Correlation of microalbumin and sialic acid with anthropometric variables in type 2 diabetic patients with and without nephropathy

Abstract

Aim

The objective of this study is to correlate microalbumin and sialic acid levels with anthropometric variables in type 2 diabetic patients with and without nephropathy.

Methods

This study was a case control study and included 108 Trinidadian subjects (aged 15–60 years) of which 30 were healthy individuals, 38 had type 2 diabetes, and 40 were of type 2 diabetic patients with nephropathy. Blood pressure and waist to hip ratio were recorded. Fasting venous blood samples and urine samples were collected from all the subjects. Blood samples were analysed for the glucose, C-reactive protein, and sialic acid. Urine sample was analysed for microalbumin and sialic acid.

Results

Urinary microalbumin was higher among diabetic subjects (28.9 ± 30.3 mg/L) compared with controls (8.4 ± 10.2 mg/L) and was significantly higher in diabetic patients with nephropathy (792.3 ± 803.9 mg/L). Serum sialic acid was higher in subjects with diabetic nephropathy (71.5 ± 23.3 mg/dL) compared to diabetics (66.0 ± 11.7 mg/dL) and controls (55.2 ± 8.3 mg/dL). Increased microalbumin and sialic acid were correlated with other cardiovascular risk factors such as hypertension and waist to hip ratios (p < 0.05).

Conclusions

From these results it can be concluded that the increased microalbumin and sialic acid were strongly correlated with hypertension and waist to hip ratios in Trinidadian type-2 diabetic patients. Measurement of sialic acid, microalbumin, and waist to hip ratio along with the blood pressure is recommended for all type 2 diabetic patients to reduce the cardiovascular risk.

Keywords:

• sialic acid
• microalbumin
• diabetes

Acknowledgements

School of Graduate studies, the University of the West Indies, Trinidad supported this study. We sincerely thank Prof Lexley M Pinto Pereira for editing this article. Authors are thankful to Dr Iqbal Akhbar, Nurse Henry and Ms. Serrete of the St Joseph Health Centre; Dr Lesley Roberts and Nurse Roberts of the Mt Hope Nephrology Clinic and Drs Jaghroo and Hasranah, as well as the nursing staff of the Sangre Grande Hospital for their support throughout our study. We also wish to thank Ms Debbie Hillaire, Mr Vernie Ramkissoon and all of the Lab Technicians at the Biochemistry unit of the Faculty of Medical Sciences, UWI, St Augustine for their assistance. We are also indebted to all those who participated in our study.