Relation Between Serum Uric Acid and Non Insulin Dependent Diabetes Mellitus(NIDDM)

Relation Between Serum Uric Acid and NIDDM

Authors

  • Dr. Maulik S. Nayak
  • Dr.R.M. Shah

Keywords:

Cardiovascular disease, Hyperuricemia, NIDDM

Abstract

Background & Objectives: NIDDM is an independent risk factor for cardiovascular disease. NIDDM increases the risk for all manifestations of atherosclerotic vascular disease, coronary heart disease, cerebro-vascular disease and peripheral vascular disease. Coronary heart disease mortality and morbidity rates are two to four times higher in diabetic patients than in non-diabetic subjects. NIDDM is a metabolic disorder that is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency. The aim of the study was to assess the relation between serum uric acid and NIDDM. Methods: The study group included 30 NIDDM cases and 30 control of both sex. Fasting blood samples were collected from both cases and controls in Dhiraj General Hospital, Pipariya, vadodara. Fasting blood sugar, and serum levels of uric acid, creatinine, lipid profile assayed by standard IFCC protocol. Results: There was a significant increase in fasting blood sugar, serum creatinine, uric acid, and lipid profile with exception to high density lipoprotein in NIDDM cases as compared to control. However the correlation bet ween uric acid and other parameter was not very relevant. Conclusion: The study showed significant increase in serum uric acid with the increase in blood sugar value in NIDDM. Elevated uric acid levels are associated with increased risk of cardiovascular mortality in NIDDM.

References

1. P .Shankar ,MK sundarka Management Of Type-2 Diabetes, Evidence Based Apporoach, Indian Academy Of Clinical Medicine ,Volume-2 ,No 4 ,Octo-Dec 2001 ,Page 244-249
2. Pyorala K, Laakso M, Uusitupa M.Diabetes and atherosclerosis: an epidemiologic view. Diabetes Metab Rev.1987; 3:463–524.
3. Bierman et al, Atherosclerosis in diabetes. Arterioscler Thromb. 1992; 12:647–656.
4. A. Shankar, R. Klein, B. E. K. Klein, and F. J. Nieto, “The association between serum uric acid level and long-term incidence of hypertension: population-based cohort study,” Journal of Human Hypertension, vol. 20, no. 12, pp. 937–945, 2006.
5. Waring WS, Webb DJ, Maxwell SRJ: Uric acid as a risk factor for cardiovascular disease. Q J 25: 39-42.Med. 2000, 93: 707-711
6. Modan M, Halkin H, Karasik A, Lusky A. Elevated serum uric acid: a facet of hyperinsulinemia. Diabetologia. 1987; 30:713–718.
7. Meera KS*, Vasudha KC and Sushmitha J The Study of Serum Uric Acid Levels in Non Insulin
DependentDiabetes Mellitus (NIDDM) aaasa Asian J Pharm Biol Res Jul-Sep 2011 Vol. 1(3)n Journal of Pharmaceutical and Biological Research
8. Robert l. Wortmann et al. Disorders of purine and pyramidine metabolism, in Harrison`s principle of internal medicine, 18th ed. Longo Dan L et al(eds). New York, Mc Graw Hill, 2012, pp 3181-3185.
9. Adlija Čauševid1, Sabina Semiz1,Relevance Of Uric Acid In Progression Of type2 diabetes mellitus,Bosnian journal of basic medical sciences 2010; 10 (1): 54-59
10. Derek G. Cook', A.G. Shaper1, D.S. Thelle2 and T.P. Whitehead, Serum uric acid, serum glucose and diabetes: relationships in a population study.Postgraduate Medical Journal (1986) 62, 1001-1006.
11. J. A. Robles-Cervantes,M. G. Ramos-Zavala, M. Gonz´alez-Ortiz, Relationship between Serum Concentration of Uric Acid and Insulin Secretion among Adults with Type 2 Diabetes Mellitus, International Journal of Endocrinology, November 2011
12. Dehghan A, van Hoek M, Sijbrands EJ, Hofman A, Witteman JC. High serum uric acid as a novel risk factor for type 2 diabetes. Diabetes Care2008; 31:361–362.
13. Lin SD, Tsai DH, Hsu SR. Association between serum uric acid level and components of the metabolic syndrome. J Chin Med Assoc 2006; 69:512–6.
14. K. L. Chien, M. F. Chen,H. C.Hsu et al., “Plasma uric acid andthe risk of type 2 diabetes in a Chinese community,” ClinicalChemistry, vol. 54, no. 2, pp. 310–316, 2008.
15. S. Kodama, K. Saito, Y. Yachi et al., “Association between serum uric acid and development of type 2 diabetes,” Diabetes Care, vol. 32, no. 9, pp. 1737–1742, 2009.
16. Omar Khalid Alboqai, PhD, Asad Abu Odeh, MD Obesity and Serum Uric Acid Bahrain Medical Bulletin, Vol. 29, No. 3, September 2007.

Downloads

Published

2013-10-31

How to Cite

Nayak, D. M. S., & Shah, D. (2013). Relation Between Serum Uric Acid and Non Insulin Dependent Diabetes Mellitus(NIDDM): Relation Between Serum Uric Acid and NIDDM. National Journal of Integrated Research in Medicine, 4(5), 70–73. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2234

Issue

Section

Original Articles