International Journal of Research in Medical Sciences | October 2021 | Vol 9 | Issue 10 Page 3099
International Journal of Research in Medical Sciences
Jaidev A et al. Int J Res Med Sci. 2021 Oct;9(10):3099-3104
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Gender based differences in lipid profile and other novel atherogenic
risk factors in type-2 diabetes mellitus patients
Arpita Jaidev
1
*, Hitesh Shah
1
, Mayank K. Chaturvedi
2
INTRODUCTION
Diabetes at present affects 62 million Indians, which
constitutes 7.1% of the adult population.
1
The risk of
developing cardiovascular disease is 2-4 times higher
among people with diabetes as weighed against people
without diabetes.
2
Gender-based differences in the way
cardiovascular risk factors and risk of Cardiovascular
disease is distributed among patients with diabetes, has
been examined by several studies which tip-off towards
excess risk factor clustering among females, thus
rendering them at an increased risk of Cardiovascular
disease as compared to men. In women DM may meddle
with protective mechanisms in the vascular wall and
thereby lead to enhanced atherogenesis.
3
Cardiovascular-
disease is a multifactorial condition and major risk factors
(i.e., obesity, hypertension, and dyslipidemia) have all
demonstrated to have a say in its occurrence.
4
1
Department of Biochemistry, Pramukhswami Medical College. Karamsad, Gujarat, India
2
Department of Dentistry, GMERS Medical College and Hospital Dharpur, Patan, Gujarat, India
Received: 08 August 2021
Revised: 11 September 2021
Accepted: 13 September 2021
*Correspondence:
Dr. Arpita Jaidev,
E-mail: apjaidev@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Utilization of lipids and lipoproteins gets altered in diabetes mellitus (DM) leading to atherogenic
dyslipidemia. This study evaluates cardiovascular risk profile of diabetic men and women, including conventional
lipid profile and novel risk factors namely lipid ratios, atherogenic coefficient and atherogenic index.
Methods: In all 200 diabetic patients (100 males and 100 females) aged 18-65 years who were under treatment were
randomly sampled for the study. Socio-demographic data were collected. Glycated hemoglobin levels, lipid profile,
fasting blood sugar, were estimated using standard procedures. Anthropometric variables such body mass index
(BMI) was measured, systolic and diastolic blood pressures were also taken. There was no difference between men
and women with respect to duration of DM and type of treatment.
Results: Lipid profile estimates showed that diabetic females had higher level of total cholesterol (TC) (198.07 vs
169.5 mg/dl) and higher level of high-density lipoprotein (HDL)-C (43.99 vs. 41 mg/dl) as compared to males. All the
parameters that are raised total cholesterol, triglyceride levels and low-density lipoprotein (LDL) levels were observed
in significantly higher proportion of females as compared to males. The values of atherogenic indices [CR1, CR2, AC
and atherogenic index of plasma (AIP)] for both genders were higher than the baseline value. In this study females
had higher mean non-HDL 154 mg/dl as compared to males mean non-HDL 129 mg/dl and this study showed that
female participants held on in high-risk AIP category and so they were at a higher risk of developing coronary heart
condition.
Conclusions: Dyslipidemia was observed in a greater proportion of female diabetic patients than male diabetic
patients
Keywords: Diabetes, Lipid profile, Dyslipidemia, Atherogenic indices, Novel cardiovascular risk factors
DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20213940