Evaluation and correlates of β-cell function in patients with newly-onset type 1 diabetes mellitus
CSTR:
Author:
Affiliation:

Clc Number:

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    Objective: To describe the levels of residual β-cell function in patients with newly-onset type 1 diabetes mellitus, and investigate factors that may be related. Methods: Data obtained from 105 newly-onset hospitalized type 1 diabetes mellitus patients in the First Affiliated Hospital of Nanjing Medical University from 2010 to 2015. Hemoglobin A1c, islet autoantibodies and HLA-A-DR haplotypes were tested. Mixed-meal tolerance test was carried out until the fasting blood glucose was lower than 10 mmol/L; blood glucose, insulin and C-peptide were measured during the test. The rates of peak C-peptide ≥ 0.2 nmol/L were calculated and logistic regression analyses were performed to explore the influence factors. Results:Eighty-night point five percent of patients had peak C-peptide ≥ 0.2 nmol/L. Logistic regression analyses suggested that factors including age of onset ≤18(OR 0.08,95% CI 0.01~0.90),diabetic ketosis or ketoacidosis onset(OR 0.08,95% CI 0.01~0.83),High-risk HLA-A-DRB1 haplotypes(OR 0.07,95% CI 0.01~0.61),counts of islet autoantibodies >2(OR 0.10,95% CI 0.01~0.87) were related to lower rates of peak C-peptide ≥ 0.2 nmol/L. Conclusion: We found that residual β-cell function exists in patients with newly-onset type 1 diabetes mellitus. These data reinforce the inadvisability of using C-peptide alone to differentiate between type 1 diabetes mellitus and other forms of diabetes. We also found that age of onset, diabetic ketosis or ketoacidosis onset, HLA-A-DRB1 haplotypes and islet autoantibodies were associated with β-cell function in patients with newly-onset type 1 diabetes mellitus.

    Reference
    Related
    Cited by
Get Citation

Wang Yueshu, Wang Xing, Wang Jing, Qin Yao, Gu Yong, Yang Tao, Zhang Mei. Evaluation and correlates of β-cell function in patients with newly-onset type 1 diabetes mellitus[J].,2017,(5):597-600.

Copy
Related Videos

Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:March 13,2017
  • Revised:
  • Adopted:
  • Online: June 01,2017
  • Published:
Article QR Code