Studies on clinical markers of diabetes mellitus. 6. Red blood cell sorbitol and diabetic complications.

M Hatano, K Katsu, H Fuda, H Taguchi, T Aro, S Hiyoshi, M Sugiura, S Maruyama
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Abstract

The relationship between red blood cell sorbitol content and diabetic complications (cataract, retinopathy, neuropathy, and nephropathy) was examined in 23 non-insulin-dependent diabetic (NIDD) patients. Sorbitol content was abnormally high in 21 cases out of 23 NIDD patients. Sorbitol content in the non-neuropathy group and neuropathy group was 47.3 +/- 11.9 and 59.6 +/- 23.6 nmol/gHb, respectively. In the non-cataract group and cataract group, it was 49.0 +/- 17.6 and 66.0 +/- 23.5 nmol/gHb, respectively. The contents in the Scott I group and Scott II + III group were 54.9 +/- 20.7 and 58.7 +/- 24.0 nmol/gHb, respectively. Sorbitol content in the non-nephropathy group and nephropathy group was 52.8 +/- 19.8 and 61.1 +/- 21.9 nmol/gHb, respectively. The possibility that glyceraldehyde reductase (GAR) and sorbitol dehydrogenase (SDH) levels in red blood cells are also useful indicators of the presence of diabetic complications is strongly suggested.

糖尿病临床标志物的研究。6. 红血球山梨醇与糖尿病并发症。
研究了23例非胰岛素依赖型糖尿病(NIDD)患者红细胞山梨醇含量与糖尿病并发症(白内障、视网膜病变、神经病变和肾病)的关系。23例NIDD患者中有21例山梨醇含量异常高。非神经病组和神经病组山梨糖醇含量分别为47.3 +/- 11.9和59.6 +/- 23.6 nmol/gHb。非白内障组和白内障组分别为49.0 +/- 17.6和66.0 +/- 23.5 nmol/gHb。Scott I组和Scott II + III组的含量分别为54.9 +/- 20.7和58.7 +/- 24.0 nmol/gHb。非肾病组和肾病组山梨醇含量分别为52.8 +/- 19.8和61.1 +/- 21.9 nmol/gHb。红细胞中的甘油醛还原酶(GAR)和山梨醇脱氢酶(SDH)水平也可能是糖尿病并发症存在的有用指标。
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