diabetes.
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