Alterations in liver enzymes in type 2 diabetes mellitus
Introduction: Liver plays an important role in regulation of blood glucose in fed state as well as in fasting. Diabetes mellitus can result as a consequence of liver disorder and vice versa. Objective of our study is to compare the liver enzymes in type 2 diabetic patients as compared to non-diabetic patients.
Methodology: A case- control study was conducted in the Department of Biochemistry, Karwar Institute of Medical Sciences, Karwar from January 2015 to December 2015. We collected the data of 54 diabetic patients and 57 healthy people as controls. Random blood glucose, aspartate aminotransferase (AST), alanine amino transferase (ALT) and alkaline phosphatase (ALP) were estimated in the study subjects.
Results: We found that AST levels (33.38±2.19 U/L) in diabetics extremely significantly high as compared to controls (24.82 ± 0.95 U/L). ALT levels were also extremely significantly high in diabetics, 27.69±1.96 U/L as compared to 19.32±1.22 U/L in controls. Correlation study showed a weak positive correlation between AST, ALT and blood glucose. Odds ratio showed a higher risk of liver disorder in diabetics.
Conclusion: Diabetics had high liver enzymes as compared to non-diabetics. An association was found between type 2 diabetes mellitus and liver enzymes.For better characterization of cause and effect, further studies need to be done on alterations in liver function tests along with the histopathological analysis of liver biopsy samples.
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