بررسی همبستگی HbA1C با فاکتورهای خطر پروفایل لیپیدی در بیماران دیابتی نوع دو

Background and purpose: HbA1c is one of the best important markers in controlling of diabetic patients. Today, long-term assessment of blood glucose in diabetic patient's takes place by measuring glycosylated hemoglobin (HbA1C) .One of the main causes of death in diabetics is cardiovascular diseases that the increase in blood lipids and atherosclerosis is a major causes of these diseases. The aim of this study was investigated the relationship HbA1C with the Risk factors of blood lipids. Materials and methods: This cross-sectional study on the records of 173 patients with type 2 diabetes (female: 132 and male: 41), which were chosen based on non-probability sampling that mean age were 51.8±11.5 years. HbA1C levels and lipid profile were determined respectively by Column chromatography and enzymatic methods. Values of LDL-C/HDL-C ratio, risk factor (TCH / HDL-C) and Atherogenic Index of Plasma or AIP (Log TG / HDL-C) was calculated. Data were analyzed with statistical software SPSSver.16. Results: TG levels were significantly higher in males and HDL-C levels significantly higher in females, but the other variables did not differ between the sexes. HbA1C was showed a significant direct correlation with the TCH, TG, AIP, LDL-C, and the risk ratio. But there is not significant correlation in age, HDL-C and LDL-C/HDL-C ratio. Conclusion: Our findings indicated that HbA1C levels not only can be used as an indicator of long-term control of blood glucose but also can serve as an early warning of heart complications - cardiovascular disease in diabetics.