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首页> 外文期刊>Cell metabolism >Remission of Human Type 2 Diabetes Requires Decrease in Liver and Pancreas Fat Content but Is Dependent upon Capacity for beta Cell Recovery
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Remission of Human Type 2 Diabetes Requires Decrease in Liver and Pancreas Fat Content but Is Dependent upon Capacity for beta Cell Recovery

机译:人类2型糖尿病的缓解需要肝脏和胰腺脂肪含量降低,但取决于β细胞回收的能力

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摘要

The Diabetes Remission Clinical Trial reported return and persistence of non-diabetic blood glucose control in 46% of people with type 2 diabetes of up to 6 years duration. Detailed metabolic studies were performed on a subgroup (intervention, n = 64; control, n = 26). In the intervention group, liver fat content decreased (16.0% +/- 1.3% to 3.1% +/- 0.5%, p 0.0001) immediately after weight loss. Similarly, plasma triglyceride and pancreas fat content decreased whether or not glucose control normalized. Recovery of first-phase insulin response (0.04[-0.05-0.32] to 0.11[0.0005-0.51] nmol/min/m(2), p 0.0001) defined those who returned to non-diabetic glucose control and this was durable at 12 months (0.11[0.005-0.81] nmol/min/m(2), p = 0.0001). Responders were similar to non-responders at baseline but had shorter diabetes duration (2.7 +/- 0.3 versus 3.8 +/- 0.4 years; p = 0.02). This study demonstrates that beta cell ability to recover long-term function persists after diagnosis, changing the previous paradigm of irreversible loss of beta cell function in type 2 diabetes.
机译:糖尿病缓解临床试验报告了46%的患有2型糖尿病持续时间的46%的非糖尿病血糖对照的恢复和持续性。在亚组进行详细的代谢研究(干预,n = 64;控制,n = 26)。在干预组中,肝脂肪含量在减肥后立即降低(16.0%+/- 0.5%,p <0.0001)。类似地,血浆甘油三酯和胰腺脂肪含量减少葡萄糖对照是否标准化。第一阶段胰岛素响应的回收(0.04 [-0.05-0.32]至0.11 [0.0005-0.51] Nmol / min / m(2),p <0.0001)定义返回非糖尿病葡萄糖控制的人,这是耐用的12个月(0.11 [0.005-0.81] Nmol / min / m(2),p = 0.0001)。响应者与基线的非响应者类似,但糖尿病持续时间较短(2.7 +/- 0.3与3.8 +/- 0.4岁; P = 0.02)。本研究表明,β细胞在诊断后恢复长期功能的能力,在2型糖尿病中改变了前一个β细胞功能的不可逆转损失。

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  • 来源
    《Cell metabolism》 |2018年第4期|共13页
  • 作者单位

    Newcastle Univ Newcastle Magnet Resonance Ctr Inst Cellular Med Campus Ageing &

    Vital Newcastle;

    Newcastle Univ Newcastle Magnet Resonance Ctr Inst Cellular Med Campus Ageing &

    Vital Newcastle;

    Newcastle Univ Newcastle Magnet Resonance Ctr Inst Cellular Med Campus Ageing &

    Vital Newcastle;

    Newcastle Univ Newcastle Magnet Resonance Ctr Inst Cellular Med Campus Ageing &

    Vital Newcastle;

    Newcastle Univ Human Nutr Res Ctr Inst Hlth &

    Soc Newcastle Upon Tyne NE2 4HH Tyne &

    Wear;

    Lagos State Univ Dept Comp Sci Ojo Lagos State Nigeria;

    Newcastle Univ Newcastle Magnet Resonance Ctr Inst Cellular Med Campus Ageing &

    Vital Newcastle;

    Newcastle Univ Human Nutr Res Ctr Inst Cellular Med Newcastle Upon Tyne NE2 4HH Tyne &

    Wear;

    Univ Glasgow Inst Cardiovasc &

    Med Sci Glasgow G12 8TA Lanark Scotland;

    Univ Glasgow Coll Med Vet &

    Life Sci Human Nutr Sch Med Dent &

    Nursing Glasgow G31 2ER Lanark;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 内分泌腺疾病及代谢病;
  • 关键词

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