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Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes

BACKGROUND: We aimed to investigate early arteriosclerosis and its risk factors in populations with prediabetes and new-onset diabetes. MATERIALS AND METHODS: A total of 148 participants who did not have diabetes mellitus were assigned to three groups through an oral glucose tolerance test: the norm...

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Autores principales: Liu, Xiaoli, Liu, Lanxiang, Wang, Rui, Jia, Xiaojiao, Liu, Binbin, Ma, Ning, Lu, Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bioscientifica Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240705/
https://www.ncbi.nlm.nih.gov/pubmed/33971618
http://dx.doi.org/10.1530/EC-21-0202
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author Liu, Xiaoli
Liu, Lanxiang
Wang, Rui
Jia, Xiaojiao
Liu, Binbin
Ma, Ning
Lu, Qiang
author_facet Liu, Xiaoli
Liu, Lanxiang
Wang, Rui
Jia, Xiaojiao
Liu, Binbin
Ma, Ning
Lu, Qiang
author_sort Liu, Xiaoli
collection PubMed
description BACKGROUND: We aimed to investigate early arteriosclerosis and its risk factors in populations with prediabetes and new-onset diabetes. MATERIALS AND METHODS: A total of 148 participants who did not have diabetes mellitus were assigned to three groups through an oral glucose tolerance test: the normal glucose tolerance (NGT) group; the impaired glucose regulation, also known as prediabetes group and the new-onset type 2 diabetes mellitus group. The insulin resistance index was assessed using the homeostatic model assessment of insulin resistance (HOMA-IR). An ELISA was used to determine the level of fibroblast growth factor 21 (FGF21). An arteriosclerosis detector was used to measure the brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI). The baPWV, ABI, and FGF21 were used to assess early arteriosclerosis. RESULTS: Significant differences in age, systolic blood pressure (SBP), fasting plasma glucose (FPG), 2-h plasma glucose (2hPG), 2-h insulin (2hINS), and HOMA-IR were found between the NGT group and the prediabetes and new-onset diabetes groups. All of the above, except 2hINS, showed an increasing trend. Moreover, the FGF21 was higher in the new-onset diabetes group than in the NGT group. The baPWV was higher in the new-onset diabetes group than in the other two groups, but no significant difference was noted in the ABI. Age, SBP, diastolic blood pressure, FPG, 2hPG, and FGF21 were positively correlated with the baPWV. In addition, FPG, SBP, FGF21, and HOMA-IR were independent risk factors for the baPWV. CONCLUSIONS: Patients with prediabetes and new-onset diabetes may have more significant early arteriosclerosis. The blood glucose level and insulin resistance index may be independent risk factors for early arteriosclerosis.
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spelling pubmed-82407052021-07-01 Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes Liu, Xiaoli Liu, Lanxiang Wang, Rui Jia, Xiaojiao Liu, Binbin Ma, Ning Lu, Qiang Endocr Connect Research BACKGROUND: We aimed to investigate early arteriosclerosis and its risk factors in populations with prediabetes and new-onset diabetes. MATERIALS AND METHODS: A total of 148 participants who did not have diabetes mellitus were assigned to three groups through an oral glucose tolerance test: the normal glucose tolerance (NGT) group; the impaired glucose regulation, also known as prediabetes group and the new-onset type 2 diabetes mellitus group. The insulin resistance index was assessed using the homeostatic model assessment of insulin resistance (HOMA-IR). An ELISA was used to determine the level of fibroblast growth factor 21 (FGF21). An arteriosclerosis detector was used to measure the brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI). The baPWV, ABI, and FGF21 were used to assess early arteriosclerosis. RESULTS: Significant differences in age, systolic blood pressure (SBP), fasting plasma glucose (FPG), 2-h plasma glucose (2hPG), 2-h insulin (2hINS), and HOMA-IR were found between the NGT group and the prediabetes and new-onset diabetes groups. All of the above, except 2hINS, showed an increasing trend. Moreover, the FGF21 was higher in the new-onset diabetes group than in the NGT group. The baPWV was higher in the new-onset diabetes group than in the other two groups, but no significant difference was noted in the ABI. Age, SBP, diastolic blood pressure, FPG, 2hPG, and FGF21 were positively correlated with the baPWV. In addition, FPG, SBP, FGF21, and HOMA-IR were independent risk factors for the baPWV. CONCLUSIONS: Patients with prediabetes and new-onset diabetes may have more significant early arteriosclerosis. The blood glucose level and insulin resistance index may be independent risk factors for early arteriosclerosis. Bioscientifica Ltd 2021-05-06 /pmc/articles/PMC8240705/ /pubmed/33971618 http://dx.doi.org/10.1530/EC-21-0202 Text en © The authors https://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Research
Liu, Xiaoli
Liu, Lanxiang
Wang, Rui
Jia, Xiaojiao
Liu, Binbin
Ma, Ning
Lu, Qiang
Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
title Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
title_full Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
title_fullStr Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
title_full_unstemmed Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
title_short Early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
title_sort early arteriosclerosis and its risk factors in subjects with prediabetes and new-onset diabetes
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240705/
https://www.ncbi.nlm.nih.gov/pubmed/33971618
http://dx.doi.org/10.1530/EC-21-0202
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