International Journal of Clinical Biochemistry and Research

Innovative Education and Scientific Research Foundation

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Registered Under Government of India NGO – Indian Trust Act 1882

Study of hs-crp and insulin resistance in type 2 diabetic subjects

Article : Open access

Article type : Research Article

Volume : 7

Issue : 2

Year : 2020

Author : Dharmveer Sharma, Vidyanand Pandit

Page no : 212-215

Abstract : Introduction: A main cause of morbidity and mortality in Worldwide is Diabetes mellitus. Acute phase reactant like hs-CRP acts as a non-specific marker of inflammation. Action of insulin becomes resistant on peripheral tissues of human body in Insulin resistance (IR). Pathogenesis of type - 2 diabetes mellitus is strongly linked with Insulin resistance. Aim: The aims of this study is to assess between type-2 diabetic subjects and non-diabetic healthy subjects about the status of pro- inflammatory markers as hs-CRP and IR. Material and Methods: This study was conducted in Govt. Medical College, Shivpuri (MP). A total of 200 subjects were included in this study. Out of these, 100 were type-2 diabetes mellitus cases and 100 were non diabetic healthy subjects. They were evaluated by measurement of several physiological and biochemical parameters such as Blood Pressure, Body Mass Index, blood parameters as –Fasting Blood Sugar, Post Prandial, HbA1c, Triglyceride, Total Cholesterol, Low Density Lipoprotein, Very Low Density Lipoprotein, High Density Lipoprotein, high sensitive-C Reactive Protein, Fasting Insulin level and Homeostasis Model Assessment of Insulin Resistance. Result: hs-CRP is usually extensively increased in diabetic cases. The raised level of hs-CRP is noteworthy in diabetes mellitus cases as compared to healthy subjects. Serum Total Cholesterol, Triglyceride, VLDL and LDL levels were highly increased, whereas HDL level were significantly lower in patients of diabetes when compared to controls. hs-CRP had considerable positive correlation with insulin resistance markers and whereas negative associations with insulin sensitivity markers. Conclusion: hs-CRP and IR were strongly related with the metabolic variables and markers of Type- 2 diabetes mellitus subjects with and without complication. Results of this study show that hs-CRP can play a major role in the early detection of IR in diabetes mellitus cases. Keywords: High sensitivity C-reactive protein, (hs-CRP), Insulin resistance (IR), Homeostasis model assessment for Insulin resistance (HOMA-IR).