致编辑的回应文章《糖格列净对2型糖尿病患者肝纤维化的影响因酒精摄入量而异》的信。

IF 3 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Akash Suthar, Deepa Lachhman Das
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引用次数: 0

摘要

尊敬的编辑,据我们所知,Ito等人撰写的第一篇关于“糖格列净对2型糖尿病患者肝纤维化的影响取决于酒精摄入量”的研究发表在您的荣幸期刊上。它强调了饮酒者和非饮酒者伴有2型糖尿病和肝纤维化的FIB-4、HbAlc、体重减轻和血清白蛋白浓度的有利变化。这项回顾性研究不仅涵盖了与主题相关的事实,而且研究的深度和多样性也提供了许多视角,从而增强了我们的概念。尽管如此,总是存在一定的不确定性,解决这些限制将提高进一步研究的有效性。首先,作者提到SGLT2治疗有助于预防心血管疾病。然而,基于有或没有心血管疾病的饮酒者和非饮酒者的结果缺乏。还有这个。Hajika等人2也强调了糖格列净对心血管疾病的抑制作用,如动脉硬化。这项有限的调查无法展开这项研究的广泛方面。其次,作者强调了葡格列净的作用及其与糖尿病和肝纤维化的关系,以及基于FIB-4水平的结果。这也使本研究的真实性朝着正确的方向发展,但也使本研究出现了低准确性、假阳性、假阴性的结果,减少了增强结果效果的机会3。第三,该研究还混淆了饮酒者和非饮酒者在低风险组和中/高危组中FIB-4水平的差异,这可能是由于饮食对个体群体的隐性影响。Soleimani等人4还提到,健康的饮食模式可以预防肝纤维化。这种饮食的清晰度可以增强其有效性并加强本研究。作者声明无利益冲突。研究方案批准:无。知情同意:无。注册表及注册编号研究/试验:无。动物实验:没有。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Letter to the Editor in response to the article “Effect of luseogliflozin on liver fibrosis differs depending on alcohol consumption in patients with type 2 diabetes”

Dear Editor,

To the best of our knowledge, the first study on “Effect of luseogliflozin on liver fibrosis differs depending on alcohol consumption in patients with type 2 diabetes”, penned by Mr. Ito et al.1, was published in your honored journal. It highlighted the favorable changes in FIB-4, HbAlc, weight loss, and serum albumin concentrations in drinkers and non-drinkers with type-2 diabetes and liver fibrosis. This retrospective study covered not only the facts respective to a topic but also the depth and diversity of the study beamed so many perspectives which enhanced our concepts. Still, there is always a margin of uncertainties and addressing those limitations will enhance the validity of further studies.

Primarily, the authors mentioned that SGLT2 therapy contributes to the prevention of cardiovascular diseases. However, the results based on drinkers and non-drinkers with or without cardiovascular diseases are lacking. Along with this.

Mr. Hajika et al.2 also highlighted the suppression of cardiovascular diseases with luseogliflozin, such as arteriosclerosis. This restricted investigation was not able to unfold a broad aspect of this study.

Secondly, the authors highlighted the effects of luseogliflozin and its association with diabetes and liver fibrosis and its results based on FIB-4 levels. It also led to the authenticity of this study in the right direction but took the study to low accuracy, false-positive, and false-negative results, which diminishes the chance to enhance the effect of results3.

Thirdly, the study also confuses the readers with differences in FIB-4 levels in the low-risk group and intermediate-/high-risk group concerning drinkers and non-drinkers, which can be due to the hidden impact of diet on individual groups. Mr. Soleimani et al.4 also mentioned a healthy diet pattern plays a role against hepatic fibrosis. This clarity of diet could intensify its validity and strengthen this study.

The authors declare no conflict of interest.

Approval of the research protocol: None.

Informed consent: None.

Registry and the registration no. of the study/trial: None.

Animal studies: None.

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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation ENDOCRINOLOGY & METABOLISM-
CiteScore
6.50
自引率
9.40%
发文量
218
审稿时长
6-12 weeks
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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