Universa Medicina
Vol. 33 No. 3 (2014)

Elevated uric acid level decreases glycated hemoglobin in type 2 diabetes mellitus

Muhammad Fahmi Hidayat (Division of Endocrinology & Metabolic Disease, Department of Internal Medicine, Faculty of Medicine, University of Sumatera Utara, Medan)
Santi Syafril (Division of Endocrinology & Metabolic Disease, Department of Internal Medicine, Faculty of Medicine, University of Sumatera Utara, Medan)
Dharma Lindarto (Division of Endocrinology & Metabolic Disease, Department of Internal Medicine, Faculty of Medicine, University of Sumatera Utara, Medan)



Article Info

Publish Date
02 Dec 2014

Abstract

BackgroundType 2 diabetes mellitus is a heterogeneous disease which is characterized by variable degrees of insulin resistance and impaired insulin secretion. Uric acid has been identified as a marker for a number of metabolic and hemodynamic abnormalities. In diabetic patients, there is biochemical interaction between serum glucose and purine metabolism, with increased excretion of uric acid during hyperglycemia and glycosuria. The objective of this study was to evaluate the correlation of serum uric acid levels with glycated hemoglobin (HbA1c) and blood glucose levels in type 2 diabetes patients.MethodsA cross sectional study from May until July 2014 had been done in 82 type 2 diabetes patients. Serum was analyzed for uric acid, fasting and 2-hour post prandial blood glucose and lipid profile. Spearman correlation test was used to assess associations of HbA1c, fasting and post prandial blood glucose with serum uric acid levels.ResultsThere was a negative correlation of HbA1c with serum uric acid levels (r=-0.407; p=0.000) and of fasting and post prandial blood glucose with serum uric acid levels (r=-0.338; p=0.002 and r=-0.318; p=0.004, respectively).ConclusionsSerum uric acid level was associated with HbA1c, fasting and post prandial blood glucose suggesting a significant role of serum uric acid in the deterioration of glucose toleration.

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Journal Info

Abbrev

medicina

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Description

Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through ...