在2型糖尿病患者中估计的葡萄糖处置率和高尿素血症之间的关联:一个横截面研究
Dou Tang1, Ping Gao1, Wei Xie1
1Department of Endocrinology, RuiJin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine, Shanghai, China.
估计的葡萄糖处置率 (eGDR) 与2型糖尿病患者的高尿血症风险降低有关. 较高的eGDR,胰岛素抵抗的标志物,与高尿酸水平的几率降低有关.
科学领域:
- 内分泌学 在内分泌学.
- 代谢综合征是代谢综合征的一种.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 胰岛素抵抗 (IR) 是代谢障碍的一个关键因素.
- 估计的葡萄糖处置率 (eGDR) 是一种新的IR标志物.
- 目前尚不清楚eGDR与高尿血的关系.
研究的目的:
- 研究2型糖尿病 (T2DM) 患者的eGDR和高尿血症之间的关联.
主要方法:
- 这是一项对1238名T2DM患者的横截面研究.
- 使用腰围,高血压和HbA1c计算的eGDR.
- 逻辑回归模型用于评估eGDR与高尿血症的联系.
主要成果:
- 超尿路血的患病率为29.7%.
- 每次eGDR的SD增加都与高尿素血的几率下降17%有关 (OR=0.83).
- 这种反向关联在eGDR第三者和子组中是一致的.
结论:
- 在中国T2DM患者中,eGDR与高尿血症相反相关.
- 这表明eGDR可能是该人群中高尿路血症风险的有用指标.
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