Prevalence of type 2 diabetes (T2D) in Lebanon: association with inflammatory and infectious clinical markers.

BMC Public Health

Molecular Testing Laboratory, Medical Laboratory Department, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.

Published: December 2023

AI Article Synopsis

  • This study investigated the prevalence of type 2 diabetes (T2D) in Lebanon, focusing on its connection with inflammation and infection markers, using data from over 4,000 patients.
  • The findings revealed that 17% of participants had T2D, with higher levels of C-reactive protein (CRP) and a significant association with factors like age, gender, and triglycerides.
  • Additionally, urinary tract infections, particularly from E. coli, were the most common in a subgroup of patients, indicating a worrying trend in diabetes-related health issues in Lebanon.

Article Abstract

Background: Diabetes is a growing health concern in the Middle East, particularly in countries with high rates of obesity and unhealthy lifestyles. Therefore, this study aimed to determine the prevalence of type 2 diabetes (T2D) in Lebanon and its association with clinical markers of inflammation and infection.

Methods: This cross-sectional study examined retrospectively the medical laboratory record of 4093 patients from all Lebanese regions. Prevalence of T2D and its association with age, gender, calcium, vitamin D (VitD), neutrophils-to-lymphocytes ratio (NLR), and C-reactive protein (CRP) were determined. The prevalence of infection in a subpopulation of 712 patients tested from blood, body fluid, sputum, swab, tissue, and urine samples and its etiology was also assessed.

Results: Overall, 17% (n = 690) of our participants had T2D, and the mean HbA1c was 5.9% ± 1.2. Age, gender, triglycerides, NLR, and calcemia were significantly associated with T2D. The prevalence of infections in a subgroup of 712 patients was 11.1% (n = 79). Urinary tract infections (UTIs) caused by Escherichia coli (E. coli) were the most common cause of infection, with the highest prevalence in the pre-diabetic group. Serum CRP level was significantly higher in the diabetic group than the pre-diabetic and control groups. Diabetic patients also presented a significantly higher percentage of NLR > 3 compared to the pre-diabetic and control groups.

Conclusion: The prevalence of T2D is increasing in the Lebanese population compared to prior reports. These results should be considered to guide effective public health preventive strategies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725583PMC
http://dx.doi.org/10.1186/s12889-023-17328-6DOI Listing

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