EFFECT OF ORAL FAT LOAD ON SERUM LIPIDS IN NON-INSULIN-DEPENDENT DIABETES MELLITUS SUBJECTS

Main Article Content

Dr Ezmat Jalil
Dr. Enam Ahmad
Dr Rajmangal Chowdhary

Keywords

non-insulin-dependent diabetes mellitus, Incremental AUC, triglyceride

Abstract

Background and Objective: Modest elevation of plasma triglycerides and lowering of high-density lipoprotein cholesterol are the characteristic features of dyslipidemia in non-insulin-dependent diabetes mellitus and insulin resistance. This study aim of the present study is to assess the effect of oral fat load on serum lipids in NIDDM subjects


Materials and Methods: This study was conducted at the Darbhanga Medical College and Hospital, Laheriasarai, and comprised 21 controlled diabetes and 11 age-sex-matched controlled subjects. All diabetes were the cases of non-insulin-dependent diabetic patients with no history of Ischemic Heart Disease, non-hypertensive, and controlled either on oral hypoglycemics or only on diet control. The institutional research committee approved the research protocol.


Results: Fat load is inefficiently metabolized in diabetic patients, even when the disease is mild and controlled. The study also confirms earlier observations that different factors influence post-prandial lipemia in different subsets of individuals.


Conclusion: Based on the previous studies and based on the results of the present study it can be concluded that such a protocol might help in detecting persons in high-risk groups even when their fasting values are within normal range.

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References

. Pari L, Latha M. Effect of Cassia auriculata flowers on blood sugar levels, serum and tissue lipids in streptozotocin diabetic rats. Singapore Med J 2002; 43:617-21.
2. Palanduz S, Ademoglu E, Gokkusu C, et al. Plasma antioxidants and type 2 diabetes mellitus. Res Commun Mol Pathol Pharmacol 2001; 109:309-18.
3. Mahboob M, Shireen KF, Atkinson A, et al. Lipid peroxidation and antioxidant enzyme activity in different organs of mice exposed to low level of mercury. J Environ Sci Health B 2001; 36:687-97.
4. Maritim AC, Sanders RA, Watkins JB 3rd. Diabetes, oxidative stress, and antioxidants: a review. J Biochem Mol Toxicol 2003; 17:24-38
5. Taskinen M-R. Insulin resistance and lipoprotein metabolism. Curr Opin Lipidol 1995; 6: 153-60.
6. West KM, Ahuja MM, Bennett PH, et al. The role of circulating glucose and triglyceride concentrations and their interactions with other 'risk factors' as determinants of arterial disease in nine diabetic population samples from the WHO multinational study. Diabetes Care 1983; 6:
7. Fontbonne A, Eschwege E, Cambien F, et al. Hypertriglyceridaemia as a risk factor of coronary heart disease mortality in subjects with impaired glucose tolerance or diabetes. Results from the 11-year follow-up of the Paris Prospective Study. Diabetologia 1989; 32: 300-4.
8. Laakso M, Lehto S, Penttila I, Pyorala K. Lipids and lipoproteins predicting coronary heart disease mortality and morbidity in patients with non-insulin-dependent diabetes. Circulation 1993: 88: 1421 -30.
9. Matthews JNS, Altman DG, Campbell MJ, et al: Analysis of serial measurements in medical research. Br Med J 300:230-235, 1990
10. Patsch JR, Inter relationship between blood level of HDL and magnitude of post prandial lipemia: Proc. Natal. Acad. Sci. USA, 1983; 80: 1449.
11. Akanji AO, Ezenwaka C, Adejuwon CA, Osotimehin BO. Plasma and salivary concentrations of glucose and cortisol during insulin-induced hypoglycaemic stress in healthy Nigerians. Afr J Med Med Sci. 1990 Dec 1;19(4):265-9.
12. Havel RJ. Functional activities of hepatic lipoprotein receptors. Annual review of physiology. 1986 Mar;48(1):119-34.
13. Fontbonne A, Eschwege E, Cambien F, Richard JL, Ducimetiere P, Thibult N, Warnet JM, Claude JR, Rosselin GE. Hypertriglyceridaemia as a risk factor of coronary heart disease mortality in subjects with impaired glucose tolerance or diabetes. Diabetologia. 1989 May;32(5):300-4.
14. Brunzell JD, Hokanson JE. Low-density and high-density lipoprotein subspecies and risk for premature coronary artery disease. The American journal of medicine. 1999 Aug 23;107(2):16-8.
15. Taskinen M, Saarinen-Pihkala UM, Hovi L, Lipsanen-Nyman M. Impaired glucose tolerance and dyslipidaemia as late effects after bone-marrow transplantation in childhood. The Lancet. 2000 Sep 16;356(9234):993-7.
16. Dunn FL, Ruskin P. the effect of diabetics control on VLDL triglyceride metabolism in patients with NIDDM. Metabolism 1994;33: 117-23.
17. Fielding CJ, Bist A, Fielding PE.Intracellular Cholesterol Transport in Synchronized Human Skin Fibroblasts Biochemistry 1999; 38 (8): 2506-2513
18. Lewis GF, O'meara NM, Soltys PA, Blackman JD, Iverius PH, Pugh WL, Getz GS, Polonsky KS. Fasting hypertriglyceridemia in non insulin-dependent diabetes mellitus is an important predictor of postprandial lipid and lipoprotein abnormalities. The Journal of Clinical Endocrinology & Metabolism. 1991 Apr 1;72(4):934-44.
19. Nestel PJ, Denborough MA, O'dea J. Disposal of human chylomicrons administered intravenously in ischemic heart disease and essential hyperlipemia. Circulation Research. 1962 May;10(5):786-91.
20. Datta M. Plasma lipid partition in normals and CAD following oral administration of 70g butter fat. Ind. J. Med. Res. 1997; 55:1318.
21. Kruss XH. chylomicrons metabolismin coronary atherosclerosis. Arteriscl 1987; 80: 531.
22. Patsch W, Esterbauer H, Föger B, Patsch JR. Postprandial lipemia and coronary risk. Current atherosclerosis reports. 2000 May;2(3):232-42