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Year : 2010  |  Volume : 1  |  Issue : 2  |  Page : 3

Assessment of the risk for metabolic syndrome in prediabetes and newly-diagnosed type 2 diabetes

1 Department of Diabetology, Clinical Centre of Endocrinology, Medical University, Sofia, Bulgaria
2 New Bulgarian University, Sofia, Bulgaria

Correspondence Address:
T I Tankova
Associate Professor, Clinical Centre of Endocrinology University Hospital of Endocrinology Medical University, Sofia 12, Narodno Sabranie sq. 1000 - Sofia, Bulgaria

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Source of Support: None, Conflict of Interest: None

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The aim of the present study was to assess the risk for metabolic syndrome (MetS) in subjects with pre- diabetes - impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) and in newly- diagnosed type 2 diabetes (NDD). The metabolic syndrome parameters (according to 2005 IDF definition) and high-sensitive C-reactive protein (hsCRP) were measured in 727 subjects - 238 with IFG, 184 with IGT and 305 with NDD. The unadjusted prevalence of MetS was 84.03% in IFG, 89.13% in IGT and 89.51% in NDD. The odds ratio (OR) for prevalent MetS was 8.82 (95% CI, 3.19 -19.8, p<0.001) in IFG, 11.26 (95% CI, 4.18 -24.6, p<0.001) in IGT and 4.87 (95% CI, 2.10 -9.50, p<0.001) in NDD. Of the different studied parameters, the OR for metabolic syndrome was significant for female sex - 2.31 (95% CI, 1.45-4.35, p=0.009), fasting plasma glucose - 2.30 (95% CI, 1.56 -3.40, p<0.001), waist circumference - 1.36 (95% CI, 1.12-1.42, p<0.001), HDL -cholesterol - 0.273 (95% CI, 0.14-0.52, p=0.01) and triglycerides - 3.84 (95% CI, 2.61-5.66, p<0.0001). Significantly higher hsCRP level s were found in all groups with MetS as compared to those without MetS. The prevalence of MetS in pre-diabetes is rather high, being similar to that in newly-diagnosed type 2 diabetes. The risk for MetS is even higher in pre-diabetes as compared to NDD. Therefore IFG and IGT should be considered not just as conditions of altered glucose metabolism but also in relation to their association with cardiovascular risk factors.

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