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First International Conference on MOLDAVIAN RISKS – FROM ...

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<str<strong>on</strong>g>First</str<strong>on</strong>g> <str<strong>on</strong>g>Internati<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>C<strong>on</strong>ference</str<strong>on</strong>g> <strong>on</strong> <strong>MOLDAVIAN</strong> <strong>RISKS</strong> - <strong>FROM</strong> GLOBAL TO LOCAL SCALE<br />

16-19 May 2012, Bacau, Romania<br />

DIABETES MELLITUS COMPLICATIONS RISK ASSESSED<br />

BY RED BLOOD CELL FTIR PARAMETERS<br />

M. Gutu 1 , M. Avadanei 2 , V. Rusu 1 , S. Mir<strong>on</strong> 1 , I. Hurjui 1 , I. Grierosu 1 ,<br />

C. Stefanescu 1<br />

1 University of Medicine and Pharmacy Iasi “Gr. T. Popa”, Faculty of Medicine, Department of<br />

Biophysics and Medical Physics, Iasi<br />

2 “ Petru P<strong>on</strong>i” Institute of Macromolecular Chemistry, Iasi<br />

Corresp<strong>on</strong>ding author: Mihai Gutu, misugutu@yahoo.com<br />

Abstract: The aim of our study was to determine whether informati<strong>on</strong> obtained by FTIR<br />

spectral analysis, may be correlated to serum parameters that can be used for diabetes<br />

mellitus complicati<strong>on</strong>s risk evaluati<strong>on</strong>.<br />

Material and methods: Two study groups were analyzed. Group 1 c<strong>on</strong>sists of 43 subjects<br />

clinically healthy, for which analytical blood counts (red blood cell number, leukocyte<br />

number, hematocrit (Hct), hemoglobin (Hb), erythrocyte mean volume (MCV), mean<br />

erythrocyte hemoglobin (HEM) and some serum biochemical compounds were dosed<br />

(serum cholesterol, serum triglycerides, glucose). Group 2 c<strong>on</strong>sists of 21 patients<br />

diagnosed with complicated type II diabetes. Patients were hospitalized at the Diabetes and<br />

nutriti<strong>on</strong> diseases clinic, County Emergency Hospital "St. Spirid<strong>on</strong>" Iasi in 2011 as<br />

emergency. Besides the usual biochemical serum parameters (cholesterol, triglycerides,<br />

glucose) we c<strong>on</strong>sidered serum fibrinogen and glycosilated hemoglobin determinati<strong>on</strong>.<br />

Erythrocyte samples were analyzed by FTIR spectroscopy by performing erythrocyte films<br />

made of 5 µL sample <strong>on</strong> the support KRS-5 (thallium bromide ioyide), by drying in<br />

vacuum (5 mmHg at 20˚C). Correlati<strong>on</strong>s between serum parameters, age and FTIR spectral<br />

parameters of erythrocyte membrane were assessed.<br />

Results show that erythrocyte membrane could be related to the degree of c<strong>on</strong>trol of<br />

diabetes by following spectral parameters and serum parameters specific to diabetes<br />

(glycosylated hemoglobin and glucose). There is a relati<strong>on</strong> between ν(=CH)/ν(CHtotal)<br />

(global degree of unsaturati<strong>on</strong> lipid) str<strong>on</strong>gly and significantly correlated with blood<br />

glucose (r = -0.624, p

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