title: Poor glycemic control is an independent risk factor for low HDL cholesterol in patients with type 2 diabetes.
abstract: OBJECTIVE To determine whether the association observed between poor glycemic control and low HDL cholesterol in type 2 diabetes is dependent on obesity and/or hypertriglyceridemia. RESEARCH DESIGN AND METHODS We performed a cross-sectional study of 1,819 patients with type 2 diabetes and triglycerides <400 mg/dl enrolled at three diabetes centers in Italy. The risk for low HDL cholesterol was analyzed as a function of A1C levels. Odds ratios (ORs) were calculated after adjustment for confounding factors. RESULTS A 1% increase in A1C significantly increased the risk for low HDL cholesterol (OR 1.17 [95% CI 1.1-1.2], P = 0.00072); no changes were observed when age, sex, smoking, and lipid-lowering therapy were included in the model (1.17 [1.1-1.2], P = 0.00044). The association remained strong after adjustments for obesity and hypertriglyceridemia in multivariate analysis (1.12 [1.05-1.18], P = 0.00017). CONCLUSIONS Poor glycemic control appears to be an independent risk factor for low HDL cholesterol in type 2 diabetes.
authors.affiliation: Department of Clinical Sciences, Sapienza University of Rome, Rome, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Gatti
authors.forename: Marianna
authors.initials: M
authors.lastname: Maranghi
authors.forename: Simonetta
authors.initials: S
authors.lastname: Bacci
authors.forename: Claudio
authors.initials: C
authors.lastname: Carallo
authors.forename: Agostino
authors.initials: A
authors.lastname: Gnasso
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Mandosi
authors.forename: Mara
authors.initials: M
authors.lastname: Fallarino
authors.forename: Susanna
authors.initials: S
authors.lastname: Morano
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Trischitta
authors.forename: Sebastiano
authors.initials: S
authors.lastname: Filetti
mesh_terms: D017668:Age of Onset; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism*; D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood*; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood*; D003925:Diabetic Angiopathies / Q000453:epidemiology / Q000401:mortality; D050171:Dyslipidemias / Q000150:complications / Q000453:epidemiology; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008075:Lipoproteins, HDL / Q000097:blood / Q000172:deficiency; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood
chemical_list: D001786:Blood Glucose; D002784:Cholesterol; D008076:Cholesterol, HDL; D006442:Glycated Hemoglobin; D008075:Lipoproteins, HDL; D014280:Triglycerides