2型糖尿病患者c肽化合物分析

Sagar R., Chandrudu J, Madhubhushan M, Seshaiah S
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摘要

在成人中,一小部分具有β细胞自身抗体的糖尿病患者最初不需要胰岛素,临床表现为2型糖尿病(T2DM),称为成熟期潜在自身免疫性糖尿病(LADA),在晚年需要胰岛素。在许多病例中,LADA要么未被注意,要么被误诊。检测GAD自身抗体的发生情况和c肽分析阳性水平,确定患者的胰岛素依赖。对31例成人2型糖尿病患者进行β细胞自身抗体(GAD)和c肽检测。通过餐后血糖测试来分类糖尿病的类型。10名1型糖尿病患者和10名普通人也进行了三种测试进行比较研究。23%的成年T2DM患者GAD自身抗体检测呈阳性,61%的T2DM患者c肽检测呈阳性。19%的患者GAD抗体和c肽分析均呈阳性。患者的常见症状为多尿、多食、烦渴。在2型糖尿病患者中,61%为女性,39%为男性,且均为非肥胖。β细胞自身抗体在临床进入T2DM的初始非胰岛素需要型糖尿病成人亚类中很明显。这证明了胰岛素依赖改变的存在和必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
C-Peptide compound analysis in type 2 diabetic patients
In adults, a fragment of diabetic individuals with βcell autoantibodies has initially non Insulin requiring diabetes clinically performing as type 2 diabetes mellitus (T2DM), named latent autoimmune diabetes in maturity (LADA) which on later years requires Insulin. LADA is either unnoticed or misdiagnosed in many cases. The occurrence GAD autoantibodies and positive levels of C-peptide analysis are tested to determine and finalize the patients’ Insulin dependency. The frequency of βcell autoantibodies (GAD) and C-Peptide analysis was determined in 31 Type 2 diabetic adults. The type of diabetes was classified by doing a Postprandial Blood Glucose test. Ten Type 1 diabetic patients and 10 ordinary people were also subjected to the three tests for comparative study. Twenty-three per cent of the adults with T2DM were tested positive for GAD autoantibody, and 61 per cent were tested positive (who came in T1DM range) for C-peptide analysis among them. 19% of the patients were tested positive for both GAD antibody and C-peptide analysis. Patients had the common symptoms of polyuria, polyphagia and polydipsia. In T2DM patients, 61% were females, and 39% were males, and all were non-obese. β‐cell autoantibodies were evident in a subcategory of initially non‐insulin needy diabetic adults with the clinical entrance of T2DM. This proves the existence and necessity for change in Insulin dependency.
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