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GLYCOLIPID AND INFLAMMATORY STATUS ANALYSIS IN METFORMIN-TREATED TYPE 2 DIABETICS

Nataša Đorđević ,
Nataša Đorđević

Department of Radiobiology and Molecular Genetics, VINČA Institute of Nuclear Sciences -National Institute of the Republic of Serbia, University of Belgrade , Belgrade , Serbia

Sonja Zafirović ,
Sonja Zafirović

Department of Radiobiology and Molecular Genetics, VINČA Institute of Nuclear Sciences National Institute of the Republic of Serbia , University of Belgrade , Belgrade , Serbia

Jelena Radovanović ,
Jelena Radovanović

Department of Radiobiology and Molecular Genetics , VINČA Institute of Nuclear Sciences National Institute of the Republic of Serbia , University of Belgrade , Belgrade , Serbia

Julijana Stanimirović ,
Julijana Stanimirović

Department of Radiobiology and Molecular Genetics, VINČA Institute of Nuclear Sciences National Institute of the Republic of Serbia , University of Belgrade , Belgrade , Serbia

Nikola Ninković ,
Nikola Ninković

Department of Radiobiology and Molecular Genetics , VINČA Institute of Nuclear Sciences National Institute of the Republic of Serbia , University of Belgrade , Belgrade , Serbia

Zoran Gluvić ,
Zoran Gluvić
Contact Zoran Gluvić

Department of Endocrinology and Diabetes, Clinic for Internal Medicine, Clinical Hospital Center Zemun , Belgrade , Serbia

Faculty of Medicine, University of Belgrade , Belgrade , Serbia

Aleksandra Klisić ,
Aleksandra Klisić

Primary Health Care Center, Faculty of Medicine, University of Montenegro , Podgorica , Montenegro

Esma R. Isenović
Esma R. Isenović

Department of Radiobiology and Molecular Genetics , VINČA Institute of Nuclear Sciences National Institute of the Republic of Serbia , University of Belgrade , Belgrade , Serbia

Volume 40, Issue 1 (2026)

https://doi.org/10.63696/TMJ202601003

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is linked to increased vascular morbidity and mortality. Well-controlled diabetes is indicated by effective glycemic and HbA1c regulation and low-grade inflammation management. This study evaluates glycolipid control and inflammatory status in T2DM patients on metformin.

Methods: A pilot study involved 11 participants divided into two groups: a T2DM group on metformin therapy and a control, non-diabetic group. Demographic, clinical, anthropometric, glycolipid (glycemia, HbA1c, TC, LDL-C, HDL-C, TG), and inflammatory parameters (CRP, FFA, PL, UA, FLI) were evaluated.

Results: Significant intergroup differences were found in glycemia, HbA1c, TC, LDL-C, UA, FLI, and WC. Glycemia influenced PL (p<0.05), UA (p<0.01), and FLI (p<0.01), while HbA1c affected UA (p<0.05) and FLI (p<0.01). LDL-C and HDL-C impacted UA (p<0.05, p<0.01). Age affected FLI (p<0.05), gender influenced PL (p<0.01), and BW, BH, WC, and BMI significantly impacted UA and FLI (p<0.01).

Conclusion: T2DM patients showed signs of low-grade systemic inflammation, emphasizing the need for comprehensive diabetes management and early cardiovascular risk detection. Intensified interventions are necessary for patients with inadequate glycemic control on metformin.

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