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Updated: Oct 10, 2025

Telomere Length and Telomerase Activity; A Yin and Yang of Cell Senescence
Published on: May 22, 2013
Association of antidiabetic therapy with shortened telomere length in middle-aged Type 2 diabetic patients
1Department of Animal Production, College of Agriculture, Al-Qasim Green University, Al-Qasim, Babil 51001 Iraq.
Introduction:
A wide range of antidiabetic therapies have been developed to manage diabetes and limit its lifespan but each of them have adverse long-term drug reactions. This study was performed for the investigation of the possible association of antidiabetic therapy with shortened telomere length in middle-aged Type 2 diabetic patients.
Materials And Methods:
The subjects in this case-control study included 100 non-diabetic patients and 300 patients with Type 2 diabetes with ages in the range of 30-50 years. The treated patients were further subdivided into diabetic patients using Doanil, those using insulin and those using both the therapies. The mean telomere length was determined using the southern-blotting technique. A logistic regression analysis was performed to predict the relationship between antidiabetic therapy and shortened telomere length.
Results:
The results revealed a significant increase (P < 0.01) in the fasting blood glucose and lipid profile in non-treatment diabetic patients compared to diabetic patients with treatment, and also in diabetic patients with insulin therapy, compared to diabetic patients with Doanil or both therapies. The results showed that non-treatment diabetic patients had shorter telomere length, compared to the diabetic patients with treatment, and patients treated with insulin therapy had shorter telomere length, compared to the diabetic patients with Doanil or both therapies. The logistic regression analysis confirmed that insulin therapy was closely related to diabetic risk factors and shortened telomere length.
Conclusions:
The results revealed that Doanil therapy was more effective in managing diabetic risk and limiting the shortening telomere length than insulin therapy.
Insights
Doanil therapy shows better management of diabetes and less telomere shortening compared to insulin therapy in middle-aged patients. This study investigates antidiabetic drugs and their effect on telomere length.
Area of Science:
- Endocrinology and Metabolism
- Genetics and Molecular Biology
Background:
- Antidiabetic therapies aim to manage diabetes but can have adverse effects.
- Telomere length is a biomarker for cellular aging and may be influenced by disease and treatment.
Purpose of the Study:
- To investigate the association between antidiabetic therapy and telomere length in middle-aged Type 2 diabetic patients.
- To compare the effects of Doanil, insulin, and combination therapy on telomere length.
Main Methods:
- Case-control study involving 300 Type 2 diabetic patients and 100 non-diabetic controls (ages 30-50).
- Telomere length measured using southern blotting.
- Logistic regression analysis to determine the relationship between therapy and telomere length.
Main Results:
- Diabetic patients on treatment had better glucose and lipid profiles than untreated patients.
- Patients on Doanil or combination therapy had longer telomeres than those on insulin therapy.
- Insulin therapy was significantly associated with diabetic risk factors and shorter telomere length.
Conclusions:
- Doanil therapy demonstrated greater efficacy in managing diabetic risk factors and preserving telomere length compared to insulin therapy.
- Findings suggest differential impacts of antidiabetic medications on cellular aging markers.
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