Abstract:
:Our aim was to compare the effects of an intermediate acting human insulin (NPH) and a long-acting insulin analog, insulin glargine, in insulin naïve type 2 diabetes patients, stratified by the type of hyperglycemia (fasting or postprandial type). Based on different action profiles, we hypothesized that patients having different hyperglycemia types would react differently when treated with these insulins. This is a post hoc analysis of the Lanmet study data. The Lanmet study was a randomized, 36-week controlled insulin initiation study in type 2 diabetes patients. 109 subjects with baseline HbA1c >8.0% (64 mmol/mol) completed the study. The patients were divided into two groups according to fasting glucose (mmol/l)/HbA1c (%) ratio. Patients with a ratio ≥1.3 were defined as having fasting type and those with a ratio <1.3 as having postprandial type hyperglycemia. The main outcome measures were change in HbA1c and body weight, and final insulin dose. Independently of insulin type, compared to patients with postprandial type hyperglycemia, those with fasting type hyperglycemia had 2.1 kg/m(2) greater initial BMI (p = 0.044), gained 2.0 kg more weight (p = 0.020, adjusted for baseline BMI p = 0.035), and had 36% greater final insulin dose/kg (p = 0.001). With respect to hyperglycemia type, there was no difference between NPH and glargine in their effects on HbA1c. When starting bedtime insulin in type 2 diabetes patients, those with fasting type hyperglycemia are prone to greater weight gain. Hyperglycemia type does not help in identifying patients who would benefit specially from either NPH insulin or insulin glargine.
journal_name
Acta Diabetoljournal_title
Acta diabetologicaauthors
Vähätalo MA,Viikari J,Rönnemaa Tdoi
10.1007/s00592-013-0505-7subject
Has Abstractpub_date
2014-04-01 00:00:00pages
233-8issue
2eissn
0940-5429issn
1432-5233journal_volume
51pub_type
杂志文章,随机对照试验abstract:AIMS:The present study aims to investigate the association between serum ferritin and diabetes, diabetes control, and insulin resistance (IR) and examine whether gender is a modifier for these associations in a community-based sample. METHODS:A cross-sectional survey of 8,235 participants was conducted in 2009. Serum ...
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abstract::Elevated plasma CT-pro-vasopressin (copeptin) has been described as biomarkers for type 2 diabetes (T2D) and the metabolic syndrome (MetS), which, however, was not confirmed by all studies. Here, we analyzed the association of copeptin with T2D, MetS and MetS components in the population-based KORA F4 study. Plasma co...
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pub_type: 杂志文章,多中心研究
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journal_title:Acta diabetologica
pub_type: 杂志文章
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journal_title:Acta diabetologica
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更新日期:2018-07-01 00:00:00
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更新日期:1998-04-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2013-08-01 00:00:00
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更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:1995-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:1997-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:1996-07-01 00:00:00
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更新日期:2016-02-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2012-12-01 00:00:00
abstract::Postreceptor insulin resistance was studied in liver, muscle and adipose tissue from NMRI mice of both sexes made diabetic by long-term fat-feeding. Intravenous glucose tolerance tests showed a combination of impaired glucose tolerance and increased plasma insulin concentrations consistent with insulin resistance and ...
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更新日期:1992-01-01 00:00:00