1.Salivary amylase and adiponectin as potential non-invasive markers of glycaemic control in Malaysian type 2 diabetes mellitus participants
Helen Thong ; Sangeetha Shyam ; Ammu Radhakrishnan ; Cheong Lieng Teng
International e-Journal of Science, Medicine and Education 2020;14(1):8-21
Introduction:
Serum amylase and adiponectin levels have shown promise as markers of cardio-metabolic diseases. However, the levels of these markers in saliva and their association with glycaemic management in diabetes mellitus (DM) are not well documented. Therefore, we investigated the correlation of salivary amylase and adiponectin concentrations with measures of glycaemic control in type 2 diabetes mellitus (T2DM) participants.
Methods:
We conducted a cross-sectional study involving 80
T2DM participants of Indian and Malay ethnicity. Saliva
was collected, and salivary amylase and adiponectin
concentrations were analysed. Recent fasting blood
sugar and HbA1c of the participants was obtained form
their medical records. The correlations of salivary
amylase and adiponectin with fasting blood sugar and
HbA1c were calculated using Spearman’s correlation
Results:
There was a weak positive correlation between salivary
adiponectin and HbA1c (rho = 0.221, p = 0.051). The
salivary adiponectin levels was significnalty lower among
participants with good glycaemic control (HbA1c ≤
7.0%) compared to those with poor glycaemic control
(HbA1c > 7.0%,) (1.13 (1.75) vs. 2.34 (3.54) ng/ml,
p = 0.039).
Conclusion
Salivary adiponectin weakly correlated with HbA1c,
while salivary amylase showed no correlation with
the glycaemic parameters studied. Therefore, salivary
adiponectin may warrant further investigation as a
potential non-invasive biomarker of T2DM.
Diabetes Mellitus, Type 2
;
Glycated Hemoglobin