rdf:type |
|
lifeskim:mentions |
umls-concept:C0006558,
umls-concept:C0011854,
umls-concept:C0017725,
umls-concept:C0040833,
umls-concept:C0205329,
umls-concept:C0442027,
umls-concept:C0679646,
umls-concept:C0805586,
umls-concept:C0871261,
umls-concept:C1521798,
umls-concept:C1659987,
umls-concept:C1704632,
umls-concept:C1706817,
umls-concept:C2911692
|
pubmed:issue |
3
|
pubmed:dateCreated |
2010-3-1
|
pubmed:abstractText |
OBJECTIVE We studied the C-peptide response to oral glucose with progression to type 1 diabetes in Diabetes Prevention Trial-Type 1 (DPT-1) participants. RESEARCH DESIGN AND METHODS Among 504 DPT-1 participants <15 years of age, longitudinal analyses were performed in 36 progressors and 80 nonprogressors. Progressors had oral glucose tolerance tests (OGTTs) at baseline and every 6 months from 2.0 to 0.5 years before diagnosis; nonprogressors had OGTTs over similar intervals before their last visit. Sixty-six progressors and 192 nonprogressors were also studied proximal to and at diagnosis. RESULTS The 30-0 min C-peptide difference from OGTTs performed 2.0 years before diagnosis in progressors was lower than the 30-0 min C-peptide difference from OGTTs performed 2.0 years before the last visit in nonprogressors (P < 0.01) and remained lower over time. The 90-60 min C-peptide difference was positive at every OGTT before diagnosis in progressors, whereas it was negative at every OGTT before the last visit in nonprogressors (P < 0.01 at 2.0 years). The percentage whose peak C-peptide occurred at 120 min was higher in progressors at 2.0 years (P < 0.05); this persisted over time (P < 0.001 at 0.5 years). However, the peak C-peptide levels were only significantly lower at 0.5 years in progressors (P < 0.01). The timing of the peak C-peptide predicted type 1 diabetes (P < 0.001); peak C-peptide levels were less predictive (P < 0.05). CONCLUSIONS A decreased early C-peptide response to oral glucose and an increased later response occur at least 2 years before the diagnosis of type 1 diabetes.
|
pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-12021118,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-12037147,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-15855569,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-16306337,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-16505520,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-17192330,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-17616634,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-18650369,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-5216975,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-6061732,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20032282-7713313
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
1935-5548
|
pubmed:author |
|
pubmed:issnType |
Electronic
|
pubmed:volume |
33
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
620-5
|
pubmed:dateRevised |
2011-7-25
|
pubmed:meshHeading |
pubmed-meshheading:20032282-Adolescent,
pubmed-meshheading:20032282-Area Under Curve,
pubmed-meshheading:20032282-C-Peptide,
pubmed-meshheading:20032282-Child,
pubmed-meshheading:20032282-Cohort Studies,
pubmed-meshheading:20032282-Diabetes Mellitus, Type 1,
pubmed-meshheading:20032282-Disease Progression,
pubmed-meshheading:20032282-Female,
pubmed-meshheading:20032282-Glucose,
pubmed-meshheading:20032282-Glucose Tolerance Test,
pubmed-meshheading:20032282-Humans,
pubmed-meshheading:20032282-Longitudinal Studies,
pubmed-meshheading:20032282-Male,
pubmed-meshheading:20032282-Prediabetic State,
pubmed-meshheading:20032282-Time Factors
|
pubmed:year |
2010
|
pubmed:articleTitle |
Trends of earlier and later responses of C-peptide to oral glucose challenges with progression to type 1 diabetes in diabetes prevention trial-type 1 participants.
|
pubmed:affiliation |
Division of Endocrinology, University of Miami, Miami, Florida, USA. jsosenko@med.miami.edu
|
pubmed:publicationType |
Journal Article
|