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Le TD, Nguyen NPT, Nguyen ST, Nguyen HT, Tran HTT, Nguyen THL, Nguyen CD, Nguyen GT, Nguyen XT, Nguyen BD, Trinh ST, Ngo TA, Do BN, Luong TC. The Association Between Femoral Artery Intima-Media Thickness and Serum Glucagon-Like Peptide-1 Levels Among Newly Diagnosed Patients with Type 2 Diabetes Mellitus. Diabetes Metab Syndr Obes 2020; 13:3561-3570. [PMID: 33116707 PMCID: PMC7548854 DOI: 10.2147/dmso.s264876] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 08/20/2020] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION Endothelium dysfunction and decrease of incretin effects occur early in type 2 diabetes mellitus and these changes contribute to diabetic cardiovascular complications such as atherosclerosis, thick intima-media, coronary, and peripheral arterial diseases. In patients with diabetes, the femoral artery is a site of a high incidence of injury in peripheral vascular diseases, and atherosclerotic changes may appear earlier in the femoral artery compared to the carotid artery. This study was conducted to determine the prevalence of increased femoral artery intima-media thickness (IMT) and atherosclerotic plaque and their correlation with serum glucagon-like peptide-1 (GLP-1) levels in newly-diagnosed patients with type 2 diabetes mellitus. MATERIALS AND METHODS A cross-sectional study was conducted on 332 patients with nT2D in the National Endocrinology Hospital, Vietnam from January 2015 to May 2018. IMT was measured by Doppler ultrasound and GLP-1 by enzyme-linked immunosorbent assay (ELISA). All data were analyzed with SPSS version 26 for Windows (SPSS Inc, Chicago, IL). RESULTS Prevalence of thick femoral artery IMT and atherosclerotic plaque was 38.2 and 22.3%, respectively. There was a relationship between IMT and age, waist to hip ratio (WHR), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting GLP-1, high sensitive CRP (hsCRP) and 24-hour microalbuminuria secretion (24-h MAUS). The fasting serum GLP-1 (fGLP-1) levels were reduced significantly in patients with thickness and atherosclerosis femoral artery (p = 0.001). After adjusting with other related factors, namely, DBP and estimated glomerular filtration rate (eGFR), whilst hsCRP and 24-h MAUS showed a significantly positive correlation to IMT (Standardized B and p of 0.242, 0.004 and 0.178, 0.043, respectively), fGLP-1 showed a significantly negative correlation to IMT (Standardized B = -0.288, p = 0.001). CONCLUSION Among n2TD, the percentage for femoral artery thick IMT and atherosclerosis was 38.2% and 22.3% respectively, and serum GLP-1 was negatively correlated with thick IMT and atherosclerosis.
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Affiliation(s)
- Tuan Dinh Le
- Department of Internal Medicine, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam
| | - Nga Phi Thi Nguyen
- Department of Endocrinology, Military Hospital 103, Ha Noi, Vietnam
- Department of Rheumatology and Endocrinology, Vietnam Military Medical University, Ha Noi, Vietnam
| | - Son Tien Nguyen
- Department of Endocrinology, Military Hospital 103, Ha Noi, Vietnam
- Department of Rheumatology and Endocrinology, Vietnam Military Medical University, Ha Noi, Vietnam
| | - Hien Thi Nguyen
- Department of Physiology, Thai Binh university of Medicine and Pharmacy, Thai Binh, Vietnam
| | - Hoa Thanh Thi Tran
- Department of Intensive Care Unit, National Hospital of Endocrinology, Ha Noi, Vietnam
| | - Thi Ho Lan Nguyen
- Department of Internal Medicine, National Hospital of Endocrinology, Ha Noi, Vietnam
| | - Cuong Duy Nguyen
- Department of Intensive Care Unit, Thai Binh university of Medicine and Pharmacy, Thai Binh, Vietnam
| | - Giang Thi Nguyen
- Department of Internal Medicine, National Hospital of Endocrinology, Ha Noi, Vietnam
| | - Xuan Thanh Nguyen
- Department of Vascular Cardiology, Military Hospital 103, Ha Noi, Vietnam
| | - Bac Duy Nguyen
- Department of Anatomy, Vietnam Military Medical University, Ha Noi, Vietnam
| | - Son The Trinh
- Military Institute of ClinicalEmbryology and Histology, Vietnam Military Medical University, Ha Noi, Vietnam
| | - Tuan Anh Ngo
- Department of Health Economic, Vietnam Military Medical University, Ha Noi, Vietnam
| | - Binh Nhu Do
- Department of Infectious Disease, Vietnam Military Medical University, Ha Noi, Vietnam
- Division of Military Science, Military Hospital 103, Ha Noi, Vietnam
| | - Thuc Cong Luong
- Department of Vascular Cardiology, Military Hospital 103, Ha Noi, Vietnam
- Director Office, Military Hospital 103, Ha Noi, Vietnam
- Correspondence: Thuc Cong Luong; Son The Trinh Email ;
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