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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2000-10-25
pubmed:abstractText
Elevated proinsulin secretion and islet amyloid deposition are both features of Type 2 diabetes but their relationship to beta-cell dysfunction is unknown. To determine if islet amyloid polypeptide (IAPP) secretion is disproportionate with other beta-cell products at any stage of glucose intolerance, 116 subjects were studied. Non-diabetic subjects with equivalent body mass index (BMI) were assigned to three groups, (i) normal fasting glucose, fpg<5.5 mmol l(-1); (ii) intermediate fasting glucose, fpg> or =5.5<6.15 mmol l(-1); (iii) impaired fasting glucose (IFG), fpg> or =6.1<7.0 mmol l(-1). Diabetic subjects were divided according to therapy (9 diet, 19 tablet, and 11 insulin). IAPP, C-peptide and proinsulin were measured fasting and at the end of a 1-h glucose infusion. Fasting C-peptide, IAPP and proinsulin were significantly elevated in the IFG group compared with the other non-diabetic groups (P<0.02); fasting IAPP/C-peptide and proinsulin/C-peptide were 1-2% in all non-diabetic groups. Fasting and 1-h proinsulin and proinsulin/C-peptide were higher in diabetic compared with non-diabetic subjects (P<0.01). IAPP and IAPP/C-peptide in diabetic groups were similar to that in non-diabetic subjects but reduced in the insulin-treated group (P<0.01). Proinsulin was disproportionately increased compared with C-peptide and IAPP in Type 2 diabetes particularly in severe beta-cell failure implying more than one concurrent beta-cell pathology.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0168-8227
pubmed:author
pubmed:issnType
Print
pubmed:volume
50
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
117-26
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:10960722-Amyloid, pubmed-meshheading:10960722-Blood Glucose, pubmed-meshheading:10960722-Body Mass Index, pubmed-meshheading:10960722-C-Peptide, pubmed-meshheading:10960722-Diabetes Mellitus, Type 1, pubmed-meshheading:10960722-Diabetes Mellitus, Type 2, pubmed-meshheading:10960722-Fasting, pubmed-meshheading:10960722-Female, pubmed-meshheading:10960722-Glucose Intolerance, pubmed-meshheading:10960722-Glucose Tolerance Test, pubmed-meshheading:10960722-Humans, pubmed-meshheading:10960722-Hypoglycemic Agents, pubmed-meshheading:10960722-Insulin, pubmed-meshheading:10960722-Islet Amyloid Polypeptide, pubmed-meshheading:10960722-Longitudinal Studies, pubmed-meshheading:10960722-Male, pubmed-meshheading:10960722-Middle Aged, pubmed-meshheading:10960722-Proinsulin, pubmed-meshheading:10960722-Reference Values
pubmed:year
2000
pubmed:articleTitle
Parallel changes of proinsulin and islet amyloid polypeptide in glucose intolerance.
pubmed:affiliation
Diabetes Research Laboratories, Radcliffe Infirmary, Woodstock Road, OX2 6HE, Oxford, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't