A comparative analysis of some biochemical parameters of the blood serum in patients with type II diabetes, abdominal obesity and arterial hypertension in the metabolic syndrome
Keywords:diabetes mellitus, metabolic syndrome, blood
Aim. To analyze the changes in the main biochemical parameters in the blood serum in patients with arterial hypertension with abdominal obesity and type II DM and create a reasonable concept for healthcare practitioners for preventing the expected complications.
Materials and methods. 25 patients with diagnosed arterial hypertension with abdominal obesity and type II diabetes mellitus were examined on the background of the metabolic syndrome at the age of 25 to 70 (men and women). To determine the components of carbohydrate, lipid metabolism and free radical oxidation in patients with type II DM with the metabolic syndrome the blood plasma was studied. Blood sampling was carried out from the ulnar vein after a twelve-hour fast. Patients with cardiovascular pathology (hypertension) and type II diabetes were combined into the group “metabolic syndrome” by biochemical characteristics. The parameters of the complete blood count were studied on a Mythic 18 apparatus (Switzerland). The levels of glucose, HbA1, insulin, C-peptide, cholesterol, bChL, aChL, triglycerides, malondialdehyde, SOD, catalase were studied.
Results and discussion. The results of our studies showed that all parameters of the carbohydrate and lipid metabolism significantly changed in the direction of their growth. Compared to the control group in patients with arterial hypertension, abdominal obesity, type II DM the concentration of glucose increased by 156.5 % p < 0.001, the concentration of glucohemoglobin – by 81.2 % (p < 0.001), the concentration of insulin – by 80.9 % (p < 0.001), the C-peptide concentration – by 178.4 % (p < 0.001), cholesterol by – 70.8 % p < 0.001, the bChL concentration – by 71.1 % (p < 0.001), the aChL concentration – by 17.3 %, the concentration of triglycerides – by 178.9 % (p < 0.001), the MDA content – by 302.4 % (p < 0.001), the activity of SOD, the enzyme of the antioxidant system, – by 58.3 % (p < 0.001), catalase – by 98.4 % (p < 0.001), GP – by 80 % (p < 0.001), IL-8 – by 171.8 % (p < 0.001), while the GSH content was reduced by 26.9 % (p < 0.001). All the data obtained and complications are directly related to insulin resistance and hyperinsulinemia.
Conclusions. In the metabolic syndrome accompanied with type II DM, arterial hypertension, and abdominal obesity, the carbohydrate and lipid metabolism is severely impaired. In the metabolic syndrome accompanied by type 2 DM arterial hypertension, abdominal obesity the products of LPO, in particular MDA, increase in the blood, enzymes of the antioxidant system – SOD and catalase are activated, the activity of GSH decreases, while the content of the pro-inflammatory cytokine IL-8 increases.
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