胰岛素样生长因子-1水平降低可能是2型糖尿病患者周围神经病变的危险因素
Jingyi Zhong1,2, Xiaopu Lin3, Xiaobin Zheng1,2
1Department of Endocrinology, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China.
Journal of diabetes investigation
|June 26, 2024
概括
较低的胰岛素样生长因子-1 (IGF-1) 水平与2型糖尿病患者的糖尿病外围神经病变 (DPN) 有关. 降低IGF-1可能表明患有DPN和神经损伤的风险更高.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 代谢疾病 代谢疾病
背景情况:
- 糖尿病外围神经病变 (DPN) 是2型糖尿病的一个常见并发症.
- 识别DPN的风险因素对于早期干预和管理至关重要.
研究的目的:
- 调查2型糖尿病中DPN的危险因素.
- 探索胰岛素样生长因子-1 (IGF-1) 和DPN之间的关联.
主要方法:
- 对790名2型糖尿病患者进行横截面研究,分为DPN和非DPN组.
- 测量血清IGF-1水平和其他生化标志物.
- 进行了神经传导研究和定量感官测试.
主要成果:
- DPN患者的IGF-1水平明显低于非DPN患者 (P < 0.001).
- IGF-1与运动和感觉神经幅度正相关,与振动感知值负相关.
- 糖尿病持续时间,HbA1c和低IGF-1被确定为DPN的独立风险因素.
结论:
- 在DPN患者中降低的IGF-1水平表明,对轴突损伤有潜在的保护作用.
- 低IGF-1可能作为2型糖尿病中DPN风险的生物标志物.
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