Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.350
Young Ha Baek, Heung Yong Jin, Kyung Ae Lee, Seon Mee Kang, Woong Ji Kim, Min Gul Kim, Ji Hyun Park, Soo Wan Chae, Hong Sun Baek, Tae Sun Park
{"title":"The Correlation and Accuracy of Glucose Levels between Interstitial Fluid and Venous Plasma by Continuous Glucose Monitoring System.","authors":"Young Ha Baek, Heung Yong Jin, Kyung Ae Lee, Seon Mee Kang, Woong Ji Kim, Min Gul Kim, Ji Hyun Park, Soo Wan Chae, Hong Sun Baek, Tae Sun Park","doi":"10.4093/kdj.2010.34.6.350","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.6.350","url":null,"abstract":"<p><strong>Background: </strong>Clinical experience with the continuous glucose monitoring systems (CGMS) is limited in Korea. The objective of this study is to evaluate the accuracy of the CGMS and the correlation between interstitial fluid and venous plasma glucose level in Korean healthy male subjects.</p><p><strong>Methods: </strong>Thirty-two subjects were served with glucose solution contained same amount of test food's carbohydrate and test foods after separate overnight fasts. CGMS was performed over 3 days during hopitalization for each subjects. Venous plasma glucose measurements were carried out during 4 hours (0, 0.25, 0.5, 0.75, 1, 2, 4 hours) just before and after glucose solution and test food load. The performance of the CGMS was evaluated by comparing its readings to those obtained at the same time by the hexokinase method using the auto biochemistry machine (Hitachi 7600-110). Also, correlations between glucose recorded with CGMS and venous plasma glucose value were examined.</p><p><strong>Results: </strong>CGMS slightly underestimated the glucose value as compared with the venous plasma glucose level (16.3 ± 22.2 mg/dL). Correlation between CGMS and venous plasma glucose values throughout sensor lifetime is 0.73 (regression analysis: slope = 1.08, intercept = 8.38 mg/dL). Sensor sensitivity can deteriorate over time, with correlations between venous blood glucose and CGMS values dropping from 0.77 during 1st day to 0.65 during 2nd and 3rd day.</p><p><strong>Conclusion: </strong>The accuracy of data provided by CGMS may be less than expected. CGMS sensor sensitivity is decreased with the passage of time. But, from this study, CGMS can be used for glucose variability tendency monitoring conveniently to the Korean.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"350-8"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.6.350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.338
Byung-Joon Kim
{"title":"Correlations of glucose levels in interstitial fluid estimated by continuous glucose monitoring systems and venous plasma.","authors":"Byung-Joon Kim","doi":"10.4093/kdj.2010.34.6.338","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.6.338","url":null,"abstract":"Continuous glucose monitoring systems (CGMS) are relatively new technology that measures interstitial glucose every 5 minute over a period of 72 hours [1]. Continuous glucose monitoring by CGMS provides accurate data to patients and physicians about blood glucose variability during the measurement period. Two types of CGMS devices, intended for professional and personal use, are available. Professional devices allow physicians to download and analyze data and for use in clinical decision making. Personal devices allow patients to monitor real time glucose data and use such data for self-monitoring and medication adjustments. For this reason, the American Association of Clinical Endocrinologists has recommended the use of personal devices for glucose control and prevention of hypoglycemia in patients with type 1 diabetes [2,3] and pregnancy with diabetes [4,5]. \u0000 \u0000The article, \"The correlation and accuracy of glucose levels between interstitial fluid and venous plasma by continuous glucose monitoring system\" [6] clearly showed a glucose time lag between blood levels and subcutaneous interstitial levels. Blood and interstitial fluid had different peak times and peak values after meal loading, but the trends of glucose excursion were very similar. In addition, CGMS data showed delayed peaks and lowered peak values compared to venous blood sugar levels after the ingestion of different kinds of food. These lags between the two compartments did not differ by food. The use of CGMS devices, which provide accurate control and monitoring of blood glucose levels, is suitable for use in uncontrolled diabetic patients and to help physicians make decisions regarding treatment modalities. \u0000 \u0000In the treatment of diabetes, glucose variability, especially postprandial hyperglycemia, is a major risk factor for cardiovascular complications. By using CGMS devices, clinicians can easily access glucose variability in patients. Although patients more easily achieved target HbA1c levels when practicing self monitoring of glucose using the CGMS device than by other methods, systemic reviews comparing the results of CGMS use and intermittent fingertip glucose monitoring do not indicate significantly superior benefits of CGMS. However, they do support the improved detection of asymptomatic nocturnal hypoglycemia [7]. \u0000 \u0000CGMS systems offer many advantages to patients and physicians. However, the sensitivity of glucose sensing decreases over time. After 3 to 5 days, the sensing amplitude of CGMS sensors becomes unreliable. The accuracy of sensors is affected by localized tissue reactions and fibrous encapsulation [8]. For these reasons, patients should calibrate sensing amplitudes through comparisons with fingertip glucose values regularly. Methods of blocking fibrous tissue aggregation and reducing tissue reactions, such as corticosteroid sprays or anticancer drug coatings, were used in attempts to address these problems [9,10]. Also, if we placed the sensor in subcutaneous ","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"338-9"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.6.338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29607775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.340
Hee Jung Ahn, Kyung Ah Han, Hwi Ryun Kwon, Kyung Wan Min
{"title":"The Small Rice Bowl-Based Meal Plan was Effective at Reducing Dietary Energy Intake, Body Weight, and Blood Glucose Levels in Korean Women with Type 2 Diabetes Mellitus.","authors":"Hee Jung Ahn, Kyung Ah Han, Hwi Ryun Kwon, Kyung Wan Min","doi":"10.4093/kdj.2010.34.6.340","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.6.340","url":null,"abstract":"<p><strong>Background: </strong>The typical Korean diet includes rice, which is usually served in a rice bowl. We investigated the effects of a meal plan using rice bowls of varying sizes on dietary energy intake (EI), body weight (BW), and blood glucose levels.</p><p><strong>Methods: </strong>Forty-two obese women with type 2 diabetes mellitus were randomly assigned to use either a 200 mL small rice bowl (SB), a 380 mL regular rice bowl (RB), or to a control group (C). Both intervention groups were asked to reduce their EI by 500 kcal/day for 12 weeks and simple instructions for using the assigned bowl were provided. Dietary EI and proportion of macronutrients (PMN) were estimated from 3-day dietary records.</p><p><strong>Results: </strong>Reduction of EI was more prominent in the SB group compared to the RB and C group, although EI decreased significantly from baseline in all groups. Carbohydrate and fat intakes of the SB group were decreased greater than those of the RB and C group. However, changes in PMN were not significant across the 3 groups. Reduction of BW and HbA1c levels in the SB group was more prominent compared to the C group. Although, BW and HbA1c were decreased significantly from baseline in both bowl groups. There was no statistical difference between the two groups.</p><p><strong>Conclusion: </strong>The small rice bowl-based meal plan was effective at reducing EI, BW, and blood glucose levels, and the observed reductions in EI, carbohydrate, and fat intake were greater than those of the regular rice bowl-based meal plan.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"340-9"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.6.340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.368
Qing Song Jin, So Hun Kim, Shan-Ji Piao, Hyun Ae Lim, Seung Youn Lee, Seong Bin Hong, Yong Seong Kim, Hun-Jae Lee, Moonsuk Nam
{"title":"R1467H Variants of Rho Guanine Nucleotide Exchange Factor 11 (ARHGEF11) are Associated with Type 2 Diabetes Mellitus in Koreans.","authors":"Qing Song Jin, So Hun Kim, Shan-Ji Piao, Hyun Ae Lim, Seung Youn Lee, Seong Bin Hong, Yong Seong Kim, Hun-Jae Lee, Moonsuk Nam","doi":"10.4093/kdj.2010.34.6.368","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.6.368","url":null,"abstract":"<p><strong>Background: </strong>The human Rho guanine nucleotide exchange factor 11 (ARHGEF11) functions as an activator of Rho GTPases and is thought to influence insulin signaling. The R1467H variant of ARHGEF11 has been reported to be associated with susceptibility to type 2 diabetes mellitus (T2DM) in Western populations.</p><p><strong>Methods: </strong>We investigated the effects of the R1467H variant on susceptibility to T2DM as well as related traits in a Korean population. We genotyped the R1467H (rs945508) of ARHGEF11 in 689 unrelated T2DM patients and 249 non-diabetic individuals and compared the clinical and biochemical characteristics according to different alleles.</p><p><strong>Results: </strong>The H allele was significantly more frequent in T2DM cases than in controls (P = 0.037, 17.1% and 13.1%; respectively). H homozygocity was associated with a higher risk of T2DM compared to those with R/R or R/H genotype (odds ratio, 5.24; 95% confidence interval, 1.06 to 25.83; P = 0.042). The fasting plasma glucose, HbA1c, fasting insulin, HOMA2-IR and HOMA2-%β levels did not differ significantly between different genotypes.</p><p><strong>Conclusion: </strong>Our study replicated associations of the ARHGEF11 polymorphism with increased risk of T2DM in a Korean population and thus supports previous data implicating a potential role of ARHGEF11 in the etiology of T2DM. Further studies revealing the underlying mechanism for this association are needed.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"368-73"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.6.368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.359
Dong Kyun Kim, Sa Rah Lee, Min Sik Kim, Suk Hyang Bae, Jin Yeon Hwang, Jung-Min Kim, Sung Hwan Suh, Hye-Jeong Lee, Mi Kyoung Park, Duk Kyu Kim
{"title":"A retrospective study on the efficacy of a ten-milligram dosage of atorvastatin for treatment of hypercholesterolemia in type 2 diabetes mellitus patients.","authors":"Dong Kyun Kim, Sa Rah Lee, Min Sik Kim, Suk Hyang Bae, Jin Yeon Hwang, Jung-Min Kim, Sung Hwan Suh, Hye-Jeong Lee, Mi Kyoung Park, Duk Kyu Kim","doi":"10.4093/kdj.2010.34.6.359","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.6.359","url":null,"abstract":"<p><strong>Background: </strong>There have been few clinical studies on 10 mg atorvastatin as a starting dosage for treatment of hypercholesterolemia in type 2 diabetes mellitus (T2DM) patients. This retrospective study aims to evaluate the efficacy of 10 mg dosage of atorvastatin in clinical setting.</p><p><strong>Methods: </strong>One hundred five enrolled patients with high levels of low density lipoprotein cholesterol (LDL-C, > 100 mg/dL) took 10 mg atorvastatin. After 6 months, they were divided into 'Responder group' (LDL-C < 100 mg/dL) and 'Non-responder group' (LDL-C ≥ 100 mg/dL), and the response rate was calculated. Thereafter, we subdivided the 'Responder group' into Maintenance (10 mg), Reduced dosage (5 mg), and Discontinuance group (0 mg). The 'Non-Responder group' was subdivided into Maintenance (10 mg) and Double dosage group (20 mg). After consecutive 6 months, the response rates of each 10 mg Maintenance groups were compared to those of the other groups, respectively.</p><p><strong>Results: </strong>Following the first 6 months, the response rate of 10 mg fixed dosage was 74.3%. In the 'Responder group', response rates of 10 mg, 5 mg and Discontinuance groups following 6 months were 52.6%, 53.1%, and 12.5%, respectively. In the 'Non-responder group', response rates of 10 mg and 20 mg groups were 28.6% and 50.0%. Baseline LDL-C levels and body mass index (BMI) of 'Responder group' were significantly lower than those of 'Non-responder group' (P = 0.004, respectively).</p><p><strong>Conclusion: </strong>Hypercholesterolemia treatment with 10 mg, fixed dosage of atorvastatin was effective in three quarters of the subjects during the first 6-month treatment; however, a significant number of patients with high LDL-C levels and/or BMI require higher starting and maintenance dosage.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"359-67"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.6.359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.374
Ji Yeon Jung, Kyung Ah Han, Hwi Ryun Kwon, Hee Jung Ahn, Jae Hyuk Lee, Kang Seo Park, Kyung Wan Min
{"title":"The usefulness of an accelerometer for monitoring total energy expenditure and its clinical application for predicting body weight changes in type 2 diabetic korean women.","authors":"Ji Yeon Jung, Kyung Ah Han, Hwi Ryun Kwon, Hee Jung Ahn, Jae Hyuk Lee, Kang Seo Park, Kyung Wan Min","doi":"10.4093/kdj.2010.34.6.374","DOIUrl":"10.4093/kdj.2010.34.6.374","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to evaluate the usefulness of an accelerometer in predicting body weight (BW) change during a lifestyle intervention and to find out whether exercise or overall physical activity is associated with change in insulin sensitivity and body composition.</p><p><strong>Methods: </strong>A total of 49 overweight (body mass index [BMI] ≥ 23 kg/m(2)) women with diabetes were enrolled and performed lifestyle intervention while monitoring BW, total energy expenditure (TEE) and physical activity energy expenditure (PAEE) using an accelerometer, and energy intake (EI) using a three-day dietary record at baseline and every 2 weeks for 12 weeks. We assessed body composition using bioimpedance analysis and compared the actual BW change to the predicted BW change, which was calculated from the energy deficit (ED) between EI and TEE (ED = EI-TEE).</p><p><strong>Results: </strong>Mean age was 57.2 years, duration of diabetes was 8.0 years, and BMI was 27.8 kg/m(2). There was no significant difference between EI and TEE at baseline. For 12 weeks, the ED was 474.0 kcal·day(-1), which was significantly correlated with BW change (-3.1 kg) (r = 0.725, P < 0.001). However, the actual BW change was 50% lower than the predicted BW change. Both TEE and PAEE correlated with change in K(ITT) (r = 0.334, P = 0.019; r = 0.358, P = 0.012, respectively), BMI (r = -0.395, P = 0.005; r = -0.347, P = 0.015, respectively), and fat mass (r = -0.383, P = 0.007; r = -0.395, P = 0.005, respectively), but only TEE correlated with fat free mass change (r = -0.314, P = 0.030).</p><p><strong>Conclusion: </strong>The accelerometer appears to be a useful tool for measuring TEE under free-living conditions for both short- and long-term periods.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"374-83"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/ba/kdj-34-374.PMC3021114.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.386
Ju Hee Lee, Hyun Jin Kim, Bon Jeong Ku
{"title":"Bone mineral density in prediabetic men (korean diabetes j 2010;34:294-302).","authors":"Ju Hee Lee, Hyun Jin Kim, Bon Jeong Ku","doi":"10.4093/kdj.2010.34.6.386","DOIUrl":"10.4093/kdj.2010.34.6.386","url":null,"abstract":"","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"386-7"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/f3/kdj-34-386.PMC3021116.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.384
Chul-Hee Kim
{"title":"Bone mineral density in prediabetic men (korean diabetes j 2010;34:294-302).","authors":"Chul-Hee Kim","doi":"10.4093/kdj.2010.34.6.384","DOIUrl":"10.4093/kdj.2010.34.6.384","url":null,"abstract":"","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"384-5"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/16/kdj-34-384.PMC3021115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29609305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-12-01Epub Date: 2010-12-31DOI: 10.4093/kdj.2010.34.6.331
Sun Woo Kim
{"title":"Triple Combination Therapy Using Metformin, Thiazolidinedione, and a GLP-1 Analog or DPP-IV Inhibitor in Patients with Type 2 Diabetes Mellitus.","authors":"Sun Woo Kim","doi":"10.4093/kdj.2010.34.6.331","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.6.331","url":null,"abstract":"<p><p>Although there is no HbA1c threshold for cardiovascular risk, the American Diabetic Association-recommended goal of HbA1c < 7.0% appears to be unacceptably high. To achieve an optimal HbA1c level goal of 6.0% or less, a high dosage of sulfonylureas and insulin would be required; the trade-off would be the common adverse effects of hypoglycemia and weight gain. In contrast, hypoglycemia is uncommon with insulin sensitizers and GLP-1 analogs, allowing the physician to titrate these drugs to maximum dosage to reduce HbA1c levels below 6.0% and they have been shown to preserve β-cell function. Lastly, weight gain is common with sulfonylurea and insulin therapy, whereas GLP-1 analogs induce weight loss and offset the weight gain associated with TZDs. A treatment paradigm shift is recommended in which combination therapy is initiated with diet/exercise, metformin (which has antiatherogenic effects and improves hepatic insulin sensitivity), a TZD (which improves insulin sensitivity and preserves β-cell function with proven durability), and a GLP-1 analog (which improves β, α-cell function and promotes weight loss) or a dipeptidyl peptidase IV inhibitor in patients with type 2 diabetes mellitus.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 6","pages":"331-7"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.6.331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29607774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Korean diabetes journalPub Date : 2010-10-01Epub Date: 2010-10-31DOI: 10.4093/kdj.2010.34.5.287
Eun-Suk Choi, Eun-Jung Rhee, Ji-Hoon Choi, Ji-Cheol Bae, Seung-Hyun Yoo, Won-Jun Kim, Se-Eun Park, Cheol-Young Park, Won-Young Lee, Yong-Kyun Cho, Ki-Won Oh, Sung-Woo Park, Sun-Woo Kim
{"title":"The association of brachial-ankle pulse wave velocity with 30-minute post-challenge plasma glucose levels in korean adults with no history of type 2 diabetes.","authors":"Eun-Suk Choi, Eun-Jung Rhee, Ji-Hoon Choi, Ji-Cheol Bae, Seung-Hyun Yoo, Won-Jun Kim, Se-Eun Park, Cheol-Young Park, Won-Young Lee, Yong-Kyun Cho, Ki-Won Oh, Sung-Woo Park, Sun-Woo Kim","doi":"10.4093/kdj.2010.34.5.287","DOIUrl":"https://doi.org/10.4093/kdj.2010.34.5.287","url":null,"abstract":"<p><strong>Background: </strong>Acute postprandial hyperglycemia is an important affector for atherosclerosis in subjects with glucose intolerance. We analyzed the relationship of brachial-ankle pulse wave velocity (baPWV) with fasting and post-challenge plasma glucose levels according to different time points during oral glucose tolerance test (OGTT).</p><p><strong>Methods: </strong>In 663 subjects with fasting hyperglycemia, 75 g OGTT were performed to confirm the glucose tolerant status, and fasting, post-challenge 30-minute and 120-minute glucose levels were measured. Anthropometric measurements were done, and fasting lipid profiles were measured. baPWV were measured in all subjects and the relationship between fasting, 30- and 120-minute post-challenge glucose levels and baPWV were analyzed.</p><p><strong>Results: </strong>Among the participants, 62.9% were prediabetes and 31.7% were diabetes. Mean baPWV value was significantly higher in subjects with diabetes compared with prediabetes group. In bivariate correlation analyses, age, blood pressure, total cholesterol, low density lipoprotein cholesterol, 30-minute and 120-minute post-challenge glucose levels showed significant positive correlation with baPWV value. In multiple regression analysis, 30-minute post-challenge glucose level was a weak but significant determinant for mean baPWV value even after adjustment for other confounding variables.</p><p><strong>Conclusions: </strong>Postprandial hyperglycemia, especially 30-minute glucose levels showed significant correlation with baPWV in subjects with fasting hyperglycemia. These results can imply the deleterious effect of acute hyperglycemic excursion on arterial stiffness in subjects with glucose intolerance.</p>","PeriodicalId":88924,"journal":{"name":"Korean diabetes journal","volume":"34 5","pages":"287-93"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4093/kdj.2010.34.5.287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29468879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}