Kehkishan Azhar, Anna Ramirez-Obermayer, Caren Sourij, Lisa Knoll, Eva Andritz, Harald Kojzar, Alexander Müller, Othmar Moser, Norbert J Tripolt, Peter N Pferschy, Faisal Aziz, Harald Sourij
{"title":"Sustained weight reduction following 12 weeks of intermittent fasting intervention in people with insulin-treated type 2 diabetes-Two-year follow-up of the randomised controlled InterFast-2 trial.","authors":"Kehkishan Azhar, Anna Ramirez-Obermayer, Caren Sourij, Lisa Knoll, Eva Andritz, Harald Kojzar, Alexander Müller, Othmar Moser, Norbert J Tripolt, Peter N Pferschy, Faisal Aziz, Harald Sourij","doi":"10.1111/dom.16158","DOIUrl":"https://doi.org/10.1111/dom.16158","url":null,"abstract":"","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142918826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leinys S Santos-Báez, Diana A Diaz-Rizzolo, Rabiah Borhan, Collin J Popp, Ana Sordi-Guth, Danny DeBonis, Emily N C Manoogian, Satchidananda Panda, Bin Cheng, Blandine Laferrère
{"title":"Predictive models of post-prandial glucose response in persons with prediabetes and early onset type 2 diabetes: A pilot study.","authors":"Leinys S Santos-Báez, Diana A Diaz-Rizzolo, Rabiah Borhan, Collin J Popp, Ana Sordi-Guth, Danny DeBonis, Emily N C Manoogian, Satchidananda Panda, Bin Cheng, Blandine Laferrère","doi":"10.1111/dom.16160","DOIUrl":"https://doi.org/10.1111/dom.16160","url":null,"abstract":"<p><strong>Objective: </strong>Post-prandial glucose response (PPGR) is a risk factor for cardiovascular disease. Meal carbohydrate content is an important predictor of PPGR, but dietary interventions to mitigate PPGR are not always successful. A personalized approach, considering behaviour and habitual pattern of glucose excursions assessed by continuous glucose monitor (CGM), may be more effective.</p><p><strong>Research design and methods: </strong>Data were collected under free-living conditions, over 2 weeks, in older adults (age 60 ± 7, BMI 33.0 ± 6.6 kg/m<sup>2</sup>), with prediabetes (n = 35) or early onset type 2 diabetes (n = 3), together with sleep and physical activity by actigraphy. We assessed the predictive value of habitual CGM glucose excursions and fasting glucose on PPGR after a research meal (hereafter MEAL-PPGR) and during an oral glucose tolerance test (hereafter OGTT-PPGR).</p><p><strong>Results: </strong>Mean amplitude of glucose excursions (MAGE) and fasting glucose were highly predictive of all measures of OGTT-PPGR (AUC, peak, delta, mean glucose and glucose at 120 min; R<sup>2</sup> between 0.616 and 0.786). Measures of insulin sensitivity and β-cell function (Matsuda index, HOMA-B and HOMA-IR) strengthened the prediction of fasting glucose and MAGE (R<sup>2</sup> range 0.651 to 0.832). Similarly, MAGE and premeal glucose were also strong predictors of MEAL-PPGR (R<sup>2</sup> range 0.546 to 0.722). Meal carbohydrates strengthened the prediction of 3 h AUC (R<sup>2</sup> increase from 0.723 to 0.761). Neither anthropometrics, age nor habitual sleep and physical activity added to the prediction models significantly.</p><p><strong>Conclusion: </strong>These data support a CGM-guided personalized nutrition and medicine approach to control PPGR in older individuals with prediabetes and diet and/or metformin-treated type 2 diabetes.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone J Hallig, Jori Aalders, Maria H Christensen, Marianne S Andersen, Christina A Vinter, Fidelma Dunne, Kurt Højlund, Dorte M Jensen, Martin Overgaard
{"title":"The cardio-metabolic protein profile is associated with development of type 2 diabetes at long term follow-up after gestational diabetes mellitus: Results from the OGFUS study.","authors":"Simone J Hallig, Jori Aalders, Maria H Christensen, Marianne S Andersen, Christina A Vinter, Fidelma Dunne, Kurt Højlund, Dorte M Jensen, Martin Overgaard","doi":"10.1111/dom.16148","DOIUrl":"https://doi.org/10.1111/dom.16148","url":null,"abstract":"<p><strong>Aims: </strong>Women with previous gestational diabetes mellitus (GDM) have an increased risk for later development of type 2 diabetes. During pregnancy, GDM affects the cardio-metabolic protein profile; however, it is unknown how GDM affects the cardio-metabolic protein profile in the long term and if it is associated with type 2 diabetes after GDM. We hypothesise that the cardio-metabolic protein profile is affected long term and is associated with the development of type 2 diabetes after GDM.</p><p><strong>Materials and methods: </strong>A case-control follow-up study based on the Odense GDM Follow-Up Study (OGFUS) cohort, which included women with previous GDM (n = 128) and matched controls without previous GDM (n = 70). Blood samples from a follow-up assessment 8-10 years after delivery were analysed using a 29-plex panel of apolipoproteins, transport and inflammation/immune proteins using multiple-reaction-monitoring mass spectrometry.</p><p><strong>Results: </strong>Apolipoprotein A-I, D and M were significantly lower in women with previous GDM compared to controls (all p < 0.001), while apolipoprotein L-I, H, vitamin D binding protein, CRP, vitronectin, transthyretin and complement factors 3 and B were significantly higher (p = 0.008, p < 0.001, p < 0.001, p < 0.001, p < 0.001, p = 0.005, respectively). All associations remained significant after adjustment for multiple testing except CRP, whereas apolipoprotein D, vitronectin and complement factors 3 and B were associated with the development of type 2 diabetes in women with previous GDM (p = 0.02, p = 0.001, p < 0.001, p = 0.004, respectively).</p><p><strong>Conclusions: </strong>The cardio-metabolic protein profile 8-10 years after pregnancy is altered in women with previous GDM. Apolipoprotein D, vitronectin and complement factors 3 and B are candidate risk markers of type 2 diabetes after GDM pregnancy.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142918827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hao Huang, Yan Xiong, Jie Zhou, Yijia Tang, Fuli Chen, Gang Li, Hui Huang, Long Zhou
{"title":"The predictive value of estimated glucose disposal rate and its association with myocardial infarction, heart failure, atrial fibrillation and ischemic stroke.","authors":"Hao Huang, Yan Xiong, Jie Zhou, Yijia Tang, Fuli Chen, Gang Li, Hui Huang, Long Zhou","doi":"10.1111/dom.16132","DOIUrl":"https://doi.org/10.1111/dom.16132","url":null,"abstract":"<p><strong>Aims: </strong>The relationship between the incidence of major cardiovascular diseases (CVDs) and estimated glucose disposal rate (eGDR), a proxy measurement for insulin resistance (IR), is not well understood in the general population. The predictive value of eGDR and other proxies of IR for CVD incidents have not been examined in previous studies. This study aimed to investigate the association between eGDR and various CVD events, including myocardial infarction (MI), heart failure (HF), atrial fibrillation (AF) and ischemic stroke. Additionally, the predictive values of eGDR, triglyceride-glucose (TyG) index, TyG-waist circumference (WC), TyG-body mass index (BMI), TyG-waist-to-height ratio (WHtR), triglyceride (TG)-to-high density lipoprotein cholesterol (HDL-C) ratio (TG/HDL-C) and the metabolic score for insulin resistance (METS-IR) for CVD events were compared.</p><p><strong>Methods: </strong>The study population was extracted from the UK Biobank, and the CVD events were documented by linking to hospital records. Cox proportional hazards model and the restricted cubic spline model were used to assess the association between eGDR and the risk of CVDs with adjustment for potential confounders. The receiver operating characteristic (ROC) curve and the area under the curve (AUC) were used to compare the predictive values of eGDR, TyG, TyG-WC, TyG-BMI, TyG-WHtR, TG/HDL-C and METS-IR.</p><p><strong>Results: </strong>A total of 360 953 participants were included in this study. During a median follow-up of 13.8 years, 12 698 MI, 10 360 HF, 23 638 AF and 6512 ischemic stroke events were documented. Compared with participants in the lowest quartile category of eGDR, those in the highest quartile category had the adjusted hazard ratio (HR) and 95% confidence interval (CI) of 0.59 (0.51-0.67) for MI, 0.66 (0.56-0.76) for HF, 0.88 (0.80-0.98) for AF and 0.73 (0.61-0.89) for ischemic stroke. eGDR outperformed TyG, TyG-WC, TyG-BMI, TyG-WHtR, TG/HDL-C and METS-IR in terms of predicting MI (AUC: 0.661), HF (AUC: 0.690), AF (AUC: 0.653) and ischemic stroke (AUC: 0.646).</p><p><strong>Conclusions: </strong>eGDR was inversely associated with the incidence of MI, HF, AF and ischemic stroke in the general population. eGDR could serve as a more valuable predictive indicator than TyG, TyG-WC, TyG-BMI, TyG-WHtR, TG/HDL-C and METS-IR for CVD events in clinical practice.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"IDOL alleviates the body weight by upregulating UCP-1 in mice.","authors":"Hua Guan, Le Wang, Chengcheng Tang, Hao Xu, Aoqi Xiang, Xiaochang Chen, Qi Yu, Lixian Xu","doi":"10.1111/dom.16127","DOIUrl":"https://doi.org/10.1111/dom.16127","url":null,"abstract":"<p><strong>Background: </strong>Given the potential role of brown adipose tissue (BAT) in stimulating energy expenditure, activating BAT can be an effective anti-obesity treatment. Here, we aimed to use adenoviruses to establish the effect of the inducible degrader of the low density lipoprotein receptor (IDOL) in the formation of BAT.</p><p><strong>Methods: </strong>IDOL or green fluorescent protein was overexpressed by adenovirus and injected into the scapula of C57BL/6J mice and fed with high-fat diet for 12 weeks. We measured the body weight, morphology of lipid droplets, lipid profiles and adipogenesis protein expression levels. BAT was isolated, and RNA sequencing was performed to identify the differentially expressed genes and related signaling pathways. Finally, we conducted western blot to verify the authenticity and reliability of the RNA sequencing results.</p><p><strong>Results: </strong>Compared with the control group, IDOL overexpression led to a significant reduction in body weight, consistent with the weight of adipose tissues and organs. Further studies show IDOL promotion increased ATGL, perilipin 1 and UCP-1 expression in BAT. However, perilipin 1 protein expression was significantly reduced in the Ad-IDOL group in epididymal white adipose tissue, while there was no significant difference in adiponectin, ATGL and perilipin 1 protein expression in inguinal white adipose tissue. Notably, serum FGF21 and leptin protein expression were negatively related to the adipose tissue decrease after Ad-IDOL administration. RNA sequencing analysis identified 1256 differentially expressed genes that were prominently enriched across nine signalling pathways. Additionally, the protein expression of PGAM2, G6PC1 and phosphorylation-AMPK was significantly increased after overexpression IDOL in BAT, which was consistent with the results of the RNA sequencing analysis.</p><p><strong>Conclusions: </strong>Our research demonstrated that IDOL overexpression alleviates the body weight by promoting the phosphorylation of AMPK to upregulate the UCP-1 and ATGL exacerbating lipolysis in BAT.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142918823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gregory J Grosicki, J Graham Thomas, Nikhil V Dhurandhar, Holly Lofton, Steven B Heymsfield, Satya S Jonnalagadda
{"title":"Glucagon-like peptide-1 receptor agonists discontinuation is higher in individuals with overweight and obesity without type 2 diabetes.","authors":"Gregory J Grosicki, J Graham Thomas, Nikhil V Dhurandhar, Holly Lofton, Steven B Heymsfield, Satya S Jonnalagadda","doi":"10.1111/dom.16151","DOIUrl":"https://doi.org/10.1111/dom.16151","url":null,"abstract":"","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Da Young Lee, Jun Sung Moon, Inha Jung, Seung Min Chung, So Young Park, Ji Hee Yu, Ji A Seo, Kyung-do Han, Nan Hee Kim
{"title":"Risk acceleration by gout on major adverse cardiovascular events and all-cause death in patients with diabetes and chronic kidney disease.","authors":"Da Young Lee, Jun Sung Moon, Inha Jung, Seung Min Chung, So Young Park, Ji Hee Yu, Ji A Seo, Kyung-do Han, Nan Hee Kim","doi":"10.1111/dom.16165","DOIUrl":"https://doi.org/10.1111/dom.16165","url":null,"abstract":"<p><strong>Aims: </strong>We aimed to examine the impact of gout on cardiovascular disease (CVD) and mortality risk in patients with type 2 diabetes and explore whether chronic kidney disease (CKD) modifies this association.</p><p><strong>Materials and methods: </strong>Using the Korean National Health Insurance Service database, 757 378 individuals with type 2 diabetes were classified into the CKD<sup>-</sup>Gout<sup>-</sup>, CKD<sup>-</sup>Gout<sup>+</sup>, CKD<sup>+</sup>Gout<sup>-</sup>, and CKD<sup>+</sup>Gout<sup>+</sup> groups. Cox proportional hazard models were used to assess the risk of myocardial infarction (MI), ischemic stroke, and mortality, after adjusting for cardiometabolic factors.</p><p><strong>Results: </strong>Over a median follow-up of 9.3 years, 25 618, 38 691, and 78 628 individuals experienced MI, stroke, and mortality, respectively. The risk of MI or stroke progressively increased across the groups, with the highest adjusted hazard ratio (HR) in the CKD<sup>+</sup>Gout<sup>+</sup> group (HR: 1.57, 95% confidence interval [CI]: 1.46-1.69), followed by the CKD<sup>+</sup>Gout<sup>-</sup> group (HR: 1.23, 95% CI 1.20-1.26). The CKD<sup>+</sup>Gout<sup>+</sup> group showed the greatest risks for MI (HR: 1.71), stroke (HR: 1.46), and mortality (HR: 1.78). Individuals with gout alone did not exhibit a significant increase in risk compared with those without gout or CKD. Interaction analyses indicated that the effect of gout on the outcomes was more pronounced in patients with CKD. Subgroup analyses yielded consistent findings across diverse demographic and clinical characteristics.</p><p><strong>Conclusions: </strong>CKD with or without gout increased the risk of CVD and mortality, with the highest risk observed in the CKD<sup>+</sup>Gout<sup>+</sup> group. The interaction between CKD and gout significantly influenced these outcomes.</p>","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142918825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cong Xie, Peter Iroga, Michelle J Bound, Jacqueline Grivell, Weikun Huang, Karen L Jones, Michael Horowitz, Christopher K Rayner, Tongzhi Wu
{"title":"Impact of the timing of metformin administration on the plasma lactate response to intraduodenal glucose infusion in type 2 diabetes.","authors":"Cong Xie, Peter Iroga, Michelle J Bound, Jacqueline Grivell, Weikun Huang, Karen L Jones, Michael Horowitz, Christopher K Rayner, Tongzhi Wu","doi":"10.1111/dom.16169","DOIUrl":"https://doi.org/10.1111/dom.16169","url":null,"abstract":"","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142890634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christina Baechle, Joachim Rosenbauer, Anna Stahl-Pehe, Jochen Seufert, Julia K Mader, Christian Wagner, Frank-Jürgen Wosch, Dieter Erath, Reinhard W Holl, Stefanie Lanzinger
{"title":"Effectiveness of add-on therapy with SGLT2 inhibitors or GLP-1 receptor agonists in adults with type 1 diabetes: A prospective DPV registry study.","authors":"Christina Baechle, Joachim Rosenbauer, Anna Stahl-Pehe, Jochen Seufert, Julia K Mader, Christian Wagner, Frank-Jürgen Wosch, Dieter Erath, Reinhard W Holl, Stefanie Lanzinger","doi":"10.1111/dom.16149","DOIUrl":"https://doi.org/10.1111/dom.16149","url":null,"abstract":"","PeriodicalId":158,"journal":{"name":"Diabetes, Obesity & Metabolism","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142890922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}