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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1988-6-30
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pubmed:abstractText |
Glucose tolerance and insulin secretion were studied in two groups of non-diabetic identical twins of recently-diagnosed Type 1 (insulin-dependent) diabetic patients: (1) a group of 5 twins with islet cell antibodies, and (2) a group of 6 twins without. Despite similar fasting glucose, insulin and C-peptide concentrations both groups of twins had significantly higher fasting proinsulin concentrations than the control group (p less than 0.05). The twins with complement-fixing islet cell antibodies had reduced glucose tolerance and clearance, whilst the twins without islet cell antibodies did not. Neither group of twins showed any abnormality in insulin, C-peptide or proinsulin response to oral or intravenous glucose. We conclude that increased fasting proinsulin levels precede abnormalities of insulin secretion, and are an early indication of minor B-cell damage in these twins irrespective of their risk of developing diabetes.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0012-186X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
182-4
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:3286344-Blood Glucose,
pubmed-meshheading:3286344-C-Peptide,
pubmed-meshheading:3286344-Diabetes Mellitus, Type 1,
pubmed-meshheading:3286344-Glucose Tolerance Test,
pubmed-meshheading:3286344-Humans,
pubmed-meshheading:3286344-Insulin,
pubmed-meshheading:3286344-Islets of Langerhans,
pubmed-meshheading:3286344-Prognosis,
pubmed-meshheading:3286344-Proinsulin,
pubmed-meshheading:3286344-Reference Values,
pubmed-meshheading:3286344-Risk Factors,
pubmed-meshheading:3286344-Twins,
pubmed-meshheading:3286344-Twins, Monozygotic
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pubmed:year |
1988
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pubmed:articleTitle |
Increased proinsulin levels as an early indicator of B-cell dysfunction in non-diabetic twins of type 1 (insulin-dependent) diabetic patients.
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pubmed:affiliation |
Department of Medicine, King's College Hospital, London, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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