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LETTER TO EDITOR |
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| Year : 2022 | Volume
: 26
| Issue : 1 | Page : 33 |
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Persistent organic pollutants and diabetes mellitus: Correspondence
Pathum Sookaromdee1, Viroj Wiwanitkit2
1 Private Academic Consultant, Bangkok, Thailand
2 Honorary Professor, Dr DY Patil University, Pune, Maharshtra, India
| Date of Submission | 26-Nov-2021 |
| Date of Decision | 10-Dec-2021 |
| Date of Acceptance | 11-Dec-2021 |
| Date of Web Publication | 7-Apr-2022 |
Correspondence Address:
Dr. Pathum Sookaromdee
Private Academic Consultant, Bangkok
Thailand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijoem.ijoem_337_21
How to cite this article:
Sookaromdee P, Wiwanitkit V. Persistent organic pollutants and diabetes mellitus: Correspondence. Indian J Occup Environ Med 2022;26:33 |
How to cite this URL:
Sookaromdee P, Wiwanitkit V. Persistent organic pollutants and diabetes mellitus: Correspondence. Indian J Occup Environ Med [serial online] 2022 [cited 2023 Mar 26];26:33. Available from: https://www.ijoem.com/text.asp?2022/26/1/33/342674 |
Dear Editor,
We would like to share ideas on “Persistent organic pollutants—environmental risk factors for diabetes mellitus?—A population-based study.[1]” Ramalingam et al.[1] concluded that “Three OC pesticides and one organophosphate pesticide were strongly associated with increasing blood sugar levels …….” We agree that an environmental chemical hazard might induce problems including diabetes. However, a pathological process should last long and a cross-sectional study can only tell a point association. The pathogenesis is interesting. Whether toxic substances disturb pancreatic endocrine function or induce gluconeogenesis requires further studies. Additionally, blood glucose is a rough estimation. The hexokinase method is an old technique with possible laboratory interference.[2] Examples of interfering substances are hemoglobin and bilirubin.[2] Hemoglobin A1C determination might be a useful parameter to support whether there is a poor nutritional behavior that might be associated with diabetes. Diabetes may be present in a subject who has a poor health behavior or lifestyle, has been exposed to toxic substances, and has poor nutritional practices.
Financial support and sponsorship
Nil.
Conflict of interest
Authors ask for waiving for any charge for this correspondence.
| References | |  |
| 1. | Ramalingam S, Narayanan R, Muthusamy S, Veronika M, Sankaran R, Toscano W. Persistent organic pollutants-environmental risk factors for diabetes mellitus? – A population-based study. Indian J Occup Environ Med 2021;25:157-62.  [Full text] |
| 2. | Jain R, Myers TF, Kahn SE, Zeller WP. How accurate is glucose analysis in the presence of multiple interfering substances in the neonate? (glucose analysis and interfering substances). J Clin Lab Anal 1996;10:13-6. |
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