NPPB and diabetes mellitus: The mean (± SD) of DM, ECHO, Troponin-I, NT Pro BNP, and CK-MB increased from 5.1 (±.69) to 5.2 (±.70), 57.43 (± 9.26) to 58.95 (± 9.93), 0.76 (± 0.29) to 4.39 (± 3.09), 501.18 (± 49.75) to 528.92 (±49.48), and 20.1 (± 0.5) to 20.4 (± 0.7), respectively which were all statistically significant (P <.001) (Table 4).