Cargando…
Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study
OBJECTIVE—The aim of this study was to describe the natural history of insulin secretion and insulin sensitivity in the development of isolated impaired fasting glycemia (i-IFG), isolated impaired glucose tolerance (i-IGT), and combined IFG/IGT. RESEARCH DESIGN AND METHODS—Baseline and 5-year follow...
Autores principales: | , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
American Diabetes Association
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646025/ https://www.ncbi.nlm.nih.gov/pubmed/19056613 http://dx.doi.org/10.2337/dc08-1195 |
_version_ | 1782164808703934464 |
---|---|
author | Færch, Kristine Vaag, Allan Holst, Jens J. Hansen, Torben Jørgensen, Torben Borch-Johnsen, Knut |
author_facet | Færch, Kristine Vaag, Allan Holst, Jens J. Hansen, Torben Jørgensen, Torben Borch-Johnsen, Knut |
author_sort | Færch, Kristine |
collection | PubMed |
description | OBJECTIVE—The aim of this study was to describe the natural history of insulin secretion and insulin sensitivity in the development of isolated impaired fasting glycemia (i-IFG), isolated impaired glucose tolerance (i-IGT), and combined IFG/IGT. RESEARCH DESIGN AND METHODS—Baseline and 5-year follow-up data from the Inter99 study were used. Individuals with normal glucose tolerance (NGT) at baseline and i-IFG, i-IGT, combined IFG/IGT, or NGT at the 5-year follow-up were examined with an oral glucose tolerance test (n = 3,145). Insulin sensitivity index (ISI), homeostasis model assessment of insulin sensitivity (HOMA-IS), early-phase insulin release (EPIR), and insulin secretion relative to insulin action (disposition index) were estimated. RESULTS—Five years before the pre-diabetes diagnoses (i-IFG, i-IGT, and IFG/IGT), ISI, HOMA-IS, EPIR, and disposition index were lower than in individuals who maintained NGT. During the 5-year follow-up, individuals developing i-IFG experienced a significant decline only in HOMA-IS, whereas individuals developing i-IGT experienced significant declines in ISI, EPIR, and disposition index. Individuals with IFG/IGT exhibited pronounced declines in ISI, HOMA-IS, EPIR, and disposition index during the 5-year follow-up. CONCLUSIONS—A stationary reduced insulin secretion followed by a decline in primarily hepatic insulin sensitivity characterizes the transition from NGT to i-IFG. In contrast, low whole-body insulin sensitivity with a secondary lack of β-cell compensation is associated with the development of i-IGT. Thereby, i-IFG and i-IGT appear to result from different underlying mechanisms, which may have implications for the prevention and treatment of the diabetes that succeeds them. |
format | Text |
id | pubmed-2646025 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-26460252010-03-01 Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study Færch, Kristine Vaag, Allan Holst, Jens J. Hansen, Torben Jørgensen, Torben Borch-Johnsen, Knut Diabetes Care Pathophysiology/Complications OBJECTIVE—The aim of this study was to describe the natural history of insulin secretion and insulin sensitivity in the development of isolated impaired fasting glycemia (i-IFG), isolated impaired glucose tolerance (i-IGT), and combined IFG/IGT. RESEARCH DESIGN AND METHODS—Baseline and 5-year follow-up data from the Inter99 study were used. Individuals with normal glucose tolerance (NGT) at baseline and i-IFG, i-IGT, combined IFG/IGT, or NGT at the 5-year follow-up were examined with an oral glucose tolerance test (n = 3,145). Insulin sensitivity index (ISI), homeostasis model assessment of insulin sensitivity (HOMA-IS), early-phase insulin release (EPIR), and insulin secretion relative to insulin action (disposition index) were estimated. RESULTS—Five years before the pre-diabetes diagnoses (i-IFG, i-IGT, and IFG/IGT), ISI, HOMA-IS, EPIR, and disposition index were lower than in individuals who maintained NGT. During the 5-year follow-up, individuals developing i-IFG experienced a significant decline only in HOMA-IS, whereas individuals developing i-IGT experienced significant declines in ISI, EPIR, and disposition index. Individuals with IFG/IGT exhibited pronounced declines in ISI, HOMA-IS, EPIR, and disposition index during the 5-year follow-up. CONCLUSIONS—A stationary reduced insulin secretion followed by a decline in primarily hepatic insulin sensitivity characterizes the transition from NGT to i-IFG. In contrast, low whole-body insulin sensitivity with a secondary lack of β-cell compensation is associated with the development of i-IGT. Thereby, i-IFG and i-IGT appear to result from different underlying mechanisms, which may have implications for the prevention and treatment of the diabetes that succeeds them. American Diabetes Association 2009-03 /pmc/articles/PMC2646025/ /pubmed/19056613 http://dx.doi.org/10.2337/dc08-1195 Text en Copyright © 2009, American Diabetes Association Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. |
spellingShingle | Pathophysiology/Complications Færch, Kristine Vaag, Allan Holst, Jens J. Hansen, Torben Jørgensen, Torben Borch-Johnsen, Knut Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study |
title | Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study |
title_full | Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study |
title_fullStr | Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study |
title_full_unstemmed | Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study |
title_short | Natural History of Insulin Sensitivity and Insulin Secretion in the Progression From Normal Glucose Tolerance to Impaired Fasting Glycemia and Impaired Glucose Tolerance: The Inter99 Study |
title_sort | natural history of insulin sensitivity and insulin secretion in the progression from normal glucose tolerance to impaired fasting glycemia and impaired glucose tolerance: the inter99 study |
topic | Pathophysiology/Complications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646025/ https://www.ncbi.nlm.nih.gov/pubmed/19056613 http://dx.doi.org/10.2337/dc08-1195 |
work_keys_str_mv | AT færchkristine naturalhistoryofinsulinsensitivityandinsulinsecretionintheprogressionfromnormalglucosetolerancetoimpairedfastingglycemiaandimpairedglucosetolerancetheinter99study AT vaagallan naturalhistoryofinsulinsensitivityandinsulinsecretionintheprogressionfromnormalglucosetolerancetoimpairedfastingglycemiaandimpairedglucosetolerancetheinter99study AT holstjensj naturalhistoryofinsulinsensitivityandinsulinsecretionintheprogressionfromnormalglucosetolerancetoimpairedfastingglycemiaandimpairedglucosetolerancetheinter99study AT hansentorben naturalhistoryofinsulinsensitivityandinsulinsecretionintheprogressionfromnormalglucosetolerancetoimpairedfastingglycemiaandimpairedglucosetolerancetheinter99study AT jørgensentorben naturalhistoryofinsulinsensitivityandinsulinsecretionintheprogressionfromnormalglucosetolerancetoimpairedfastingglycemiaandimpairedglucosetolerancetheinter99study AT borchjohnsenknut naturalhistoryofinsulinsensitivityandinsulinsecretionintheprogressionfromnormalglucosetolerancetoimpairedfastingglycemiaandimpairedglucosetolerancetheinter99study |