血糖变异性和时间范围与1型糖尿病的脂质谱的关联
Mariana Salsa-Castelo1, Celestino Neves2,3, João Sérgio Neves2,4
1Faculty of Medicine, University of Porto, Porto, Portugal. m.iscastelo99@gmail.com.
Endocrine
|December 5, 2023
概括
在1型糖尿病 (T1D) 中,低血糖控制和高葡萄糖变异性与不健康的脂质样本有关,特别是高甘油三和较低的HDL胆固醇. 持续葡萄糖监测 (CGM) 指标为糖尿病和脂质的管理提供了洞察力.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 心血管健康 心血管健康
背景情况:
- 已知1型糖尿病 (T1D) 的高血糖会破坏脂蛋白代谢.
- 了解血糖控制,可变性和脂质配置文件之间的相互作用对于管理T1D并发症至关重要.
研究的目的:
- 调查血糖控制指标之间的关联,包括持续血糖监测 (CGM) 数据和T1D患者的脂质资料.
- 具体分析糖分变化和时间范围对脂质参数的影响.
主要方法:
- 对T1D患者进行回顾性队列研究.
- 在两个时间点分析临床参数,HbA1c,CGM指标和脂质资料.
- 进行了横截面和纵向分析以评估关联.
主要成果:
- 较高的HbA1c,葡萄糖管理指标 (GMI),范围以上的时间和范围内的较低时间与增加的甘油三水平相关.
- 低于范围的时间增加与HDL胆固醇降低有关.
- 更高的变化系数 (CV) 与显著降低的HDL胆固醇有关;与总胆固醇或LDL胆固醇没有发现任何关联.
结论:
- 血糖的变化,特别是心血管的增加,会对T1D的HDL胆固醇水平产生负面影响.
- 高血糖指标与甘油三水平有积极的关联.
- 来自CGM的参数显示,它们有可能成为优化T1D中血糖控制和脂质管理的有价值工具.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.4K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.4K
Diabetes: Symptoms, Diagnosis, and Complications
554
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
554
Variability: Analysis
143
Measures of variability are statistical metrics that reveal the dispersion pattern within a dataset. They are pivotal in biostatistics, providing insights into the heterogeneity within health and biological data. Variability signifies the degree to which data points diverge from one another, helping researchers understand the potential range of values and associated uncertainty within the data.
The range is a simple measure of variability, indicating the difference between the highest and...
The range is a simple measure of variability, indicating the difference between the highest and...
143
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K
Diabetes: Management and Pharmacotherapy
289
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
289
Insulin: Dosing Regimen and Adverse Effects
181
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
181


