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  3. 2022 - Volume 24 [Issue 11-12]
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Comparative Evaluation of Plasma Lipid Profile and Electrolytes in Diabetic and Non-Diabetic Individuals Attending Healthcare Checkup in Everight Laboratory in Owerri, Imo State, Nigeria

  •   Jude A. Ugwu
  •   Charles O. Anyanwu
  •   Ogbonnia E-Okereke
  •   Chimdike G. Omejua
  •   Aloysius S. Aleke
  •   Andrew C. Emedoh
  •   Vivian C. Onuoha
  •   Chiamaka P. Nduwuaku
  •   Sonia, O. Okafor
  •   Christene C. Adiele
  •   Uchechi O. Nwankpa
  •   Stephen C. Korie

Journal of Advances in Medical and Pharmaceutical Sciences, Volume 24, Issue 11-12, Page 69-78
DOI: 10.9734/jamps/2022/v24i12592
Published: 31 December 2022

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Abstract


Background: Diabetes mellitus is a metabolic disorder characterized by abnormally high blood sugar which poses a serious challenge to public health globally. The measurement of blood sugar levels, serum lipid profiles, and electrolytes are essential in determining one's vulnerability to developing diabetic-related complications such as cardiovascular diseases.

Aim: This was a comparative cross-sectional study designed to assess the dyslipidemia and electrolyte imbalance status of diabetic individuals attending routine healthcare checkups in Everight Diagnostic and Laboratory Services Limited, Owerri branch, using plasma lipid profile (total cholesterol, triglycerides, high-density lipoproteins and low-density lipoproteins) and electrolytes (sodium, potassium, chloride and bicarbonate) as markers.

Methodology: A total of 120 participants consisting of 60 diabetics and 60 non-diabetic individuals were pooled for this study. From both groups, plasma samples upon centrifugation were used for the analyses of glucose, Total Cholesterol (TC), Triglycerides (TG), High-density lipoprotein cholesterol (HDL-C), Low-density Lipoprotein Cholesterol using Erba XL-200 auto biochemistry analyzer, and plasma Sodium (Na+), Potassium (K+), Chloride (Cl-), and Bicarbonate (HCO3-) using Audicom (AC9900) ion selective electrode (ISE) analyzer. Statistical analysis was carried out using version 20.0 and p- values less than 0.05 were considered statistically significant.

Results: The demographic characteristics of the study population show 53% women, 47% men, and average age of 51.28. The fasting plasma glucose level of diabetic subjects (175.96 ± 91.62 mg/dL) was significantly higher (p<0.05) than the non-diabetic group (99.54 ± 11.50 mg/dL). More so, there were significant differences (p<0.05) between levels of TC (212.9 ± 56.65 mg/dL), TG (165.61 ± 89.05 mg/dL), and LDL-C (130. 59 ± 47.18 mg/dL) amongst diabetic individuals when compared with the levels of TC (169.87 ± 33. 57 mg/dL), TG (98.14 ± 39.14 mg/dL), and LDL (100.57 ± 27.78 mg/dL) of non-diabetic participants. Conversely, there was no significant difference when the plasma levels of HDL-C (52.78 ± 19.10 mg/dL), Na+ (136.93 ± 3.14 mmol/L), K+ (4.11 ± 0.54 mmol/L), HCO3- (22.03 ± 4.66 mEq/L) and Cl- (101.09 ± 4.33 mmol/L) of test subjects were compared with that of control individuals HDL-C (53.46 ± 15.04 mg/dL), Na+ (137.11 ± 3.37 mmol/L), K+ (4.17 ± 0.45 mmol/L), HCO3- (22.27 ± 3.55 mEq/L) and Cl- (94.52 ± 10.78) (p>0.05).

Conclusion: The results of our study shows significant alteration of fasting lipid parameters amongst diabetics. This suggests that diabetic individuals are associated with dyslipidaemia, which predisposes them to cardiovascular risks.

Keywords:
  • Fasting plasma glucose
  • lipid profile
  • diabetes mellitus
  • electrolytes
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  • Review History

How to Cite

Ugwu, J. A., Anyanwu, C. O., E-Okereke, O., Omejua, C. G., Aleke, A. S., Emedoh , A. C., Onuoha, V. C., Nduwuaku, C. P., Okafor , S. O., Adiele , C. C., Nwankpa , U. O., & Korie , S. C. (2022). Comparative Evaluation of Plasma Lipid Profile and Electrolytes in Diabetic and Non-Diabetic Individuals Attending Healthcare Checkup in Everight Laboratory in Owerri, Imo State, Nigeria. Journal of Advances in Medical and Pharmaceutical Sciences, 24(11-12), 69–78. https://doi.org/10.9734/jamps/2022/v24i12592
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References

Bohara J, Kunwar S, Poudel GA, Joshi SR, Gurung S. Serum electrolytes disturbances in Type 2 diabetic patients. Int J Health Sci Res. 2021;11(7):105-10. DOI: 10.52403/ijhsr.20210715

Woyesa SB, Gebisa WC, Anshebo DL. Assessment of selected serum electrolyte and associated risk factors in diabetic patients. Diabetes Metab Syndr Obes. 2019;12:2811-7. DOI: 10.2147/DMSO.S233053, PMID 32021344.

World Health Organization. Diabetes: fact sheets; 2022. [Cited November 2022].

Available:https://www.who.int/news-room/fact-sheets/detail/diabetes

Banday MZ, Sameer AS, Nissar S. Pathophysiology of diabetes: an overview. Avicenna J Med. 2020;10(4):174-88.

DOI: 10.4103/ajm.ajm_53_20, PMID 33437689.

International Diabetes Federation. Diabetes in Africa; 2021. [Cited November 2022]. Available:https://www.idf.org/our-network/regions-members/africa/diabetes-in-africa.html

Billah MM, Rana SMM, Akter N, Hossain MS. Analysis of serum electrolyte and lipid profile in young Bangladeshi female with Type II Diabetes. Cogent Biol. 2018;4(1):1431474. DOI: 10.1080/23312025.2018.1431474

Nnakenyi ID, Nnakenyi EF, Parker EJ, Uchendu NO, Anaduaka EG, Ezeanyika LU. Relationship between glycaemic control and lipid profile in type 2 diabetes mellitus patients in a low-resource setting. Pan Afr Med J. 2022;41(281):281. DOI: 10.11604/pamj.2022.41.281.33802, PMID 35855025.

Akter S, Goto A, Mizoue T. Smoking and the risk of type 2 diabetes in Japan: A systematic review and meta-analysis. J Epidemiol. 2017;27(12):553-61. DOI: 10.1016/j.je.2016.12.017, PMID 28716381.

Hosen B, Buiyan AR, Hasan S, Hassan M, Uddin M. Estimation of Serum Electrolytes in non-insulin Dependent (type 2) Diabetic Patients in Bangladesh [scientific research journal]. 2014;2(4):29-32.

Rasyid NQ, Usman M. Study of electrolyte levels in diabetic Patients. J Akta Kimia Indones (Indones Chim Acta). 2019;12(1):1-6. DOI: 10.20956/ica.v12i1.5630

Liamis G, Liberopoulos E, Barkas F, Elisaf M. Diabetes mellitus and electrolyte disorders. World J Clin Cases. 2014;2(10):488-96. DOI: 10.12998/wjcc.v2.i10.488, PMID 25325058.

Vairo D, Bruzzese L, Marlinge M, Fuster L, Adjriou N, Kipson N, et al. Towards addressing the body electrolyte environment via sweat analysis: Pilocarpine iontophoresis supports assessment of plasma potassium concentration. Sci Rep. 2017;7(1): 11801. DOI: 10.1038/s41598-017-12211-y, PMID 28924220.

Id KT, Nymo H, Louch WE, Ranhoff AH, Erik O. Electrolyte imbalances in an unselected population in an emergency department: a retrospective cohort study. PLOS ONE. 2019;3:1-14.

Bhave G, Neilson EG. Volume depletion versus dehydration: How understanding the difference can guide therapy. Am J Kidney Dis. 2011;58(2):302-9. DOI: 10.1053/j.ajkd.2011.02.395, PMID 21705120.

Liamis G, Rodenburg EM, Hofman A, Zietse R, Stricker BH, Hoorn EJ. Electrolyte disorders in community subjects: prevalence and risk factors. Am J Med. 2013;126(3):256-63. DOI: 10.1016/j.amjmed.2012.06.037, PMID 23332973.

Wu D, Chen Y, Guan H, Sun Y. Association of abnormal serum electrolyte levels in hypertension in a population with high salt intake. Public Health Nutr. 2019;22(9):1635-45. DOI: 10.1017/S1368980019000260, PMID 30894241.

Das Alaka BS. Evaluation of serum electrolyte levels in type 2 diabetes mellitus. Indian J Appl Res. 2016;6(8): 91-3.

Vucic M, Petrovic S, Mesic R, Rocic B. An automated immunoturbidimetric assay for HbA1c determination. Clin Chem Lab Med. 1999;37:S199.

Barham D, Trinder P. An improved color reagent for the determination of blood glucose by the oxidase system. Analyst. 1972;97(151):142-5. DOI: 10.1039/an9729700142, PMID 5037807.

Allain CC, Poon LS, Chan CSG, Richmond W, Fu PC. Enzymatic determination of total serum cholesterol. Clin Chem. 1974; 20(4):470-5. DOI: 10.1093/clinchem/20.4.470, PMID 4818200.

Bucolo G, David H. Quantitative determination of serum triglycerides by the use of enzymes. Clin Chem. 1973;19(5):476-82. DOI: 10.1093/clinchem/19.5.476, PMID 4703655.

Assman G, Jabs HU, Kohnert U, Nolte W, Schriewer H. LDL cholesterol determination in blood serum following precipitation of LDL with polyvinyl sulphate. Anal Chim Acta. 1984;140:77-83.

Ojiako NP, Onyeanusi J, Onyekwelu KC, Ufelle SA, Okoli UA, Nwokike M. Short-term effects of treadmill exercise on metabolic physiological and hemodynamic functions of apparently healthy individuals. Asian J Med Sci. 2018;9(1):27-31. DOI: 10.3126/ajms.v9i1.17347

Jiskani SA, Khawaja SI, Talpur RA. Disturbances in serum electrolytes in type 2 diabetes mellitus. Natl J Health Sci. 2018;3(4):128-31. DOI: 10.21089/njhs.34.0128

Santhosh V, Gomathi DM, Bi AK, Suganya S, Gurulakshmi G, N MD. Study of Serum Electrolytes in type 2 diabetes mellitus individuals in Rural Tertiary Care Hospital in Kancheepuram District. Biomed Pharmacol J. 2021;14(2):691-4.

DOI: 10.13005/bpj/2171

Talabani N. Serum electrolytes and lipid profiles in non-insulin dependent diabetes mellitus patients. Asian J Med Sci. 2015;6(3):38-41. DOI: 10.3126/ajms.v6i3.11088

Indu KC, Deo RK, Roka K, Singh P, Alam Z. Study of lipid profile in patients with diabetes mellitus presenting at tertiary referral center in Nepal. Med J Shree Birendra Hosp. 2021;20(2):123-9.

Ozder A. Lipid profile abnormalities seen in T2DM patients in primary healthcare in Turkey: a cross-sectional study. Lipids Health Dis. 2014;13:183. DOI: 10.1186/1476-511X-13-183, PMID 25481115.

Hasona NA, Elasbali A. Evaluation of electrolytes imbalance and dyslipidemia in diabetic patients. Med Sci (Basel). 2016;4(2):3-6. DOI: 10.3390/medsci4020007, PMID 29083371.

Hasona NA, Elasbali A. Evaluation of electrolytes imbalance and dyslipidaemia in diabetic patients. Med Sci (Basel). 2016;4(2). DOI: 10.3390/medsci4020007, PMID 29083371.

Alqubaty AR, Alhaj A, Et al. qadasi, F. Med J. 2022;28(6):1305-11.

Al-Jameil N. Estimation of Serum Electrolytes in Diabetic patients of Saudi Region. Life Sci J. 2014;11(7):378-80.

Wang S, Hou X, Liu Y, Lu H, Wei L, Bao Y, et al. Serum electrolyte levels in relation to marcovascular complications in Chinese patients with diabetes mellitus. Cardiovasc Diabetol. 2013;12:146. DOI: 10.1186/1475-2840-12-146, PMID 24112518.

Ramadan RH, Abdullah AM. Assessment of Serum electrolyte levels and HbA1c levels among type 2 diabetic Sudanese patients with marcovascular complications in Khartoum State. Open Access Libr J. 2020;7(3):1-9.

Ugwuja E, Eze N. A comparative study of serum electrolytes, total protein, calcium and phosphate among diabetic and HIV/AIDS patients in Abakaliki, Southeastern, Nigeria. Internet J Lab Med. 2007;2(1). DOI: 10.5580/15e5

Engwa GA, Nwalo FN, Attama TC, Abonyi MC, Akaniro-Ejim EN, Unachukwu MN, et al. Influence of Type 2 Diabetes on Serum Electrolytes and Renal Function indices in Patients. J Clin Diagn Res. 2018;12(6): BC13-6.

DOI: 10.7860/JCDR/2018/35940.11673

Li Y, Gao R, Zhao B, Zhang Y. Low serum bicarbonate levels increase the risk of All-Cause, cardiovascular disease, and cancer mortality in Type 2 diabetes. J Clin Endocrinol Metab. 2022;107(11): 3055-65. DOI: 10.1210/clinem/dgac504, PMID 36066477.

Sadeghi E, Hosseini SM, Vossoughi M, Aminorroaya A, Amini M. Association of lipid profile with Type 2 diabetes in first-degree relatives: A 14-year follow-up study in Iran. Diabetes Metab Syndr Obes. 2020;13:2743-50.

DOI: 10.2147/DMSO.S259697, PMID 32801820.

Elnasri HA, Ahmed AM. Patterns of lipid changes among type 2 diabetes patients in Sudan. East Mediterr Health J. 2008;14(2):314-24. PMID 18561723.

Mooradian AD. Dyslipidemia in type 2 diabetes mellitus. Nat Clin Pract Endocrinol Metab. 2009;5(3):150-9. DOI: 10.1038/ncpendmet1066, PMID 19229235.

Santos-Gallego CG, Rosenson RS. Role of HDL in those with diabetes. Curr Cardiol Rep. 2014;16(9):512. DOI: 10.1007/s11886-014-0512-5, PMID 25199216.

Goldberg IJ. Diabetic dyslipidemia: Causes and consequences. J Clin Endocrinol Metab. 2001;86(3): 965-71. DOI: 10.1210/jcem.86.3.7304.

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