Document Detail


Characteristics of insulin resistance and insulin secretory capacity in Korean subjects with IFG and IGT.
MedLine Citation:
PMID:  20605249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Both IFG and IGT are prediabetic conditions that can progress to type 2 DM. However, previous studies have shown that these are not identical. This study was conducted on 307 drug naïve prediabetic adults who did not meet the diagnostic criteria for diabetes based on the OGTT. According to the OGTT, the subjects were divided into isolated IFG (i-IFG), isolated IGT (i-IGT), and combined glucose intolerance (CGI) group. We also measured insulin resistance indices (HOMA-IR, WBISI), an insulin secretion indices (insulinogenic index [IGI], AUC I/G(0-120), disposition index [DI]), and compared each of the three groups. The OGTT measurements showed that 87 subjects were diagnosed with i-IFG, 75 subjects had i-IGT, and 145 subjects had CGI. With respect to the insulin resistance indices, HOMA-IR and WBISI were not significantly different. However, insulin secretory capacity, the IGI and DI were significantly higher for the i-IFG group. Moreover, after confounders were adjusted, HOMA-IR, IGI, AUC I/G(0-120), and the DI were significantly higher for the i-IFG group and WBISI was significantly higher for the i-IGT group. These results demonstrate that the pathogenesis of IFG is more closely associated with insulin resistance, and the pathogenesis of IGT is more closely associated with impaired insulin secretion.
Authors:
Sang Youl Rhee; Jeong-taek Woo; Suk Chon; You Cheol Hwang; Seungjoon Oh; Kyu Jeung Ahn; Ho Yeon Chung; Sung Woon Kim; Jin-Woo Kim; Young Seol Kim
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-03
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  89     ISSN:  1872-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  250-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Endocrinology and Metabolism, The Armed Forces Capital Hospital, Gyeonggi, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Asian Continental Ancestry Group
Female
Glucose Intolerance / blood*
Glucose Tolerance Test
Humans
Insulin / blood*,  secretion
Insulin Resistance / physiology*
Male
Middle Aged
Prediabetic State / blood*,  physiopathology
Chemical
Reg. No./Substance:
11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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