How are CRP and adiponectin levels and diabetes risk associated?

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    Last Updated: October 25, 2023

    C-reactive protein (CRP) is a marker of systemic inflammation. Adiponectin is a hormone from fat that protects against insulin resistance and atherosclerosis. An association seems to exist between higher CRP levels and an increased risk[1] of diabetes by roughly 26% for each log mg/L increase in CRP. For each log μg/mL increase in adiponectin, there’s a 28% decrease[2] in diabetes risk. However, it should be noted that this is a correlation, and not causation. The specifics of the relationship between diabetes and inflammation are still being teased out. So it’s not a good assumption to think that anything that lowers CRP or raises adiponectin must lower risk of diabetes. In fact, some researchers[3] have argued that high CRP and inflammation may in fact be an effect, and not a cause, of insulin resistance. The case is not yet closed on the matter.

    References

    1. ^Wang X, Bao W, Liu J, Ouyang YY, Wang D, Rong S, Xiao X, Shan ZL, Zhang Y, Yao P, Liu LGInflammatory markers and risk of type 2 diabetes: a systematic review and meta-analysisDiabetes Care.(2013 Jan)
    2. ^Li S, Shin HJ, Ding EL, van Dam RMAdiponectin levels and risk of type 2 diabetes: a systematic review and meta-analysisJAMA.(2009 Jul 8)
    3. ^Greenfield JR, Campbell LVRelationship between inflammation, insulin resistance and type 2 diabetes: 'cause or effect'?Curr Diabetes Rev.(2006 May)