在1型糖尿病中,自身免疫性并发症的发病率和通过CGM衍生的参数与血糖控制的相关性
Ana Margarida Lopes1, Ana Rita Leite2,3,4, Patrícia Ferreira1,5
1Faculty of Medicine of University of Porto, Porto, Portugal.
Endocrine
|July 15, 2025
概括
超过三分之一的1型糖尿病 (T1D) 的成年人患有另一种自身免疫性疾病,主要是哈西莫托的甲状腺炎. 这项研究在T1D患者中发现了类似的血糖控制,无论他们是否有额外的自身免疫力,这表明个性化查是关键.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 代谢疾病 代谢疾病
背景情况:
- 1型糖尿病 (T1D) 是一种自身免疫性疾病,通常与其他自身免疫性疾病同时发生.
- 了解这些并发症的患病率和影响对于全面的患者管理至关重要.
研究的目的:
- 确定T1D成年人的其他自身免疫性疾病的患病率.
- 调查同时发生的自身免疫和血糖控制,糖尿病并发症和其他并发症之间的关联.
主要方法:
- 对成年T1D患者进行了横截面研究.
- 收集了血糖控制 (HbA1c,CGM),并发症和并发症的数据.
- 统计分析比较了患有和没有自身免疫性疾病的患者之间的参数.
主要成果:
- 在439名T1D患者中,有33.8%患有至少一种额外的自身免疫性疾病,最常见的是哈希莫托甲状腺炎 (28.8%) 和乳病 (3.9%).
- 女性自身免疫的患病率更高 (p < 0.001).
- 血糖控制指标 (HbA1c,时间范围) 在患有和没有自身免疫性疾病的组之间是相似的.
结论:
- 很大一部分患有T1D的成年人同时患有自身免疫疾病.
- 其他自身免疫性疾病的存在似乎不会对该队列的血糖控制产生负面影响.
- 建议在T1D患者中进行系统的自身免疫查和个性化治疗策略.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
3.0K
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...
3.0K
Diabetes Mellitus: Overview and Type I Subtype
3.3K
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...
3.3K
Diabetes: Symptoms, Diagnosis, and Complications
697
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...
697
Pathophysiology of Diabetes
1.2K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.2K
Diabetes: Management and Pharmacotherapy
402
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...
402
Carbohydrate Metabolism
11.8K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.8K


