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Effects of intensive glycemic control on serum levels of Insulin-like growth factor-I and dehydroepiandrosterone sulfate in type 2 diabetes mellitus.
MedLine Citation:
PMID:  21997284     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Although accumulating evidence shows that aging hormones are involved in glucose metabolism, effects of glycemic control on serum insulin-like growth factor-I (IGF-I) and dehydroepiandrosterone-sulfate (DHEA-S) levels are still unclear. Objective and Methods: To investigate the effects of glycemic control on these hormone levels, we conducted a one-month longitudinal study of 49 Japanese patients with type 2 diabetes mellitus. We measured serum levels of IGF-I and DHEA-S before and after one-month glycemic control and analyzed the association of changes in IGF-I and DHEA-S with HbA1c. Results: HbA1c was decreased at one month with mean changes of -1.2 % (p<0.001). Serum IGF-I was increased with mean changes of 11 ng/mL (p<0.05), while serum DHEA-S was decreased with mean changes of -19 μg/dL (p<0.05). Multiple regression analysis showed that changes in DHEA-S were inversely associated with changes in FPG (β=-0.36, p=0.027) and HbA1c (β=-0.33, p=0.028), while changes in IGF-I were not. Conclusion: Present longitudinal study showed that intensive glycemic control for one month increased serum IGF-I level and decreased serum DHEA-S level in Japanese patients with poorly controlled type 2 diabetes. Further studies are needed to clarify the hormonal changes in IGF-I and DHEA-S after intensive glycemic control would affect diabetic complications.
Authors:
Ippei Kanazawa; Toru Yamaguchi; Toshitsugu Sugimoto
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-10
Journal Detail:
Title:  Journal of endocrinological investigation     Volume:  -     ISSN:  1720-8386     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806594     Medline TA:  J Endocrinol Invest     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Internal Medicine 1, Shimane University Faculty of Medicine, Shimane 693-8501, Japan.
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