The Association of Carotid Intima-Media Thickness and Postprandial Dyslipidemia in Patients with Type 2 Diabetes

authors:

avatar ME Khamseh 1 , avatar K Soltani 2 , avatar J Rafiee 1 , avatar A Mokhber 1 , avatar H Baradaran 3 , *

Medical Education & Development Centre, Iran University of Medical Sciences, I.R.Iran
Medical Education & Development Centre, Iran University of Medical Sciences, Tehran, I.R.Iran
Medical Education & Development Centre, Iran University of Medical Sciences, baradaran@iums.ac.ir, I.R.Iran

how to cite: Khamseh M, Soltani K, Rafiee J, Mokhber A, Baradaran H. The Association of Carotid Intima-Media Thickness and Postprandial Dyslipidemia in Patients with Type 2 Diabetes. Int J Endocrinol Metab. 2007;5(1): 5-8. 

Abstract

This research aimed at investigating the correla-tion between postprandial dyslipidemia and ca-rotid intimae-media thickness in people with dia-betes. Materials and Methods: In 28 diabetic patients and 22 age and sex- matched healthy adults, the carotid intimae-media thickness was measured using Doppler ultrasound. Blood glucose, total cholesterol, triglycerides, LDL and HLD choles-terol level were measured after overnight fasting and again 4 hours after a standard high-fat meal. Results: The carotid intimae-media thickness of diabetic patients was greater than normal sub-jects (0.96±0.29 mm vs. 0.75±0.17 mm, respec-tively p=0.008). Diabetic patients showed post-prandial hypertriglyceridemia (P=0.03). In pa-tients with fasting hyperglycemia and postpran-dial hypertriglyceridemia, carotid intimae-media thickness was greater than in patients with nor-mal levels (p=0.04 and p=0.03 respectively). Conclusion: Postprandial hypertriglyceridemia and fasting hyperglycemia may be an independ-ent risk factor for early atherosclerosis and macrovascular disease in individuals with type 2 diabetes.

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