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Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes

Received: 2 August 2021    Accepted: 26 August 2021    Published: 11 September 2021
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Abstract

Introduction: The C-peptide assay is the more reliable indicator of insulin secretion than insulin itself, making it possible to optimize the treatment and to anticipate the evolution of complications linked to type 2 diabetes. The present study reports the relationship between the levels of C-peptide, the body mass index and the duration of type 2 diabetes in two hospitals (General Hospital and Gyneco-Obstetric and Pediatric Hospital) in the city of Douala Cameroon. The aim of this study was to assess relationship between serum C-peptide levels with some patient characteristics such as duration in type 2 diabetes and obesity. Methods: We carried out an analytical cross-sectional study over a period of 9 months of patients with type 2 diabetes regularly monitored at the General Hospital and Gyneco-Obstetric and Pediatric Hospital of Douala Cameroon. We included any patient whose diagnosis of type 2 diabetes was mentioned in the medical file. The C-peptide assays after fasting blood sampling were carried out according to the principle of electro-chemiluminescence assay. The ANOVA and PEARSON tests made it possible to compare groups and look for correlations between C-peptide and other variables. The significant threshold was set at P˂0.05. Results: We included 90 subjects with a mean age of 58±12.31 years. The average BMI was 28.18±5.51 kg/m2. The mean duration of diabetes was 8.71±6.94 years, the mean C-peptide level was 2.50±1.68 ng/ml. We found that C-Peptide levels increased with body mass index (P=0.004) and patient age (P=0.004). Conversely, we found that C-peptide levels increased with duration of diabetes but not significantly (P=0.411). Conclusion: The C-peptide levels make it possible to objectify the residual secretion of pancreatic beta cells. We found that C-peptide levels increases with increasing body mass index, but they were no significant correlation between C-peptide levels and the diabetes duration.

Published in American Journal of Biomedical and Life Sciences (Volume 9, Issue 5)
DOI 10.11648/j.ajbls.20210905.12
Page(s) 236-238
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

C-peptide, Type 2 Diabetes, Douala

References
[1] Organisation Mondiale de la santé Rapport mondial sur le diabète, 2016. http://apps.who.int/iris/bitstream/10665/254648/1/9789242565256-fre.pdf?ua=1 (consulté le 24/09/2017).
[2] Sauvanet J. P, Sheen A. J, Ziegler O., Drouin P., « insulino sensibilité, surcharge pondérale et diabète de type 2 » Diabetes Metab, 2001, 27, cahier 2, 189-293.
[3] Léonel Soyeux et al. «effet of immigration in France on type 2 diabetes mellitus risk» 8 december 2003, p 31.
[4] Chan W. B., Chan J. C., Chow C. C., Young V. T., So W. Y., Li J. K., and al. Glycaemic control in type 2 diabetes: the impact of body weight, beta-cell function and patient education QJM 2000; 93: 183-190.
[5] Polonsky K. S. Lilly lecture 1994. The β-cell in diabetes: from molecular genetics to clinical research Diabetes 1995; 44: 705-717.
[6] J. HAZARD, L. PERLEMUTER. Endocrinologie (ABREGES), 2e édition MASSON Paris New York Barcelone Milan Mexico Sao Paulo 1983. p 551.
[7] Zhou S, Meng X, Wang S, Ren R, Hou W, Huang K et al. A 3- year follow up study of B-cell function in patients with early-onset type 2 diabetes; Experimental and therapeutic medicine 2016; 12: 1097-102.
[8] Siraj ES, Reddy SSK, Scherbaum WA, Abdulkadir J, Hammel JP, Faiman C. Basal and postprandial c-peptide levels in Ethiopians with diabetes. Diabetes care 2002; 25 (3): 453-7.
[9] Chowta MN, Adhikari PM, Chowta NK, Shenoy AK, D’Souza S. Serum c-peptide level and renal function in diabetes mellitus. Indian Journal of Nephrology, 2010; 20 (1): 25-27.
[10] Beliakin SA, Serebrennikov VN, Shklovskii BL, Patsenko MB. C-peptide as an early diagnostic of metabolic syndrome and indicator of cardiovascular disease in patients with type 2 diabetes mellitus. Voen Med Zh 2014; 335 (10): 46-9.
[11] Gary TCK et al. Effects of interactions between c-peptide levels and insulin treatment on clinical outcomes among patients with type 2 diabetes mellitus. CMAJ 2009; 180 (9): 919-926.
[12] www.inpes.sante.fr- le disque de calcul de l’indice de masse corporel chez l’adulte.
[13] www.roche.com: notice C-peptide Elecsys 2013-11, V 9.0 English.
[14] Anand Sonwane, L. Romesh Sharma, Santa Naorem, Lallan Prasad, Salam Ranabir; Fasting c-peptide level and its correlation with body mass index and duration of diabetes in type 2 diabetes.
[15] Thunander M, Torn C, Peterson C, Ossiansson B, Fornander J, Landin-Olsson M. Levels of C-peptide, BMI, and age, and their utility for classification of diabetes in relation to autoimmunity, in adults with newly diagnosed diabetes in Kronoberg, Sweden. Eur J Endocrinol 2012; 166: 1021-1029.
[16] Inukai T, Matsutomo R, Tayama K, Aso Y, Takemura Y. Relation between the serum level of C-peptide and risk factors for coronary heart disease and diabetic microangiopathy in patients with type-2 diabetes mellitus. Exp Clin Endocrinol Diabetes 1999; 107: 40-45.
[17] Nakayama H, Kato T, Nakayama S, Kaku H, Muraishi K, Tokubuchi I, Hara K et al. Cross sectional and longitudinal analysis of factors contributing to the progressive loss of the beta cell function in type 2 diabetes mellitus. Intern Med 2015; 54 (16): 1971-6.
[18] Sari R, Balci MK. Relationship between C peptide and chronic complications in type-2 diabetes mellitus. J Natl Med Assoc 2005; 97: 1113–1118.
[19] Zangeneh F, Arora PS, Dyck PJ, Bekris L, Lernmark A, Achenbach SJ. Effects of duration of diabetes on insulin secretion. Endocr. Pract. 2006; 12 (4): 388-393.
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  • APA Style

    Manta Diane, Mbango-Ekouta Noel Désirée, Nda Mefo'o Jean Pierre, Assiene Oyong Damase Serge, Eloumou Bagnaka Servais, et al. (2021). Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes. American Journal of Biomedical and Life Sciences, 9(5), 236-238. https://doi.org/10.11648/j.ajbls.20210905.12

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    ACS Style

    Manta Diane; Mbango-Ekouta Noel Désirée; Nda Mefo'o Jean Pierre; Assiene Oyong Damase Serge; Eloumou Bagnaka Servais, et al. Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes. Am. J. Biomed. Life Sci. 2021, 9(5), 236-238. doi: 10.11648/j.ajbls.20210905.12

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    AMA Style

    Manta Diane, Mbango-Ekouta Noel Désirée, Nda Mefo'o Jean Pierre, Assiene Oyong Damase Serge, Eloumou Bagnaka Servais, et al. Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes. Am J Biomed Life Sci. 2021;9(5):236-238. doi: 10.11648/j.ajbls.20210905.12

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  • @article{10.11648/j.ajbls.20210905.12,
      author = {Manta Diane and Mbango-Ekouta Noel Désirée and Nda Mefo'o Jean Pierre and Assiene Oyong Damase Serge and Eloumou Bagnaka Servais and Adiogo Dieudonné},
      title = {Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {9},
      number = {5},
      pages = {236-238},
      doi = {10.11648/j.ajbls.20210905.12},
      url = {https://doi.org/10.11648/j.ajbls.20210905.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20210905.12},
      abstract = {Introduction: The C-peptide assay is the more reliable indicator of insulin secretion than insulin itself, making it possible to optimize the treatment and to anticipate the evolution of complications linked to type 2 diabetes. The present study reports the relationship between the levels of C-peptide, the body mass index and the duration of type 2 diabetes in two hospitals (General Hospital and Gyneco-Obstetric and Pediatric Hospital) in the city of Douala Cameroon. The aim of this study was to assess relationship between serum C-peptide levels with some patient characteristics such as duration in type 2 diabetes and obesity. Methods: We carried out an analytical cross-sectional study over a period of 9 months of patients with type 2 diabetes regularly monitored at the General Hospital and Gyneco-Obstetric and Pediatric Hospital of Douala Cameroon. We included any patient whose diagnosis of type 2 diabetes was mentioned in the medical file. The C-peptide assays after fasting blood sampling were carried out according to the principle of electro-chemiluminescence assay. The ANOVA and PEARSON tests made it possible to compare groups and look for correlations between C-peptide and other variables. The significant threshold was set at P˂0.05. Results: We included 90 subjects with a mean age of 58±12.31 years. The average BMI was 28.18±5.51 kg/m2. The mean duration of diabetes was 8.71±6.94 years, the mean C-peptide level was 2.50±1.68 ng/ml. We found that C-Peptide levels increased with body mass index (P=0.004) and patient age (P=0.004). Conversely, we found that C-peptide levels increased with duration of diabetes but not significantly (P=0.411). Conclusion: The C-peptide levels make it possible to objectify the residual secretion of pancreatic beta cells. We found that C-peptide levels increases with increasing body mass index, but they were no significant correlation between C-peptide levels and the diabetes duration.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes
    AU  - Manta Diane
    AU  - Mbango-Ekouta Noel Désirée
    AU  - Nda Mefo'o Jean Pierre
    AU  - Assiene Oyong Damase Serge
    AU  - Eloumou Bagnaka Servais
    AU  - Adiogo Dieudonné
    Y1  - 2021/09/11
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajbls.20210905.12
    DO  - 10.11648/j.ajbls.20210905.12
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 236
    EP  - 238
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20210905.12
    AB  - Introduction: The C-peptide assay is the more reliable indicator of insulin secretion than insulin itself, making it possible to optimize the treatment and to anticipate the evolution of complications linked to type 2 diabetes. The present study reports the relationship between the levels of C-peptide, the body mass index and the duration of type 2 diabetes in two hospitals (General Hospital and Gyneco-Obstetric and Pediatric Hospital) in the city of Douala Cameroon. The aim of this study was to assess relationship between serum C-peptide levels with some patient characteristics such as duration in type 2 diabetes and obesity. Methods: We carried out an analytical cross-sectional study over a period of 9 months of patients with type 2 diabetes regularly monitored at the General Hospital and Gyneco-Obstetric and Pediatric Hospital of Douala Cameroon. We included any patient whose diagnosis of type 2 diabetes was mentioned in the medical file. The C-peptide assays after fasting blood sampling were carried out according to the principle of electro-chemiluminescence assay. The ANOVA and PEARSON tests made it possible to compare groups and look for correlations between C-peptide and other variables. The significant threshold was set at P˂0.05. Results: We included 90 subjects with a mean age of 58±12.31 years. The average BMI was 28.18±5.51 kg/m2. The mean duration of diabetes was 8.71±6.94 years, the mean C-peptide level was 2.50±1.68 ng/ml. We found that C-Peptide levels increased with body mass index (P=0.004) and patient age (P=0.004). Conversely, we found that C-peptide levels increased with duration of diabetes but not significantly (P=0.411). Conclusion: The C-peptide levels make it possible to objectify the residual secretion of pancreatic beta cells. We found that C-peptide levels increases with increasing body mass index, but they were no significant correlation between C-peptide levels and the diabetes duration.
    VL  - 9
    IS  - 5
    ER  - 

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Author Information
  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

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