ECE2016 Eposter Presentations Cardiovascular Endocrinology and Lipid Metabolism (51 abstracts)
P.L. Shupyk National Medical Academy of Post-graduate Education, Kyiv, Ukraine.
Patients with diabetes mellitus (DM) type 2 is a group of high cardiovascular risk. The incidence of coronary heart disease in their 24 times higher than in the population without diabetes, 80% of cases of diabetes combined with hypertension. At the same time any change in lipid metabolism leads to increased cardiovascular risk in patients with type 2 diabetes. Statins is first-line drugs in patients with dyslipidemia.
Materials and methods: The study involved 15 patients with type 2 diabetes and dyslipidemia in mean age 59.8±1.03 years, among them, 11 women and four male. All patients was prescribed statins in mean dose 4 mg per day for 3 month. During the study were determined the levels of glycated hemoglobin (HbA1c) and lipid status before and after treatment.
Results: Analyzing the results obtained in the groups of patients a significant decrease in levels of total cholesterol, low-density lipoprotein. Triglyceride levels decreased to normal range after 3 months. Statistically significant increase in glycated hemoglobin was not confirmed.
Total cholesterol | Triglycerides | Low-density lipoprotein | Very low density lipoproteins | High-density lipoprotein | HbA1c, % | |
Before treatment (n=15) | 5.64±0.2 | 1.77±0.2 | 3.73±0.2 | 0.51±0.05 | 1.49±0.08 | 7.39±0.4 |
After treatment (n=15) | 4.38±0.2* | 1.65±0.2 | 2.53±0.2>* | 0.51±0.06 | 1.48±0.08 | 7.54±0.3 |
*Significant difference between the indices before and after treatment (P<0.05). |
Conclusions: Application of statin leads to the likely reduction in levels of total cholesterol, low density lipoprotein, indicating that effective treatment of dyslipidaemia in patients with type 2 diabetes. Statistically significant effect on glycated hemoglobin was not observed.