Role of microalbuminuria and hs-CRP in Helicobacter pylori infected type 2 diabetes mellitus in Eastern India

Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 8

Abstract

Background: Helicobacter pylori (HP) infections are one of the few commonest worldwide which affects approximately 50% of the overall population. It is reported that high serum levels of C-reactive protein (CRP) is a novel cardiovascular risk factor that impairs endothelial function. H. Pylori infection in gastric mucosa may cause systemic inflammatory reaction. This study aimed to examine the association between the infection and serum high sensitivity C-reactive protein (hsCRP). Thus our study attempts to find the levels of microalbuminuria between H. pylori infected patients and non-infected patients in diabetes mellitus and establish its association with blood glucose levels. Materials and Methods: The case control study consists of 98 diabetic patients where 52 were clinically suspected case of H. Pylori infection and 46 without H. Pylori infection in medicine department. Serum hs CRP levels were determined with a high-sensitivity nephelometric method. Urinary albumin excretion was measured by nephelometric test for the measurement of microalbumin in urine. Three endoscopic biopsy samples were obtained from the antral mucosa of each patient. The first two biopsy samples were placed into 10% formol solution and dyed by Giemsa and hematoxylin-eosin while the third sample was given for rapid urease test and investigated for H. pylori. Results: The presence of H. pylori infection was detected in 52 of 98 diabetic patients (53.06%). The ESR and hs-CRP levels were elevated in H. Pylori infected diabetes cases as compared to non-infected diabetics www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i8.61 Syamal Modi et al JMSCR Volume 05 Issue 08 August 2017 Page 26351 JMSCR Vol||05||Issue||08||Page 26350-26356||August 2017 which were found statistically significant. The Microalbumin levels were higher in diabetic patients infected by H. pylori compared to non-infected patients (185.3 ± 90.5 vs 128.1 ± 42.6; p <0.001). However, a high positive correlation was observed between ESR with hs-CRP level (r = 0.825; P = <0.001) among H. Pylori infected diabetes subjects while no correlation was seen in non-infected diabetics (r = 0.279; P = 0.098). Conclusions: We have also observed an increase in hs-CRP and ESR levels in H.pylori infected diabetics which are also in confirmation with other fewer studies. Moreover, an association is observed between ESR and Hs-CRP in H. Pylori infected diabetics which suggest a plausible role in the pathogenesis and could be used as screening markers of the disease. hsCRP was higher among the infected individuals. The summary odd ratio indicated that H. pylori infection could influence the serum hsCRP level.

Authors and Affiliations

Mr Krishanu Pal

Keywords

Related Articles

Comparative study of Olmesartan and Telmisartan on reduction of raised diastolic blood pressure in patient with age more than 40 years

Hypertension is a major risk factor for cardiovascular morbidity and mortality. Antihypertensive drug is used to reduce blood pressure. In addition, angiotensin receptor blocker has shown beneficial effect for controllin...

A Histomorphological Study of Carcinoma Endometrium Conducted in a Tertiary Care Centre

Introduction: Endometrial carcinoma is the second most common malignant tumor of female genital system in India and its incidence is increasing globally. Histological variants include endometrioid carcinoma, serous carci...

Effect of Heavy Alcohol Consumption on Risk of Prostate Cancer among Middle Aged Men in Port Harcourt, Nigeria

Alcohol consumption is a modifiable lifestyle factor that may affect prostate cancer risk. Alcohol alters the hormonal milieu and contains chemical substances such as flavonoids (red wine), which may alter tumour cell gr...

Comparative Study of Westergren Method and Automated ESR Analyser (Microsed-10)

Background & Objectives: The erythrocyte sedimentation rate (ESR) is still widely used in clinical practice as an indicator of inflammation, infection, trauma, or malignant disease and several billion tests are being per...

Herbal Treatment of Osteoarthritis: A Hospital Based Clinical Study

Objective: To study the treatment of Cissu squadrangularis Linn and Zingiber officinalis Rosc on osteoarthritis patients in south India Methods: 60 osteoarthritis patients were selected and divided into group A, B and C...

Download PDF file
  • EP ID EP527175
  • DOI -
  • Views 70
  • Downloads 0

How To Cite

Mr Krishanu Pal (2017). Role of microalbuminuria and hs-CRP in Helicobacter pylori infected type 2 diabetes mellitus in Eastern India. Journal of Medical Science And clinical Research, 5(8), 26350-26356. https://europub.co.uk/articles/-A-527175