Type 2 daibetes mellitus (T2DM) is a global concern boosted by both population growth and ageing, the majority of affected people are aged between (40- 59 year). The objective of this research was to estimate the impact of age and gender on glycaemic control parameters: Fasting blood glucose (FBC), glycated hemoglobin (HbA1C), insulin, insulin resistance (IR) and insulin sensitivity (IS), renal function parameters: urea, creatinine and oxidative stress parameters: total antioxidant capacity (TAC) and reactive oxygen species (ROS). Eighty-one random samples of T2DM patients (35 men and 46 women) were included in this study, their average age was 52.75±9.63 year. Current study found that FBG, HbA1C and IR were highly significant (P<0.01) increased by increasing age. The lowest level of FBG was in the age group 30-39 years, which was a high significant (P<0.01) lower than other age groups 40-49, 50-59 and ³ 60 years. The highest level of HbA1C was in advanced age group ³ 60years, which was significantly (P<0.01) highest than other groups 30-39, 40-49 and 50-59 years. The highest level of IR was in the older age group ³ 60 years, which was significantly (P<0.01) highest than other age groups 30-39, 40-49 and 50-59 years. Insulin hormone level showed no significant (P>0.05) differences between age groups. Insulin sensitivity decreased in older age group ³ 60years compared with the other age groups with a highly significant differences. The results shows a highly significant (P<0.01) increasing in levels of urea and creatinine with increasing age. The lowest level of urea was found in 30- 39 and 40-49 year compared with other age groups, highest levels of creatinine were in 50-59 and ³ 60 age groups, which were significantly (P<0.01) highest than 30-39, 40-49 years age groups. In present study, the levels of TAC decreased by age. Third age group 50-59 showed the lowest level of TAC, which was significantly (P<0.05) lower than other age groups 30-39, 40-49 and ³ 60 years. Statistical analysis showed that the level of ROS was significantly (P<0.05) increased in advanced age groups 50- 59 and ³ 60years compared with other age groups 30-39 and 40-49 years. Statistical analysis revealed a significant (P<0.05) increased in levels of FBG in women compared with men, while insignificant differences (P>0.05) found in the HbA1c and insulin levels. A highly significant (P<0.01) increased in IR value was also found in women compared with men. Also, statistical analysis show that IS value was significantly decrease in women compared with men. The statistical analysis showed a nonsignificant differences for increasing levels of urea in women compared to men, while current finding showed a highly significant (P<0.01) increase in creatinine levels in men as compared with women. The present study showed insignificant increasing in the mean of TAC in men compared to women. While, the mean of ROS was significantly (P<0.05) increase in women compared to men.
Objective: This study was conducted to identify the association of HLA-DRB1/DQB1 genes with the susceptibility or resistance to type 1 diabetes mellitus (T1D) among patients between the ages of five and eighteen.
Subjects and Methods: The study included 200 Sudanese participants, ages ranging from 5 to 18. One hundred participants were healthy non-diabetic as the control group and 100 with T1D as the case group. The investigation was carried out in Khartoum state. The selection of patients with T1D was from diabetic centers and hospitals. The allele-specific-refractory mutation system-polymerase chain reaction (ARMS-PCR) techniq
... Show MoreAspartate aminotransferase was purified from urine and serum of patients with type 2 diabetes in a 2 steps procedure involving dialysis bag and sephadex G-25 gel filtration (column chromatography). The enzyme was purified 346.23 fold with 1467% yield and 3.46 fold with 142.85% yield in urine and serum of patients with type 2 diabetes respectively. The purified enzyme showed single peak. The results of this study revealed that AST activity of type 2 diabetes urine and serum increased significantly (p<0.001) compared with control group.
Background: Type 2 diabetes mellitus (T2DM) characterized by insulin resistance (IR) and progressive decline in functional beta (β) cell mass partially due to increased β cell apoptosis rate. Pancreatic stone protein /regenerating protein (PSP/reg) is produced mainly by the pancreas and elevated drastically during pancreatic disorder. Beta cells are experiencing apoptosis that stimulate the expression of PSP/reg gene in surviving neighboring cells, and that PSP/reg protein is subsequently secreted from these cells which could play a role in their regeneration.
Objectives: To analyze serum levels of PSP/reg protein in T2DM patients and evaluate its correlation with the microvasc
... Show MoreDespite efforts to contain and manage the SARS-CoV-2 outbreak which was declared a public health emergency of international concern in January 2020 by the World Health Organization (WHO), the COVID-19 pandemic still remains a major global challenge. Patients who display the classical symptoms of the infection are easily identified, tested, isolated and monitored. However, many cases of infected asymptomatic patients have been documented. These patients are not easily identified even though many evidences suggest that they can spread the virus to others. How and why these COVID-19 asymptomatic presentations occur remain unclear. The many theories and views are conjectural, and supporting evidences are still needed. In this review, we
... Show MoreType 2 diabetes mellitus is often characterized by hyperglycemia as a result of increased insulin resistance in hepatic/peripheral tissues and pancreactic B-cell dysfunction. Approximately 92% of patients with type 2 diabetes mellitus demonstrate insulin resistance, however hyperglycemia is always a consequence of insulin deficiency. This study was done on 120 patients newly diagnosed diabetes type 2 characterized by dyslipidemia that is increased triglycerides and decreased HDL. Hypoglycemia and weight gain are common problem with oral sulfonyl urea drugs. In this work three different oral hypoglycemic drugs repaglinide and glibenclamide (insulin secretagogues) and rosiglitazone (insulin sensitizer) were used for treatment of patients w
... Show MoreCombination therapy with a dipeptidyl peptidase–4 inhibitor and metformin or metformin+ glibenclamide results in substantial and additive glucose- lowering effects in Iraqis patients with type 2 diabetes mellitus . This study evaluated the glycemic control by using two groups of combinations of drugs metformin + glibenclamide and metformin + sitagliptin in Baghdad teaching hospital / medical city. 68 T2DM patients and 34 normal healthy individuals as control group were enrolled in this study and categorized in to two treatment groups. The group 1 (34 patients ) received ( metformin 500 mg three times daily + glibenclamide 5 mg twice daily ) and the group 2 (34 patients) received (metformin 500 mg three times daily + sitaglip
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