The Review of Diabetic Studies

Lipid Profile in Type 2 Moroccan Diabetic: Fasting Vs Non-fasting

Yousra Benabedlfedil
Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Faculty of Medicine and Pharmacy, Biomedicine and Environment Laboratory, Sidi Mohamed Ben Abdellah University, Fes, Morocco.
Amal Moumen
Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Faculty of Medicine and Pharmacy, Biomedicine and Environment Laboratory, Sidi Mohamed Ben Abdellah University, Fes, Morocco.
Mohamed Zraidi
Biology and Health Laboratory; Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.
Sara Derrou
Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Faculty of Medicine and Pharmacy, Biomedicine and Environment Laboratory, Sidi Mohamed Ben Abdellah University, Fes, Morocco.
Faycal El Guendouz
Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Faculty of Medicine and Pharmacy, Biomedicine and Environment Laboratory, Sidi Mohamed Ben Abdellah University, Fes, Morocco.

Abstract:

Objective: In the absence of a study of the applicability of postprandial lipid profiles in the Moroccan and Maghrebin population, we report a study comparing fasting and non-fasting lipid profile in a population of type 2 Moroccan diabetic. Our objective was to verify the applicability of postprandial lipid profiles in this population and secondarily determine the association of the non-fasting of lipid parameters with established cardiovascular disease. Patients and methods: In a prospective interventional before-and-after study, including type 2 Moroccan diabetic patients, aged over 18 years, received in endocrinology department of a tertiary care teaching hospital. Blood samples taken after a 12-hour fast were compared to those taken 2 to 3 hours after a standardized breakfast (postprandial test). The intraclass correlation coefficient (ICC) was used to compare the intraindividual lipid profiles. Results: 180 patients with Type 2 Diabetes Mellitus, were included in the study. The average age of patients was 59.42 ± 8.72 years with a male predominance (56.1%). The mean differences between non-fasting and fasting total cholesterol, high-density lipoprotein, triglycerides, low-density lipoprotein, and non-HDL-C were -0.04 g/L, -0.0 g/L, +0.33 g/L, -0.05 g/L, and -0.03 g/L, respectively. A good ICC correlation >75% was approved for all lipid fractions. There is no association between non-fasting lipid profile and established cardiovascular disease. Conclusion: Non-fasting lipid profiles were applicable in this population. They are more comfortable and convenient for our diabetic patients, allowing to reduce waiting times and avoid fasting-related hypoglycemia.

Keywords
Fasting, Non-Fasting, Lipid Profiles, Postprandial Lipid Profiles, Type 2 Moroccan Diabetic,.

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Editor

Demosthenes Panagiotakos
MD, PhD

Abbreviation Title

Rev Diabet Stud

Frequency

Quarterly