›› 2012, Vol. 27 ›› Issue (11): 936-939.

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Analysis on homeostasis model assessment of serum iron and ferritin levels in patients with type 2 diabetes mellitus

  

  1. Department of Clinical Laboratory,Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai Traditional Chinese Medicine University,Shanghai 200071,China
  • Received:2012-05-30 Revised:2012-07-22 Online:2012-11-30 Published:2012-11-14

Abstract: Objective To investigate the correlation of type 2 diabetes mellitus(T2DM)with homeostasis model assessment(HOMA),serum iron(Fe) and ferritin(Ferr)levels. Methods A total of 79 patients with T2DM and 50 healthy subjects(control group)were enrolled,and the levels of Fe and fasting insulin(FINS),C-peptide(C-p),glycated albumin(GA),Ferr,fasting plasma glucose(FPG),glycosylated hemoglobin(HbA1C),homeostasis model assessment-insulin resistance(HOMA-IR)index and homeostasis model assessment-pancreatic islet beta cell function(HOMA- β) index were determined and analyzed statistically.The Spearman correlation analysis was performed. Results Fe and Ferr levels in males were significantly higher than those in females in the control group(P<0.05).The FINS,GA,Ferr,FPG,HbA1C and HOMA-IR levels in the T2DM group were significantly higher than those in the control group,and HOMA- β indices were significantly lower than those in the control group (P<0.05).The level of Ferr was positively correlated to GA,FPG,HbA1C and HOMA-IR[correlation coefficients(r)were 0.328,0.333,0.315(P<0.01)and 0.196(P<0.05)].The level of Ferr was negatively correlated with HOMA-β indices(r=-0.246,P<0.01).The level of Fe had no significant correlation with HOMA-IR and HOMA- β indices(r=-0.049 and 0.039,P>0.05). Conclusions When the Ferr level increases,the insulin resistance degree increases,and the sensitivity of beta cell insulin secretion decreases in the patients with T2DM.

Key words: Iron, Ferritin, Serum, Homeostasis model assessment, Type 2 diabetes mellitus