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Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions
Diabetes mellitus is classified as the epidemic of the 21st century. Due to the fact that acute carbohydrate metabolism disorders usually do not indicate morphological change, postmortem diagnosis is required to perform biochemical tests. The authors decided to evaluate the usefulness of determining...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235919/ https://www.ncbi.nlm.nih.gov/pubmed/32325891 http://dx.doi.org/10.3390/diagnostics10040236 |
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author | Nowak, Karolina Jurek, Tomasz Zawadzki, Marcin |
author_facet | Nowak, Karolina Jurek, Tomasz Zawadzki, Marcin |
author_sort | Nowak, Karolina |
collection | PubMed |
description | Diabetes mellitus is classified as the epidemic of the 21st century. Due to the fact that acute carbohydrate metabolism disorders usually do not indicate morphological change, postmortem diagnosis is required to perform biochemical tests. The authors decided to evaluate the usefulness of determining glucose, lactate, acetone, β-hydroxybutyric acid (BHB), and 1,5-anhydroglucitol (1,5-AG) in postmortem blood/serum, urine, and vitreous humor (VH). Biological material was collected during autopsies. The study group consisted of 50 diabetics, while the control group consisted of 50 non-diabetics, who died a sudden death, with negative test results for the presence of ethyl alcohol and were not resuscitated before death. Statistical analysis was performed using the IBM SPSS Statistics 25 software package. The most statistically significant difference between the two groups was observed for mean 1,5-AG concentration. The authors found many correlations between the concentration of the examined markers in different materials, mainly between blood/serum and VH. The most suitable short-term glycemic marker in postmortem diagnosis is 1,5-AG. Diagnosis may be supported with determinations of acetone and BHB. For medicolegal assessment, the interpretation of the biochemical test results should comprise information on circumstances of death, medical history, results of other toxicological and histopathological tests, and autopsy report. |
format | Online Article Text |
id | pubmed-7235919 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72359192020-05-28 Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions Nowak, Karolina Jurek, Tomasz Zawadzki, Marcin Diagnostics (Basel) Article Diabetes mellitus is classified as the epidemic of the 21st century. Due to the fact that acute carbohydrate metabolism disorders usually do not indicate morphological change, postmortem diagnosis is required to perform biochemical tests. The authors decided to evaluate the usefulness of determining glucose, lactate, acetone, β-hydroxybutyric acid (BHB), and 1,5-anhydroglucitol (1,5-AG) in postmortem blood/serum, urine, and vitreous humor (VH). Biological material was collected during autopsies. The study group consisted of 50 diabetics, while the control group consisted of 50 non-diabetics, who died a sudden death, with negative test results for the presence of ethyl alcohol and were not resuscitated before death. Statistical analysis was performed using the IBM SPSS Statistics 25 software package. The most statistically significant difference between the two groups was observed for mean 1,5-AG concentration. The authors found many correlations between the concentration of the examined markers in different materials, mainly between blood/serum and VH. The most suitable short-term glycemic marker in postmortem diagnosis is 1,5-AG. Diagnosis may be supported with determinations of acetone and BHB. For medicolegal assessment, the interpretation of the biochemical test results should comprise information on circumstances of death, medical history, results of other toxicological and histopathological tests, and autopsy report. MDPI 2020-04-19 /pmc/articles/PMC7235919/ /pubmed/32325891 http://dx.doi.org/10.3390/diagnostics10040236 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Nowak, Karolina Jurek, Tomasz Zawadzki, Marcin Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions |
title | Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions |
title_full | Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions |
title_fullStr | Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions |
title_full_unstemmed | Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions |
title_short | Postmortem Determination of Short-Term Markers of Hyperglycemia for the Purposes of Medicolegal Opinions |
title_sort | postmortem determination of short-term markers of hyperglycemia for the purposes of medicolegal opinions |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235919/ https://www.ncbi.nlm.nih.gov/pubmed/32325891 http://dx.doi.org/10.3390/diagnostics10040236 |
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