5 :: KDA, Korean Diabetes Association ::
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Subject    :    [2015 Oct;39(5)] Interaction between Glucose and Lipid Metabolism: More than Diabetic Dyslipidemia
Writer KDA
Date 2015-12-08 10:13:13 Hit 6,114

 
Diabetes Metab J. 2015 Oct;39(5):353-362. English. Published online Oct 22, 2015.  http://dx.doi.org/10.4093/dmj.2015.39.5.353 
Copyright © 2015 Korean Diabetes Association
   
Interaction between Glucose and Lipid Metabolism: More than Diabetic Dyslipidemia
Klaus G. Parhofer
Department of Medicine 2-Grosshadern, University of Munich, Munich, Germany.
Corresponding author: Klaus G. Parhofer. Department of Medicine 2-Grosshadern, University of Munich, Marchioninistraße 15, 81377 Munich, Germany. Email: klaus.parhofer@med.uni-muenchen.de 
 
 

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

 
Abstract

Glucose and lipid metabolism are linked to each other in many ways. The most important clinical manifestation of this interaction is diabetic dyslipidemia, characterized by elevated triglycerides, low high density lipoprotein cholesterol (HDL-C), and predominance of small-dense LDL particles. However, in the last decade we have learned that the interaction is much more complex. Hypertriglyceridemia and low HDL-C cannot only be the consequence but also the cause of a disturbed glucose metabolism. Furthermore, it is now well established that statins are associated with a small but significant increase in the risk for new onset diabetes. The underlying mechanisms are not completely understood but modulation of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG CoA)-reductase may play a central role as genetic data indicate that mutations resulting in lower HMG CoA-reductase activity are also associated with obesity, higher glucose concentrations and diabetes. Very interestingly, this statin induced increased risk for new onset type 2 diabetes is not detectable in subjects with familial hypercholesterolemia. Furthermore, patients with familial hypercholesterolemia seem to have a lower risk for type 2 diabetes, a phenomenon which seems to be dose-dependent (the higher the low density lipoprotein cholesterol, the lower the risk). Whether there is also an interaction between lipoprotein(a) and diabetes is still a matter of debate.

   

Keywords: Diabetes mellitus, Diabetic dyslipidemia, Hyperlipoproteinemia type II, Hyperlipoproteinemias,Statin.

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