國家衛生研究院 NHRI:Item 3990099045/1826
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/1826


    Title: The insulin sensitivity, glucose effectiveness and acute insulin response to glucose load of non-obese adolescent type 2 diabetes
    Authors: Pei, D;Hung, YJ;Chen, HD;Hsiao, CF;Fu, CC;Yang, TC;Lian, WC;Fang, SC;Hsu, WL;Kuo, SW
    Contributors: Division of Biostatistics and Bioinformatics
    Abstract: To determine the clinical characteristics in adolescent type 2 diabetes (young diabetes, YDM) in Taiwan, we enrolled I I males who were diagnosed with YDM before 19 years of age into our study. Another 11 patients with adult type 2 diabetes (mature age diabetes, MADM) who were diagnosed after theage of 40 were enrolled as compare group. Subjects from both groups were being treated with oral hypoglycemic agents only at the time of enrollment, and none of the subjects had a history of diabetic ketoacidosis. Plasma lipid levels were measured front the fasting plasma sample. A homeostasis model assessment was used to estimate insulin sensitivity (HOMA-S) and beta-cell function (HOMA-B). Frequent-sampled intravenous glucose tolerance test was also performed to measure the insulin sensitivity (S-I), glucose effectiveness (E-G), and acute insulin response after glucose load (AIR). After adjusting for age and BMI, fasting plasma glucose, total cholesterol, HDL-cholesterol, triglycerides, and HOMA-B levels were similar between two groups. The fasting plasma insulin and HOMA-S were significantly higher in YDM. However, the S-1 EG and AIR in both groups were also not significantly different. In conclusion, the early onset of diabetes in YDM may be due to the early deterioration of the S-1, EG and AIR with similar severity compared with MADM. The role of EG might be more important than previously thought in these patients. Finally, the YDM might be a subtype of type 2 diabetes.
    Keywords: Endocrinology & Metabolism
    Date: 2004-12
    Relation: Diabetes Research and Clinical Practice. 2004 Dec;66(3):253-261.
    Link to: http://dx.doi.org/10.1016/j.diabres.2004.04.006
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0168-8227&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000225327700005
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=7944233796
    Appears in Collections:[Chin-Fu Hsiao] Periodical Articles

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