Two hundred and four men with impaired glucose tolerance (borderline diabetes) discovered in a screening examination have been observed for five years and repeated tests of glucose tolerance performed. By pre-determined criteria 27 men 'worsened to diabetes' and this metabolic deterioration was not
Risk factors for worsening to diabetes in subjects with impaired glucose tolerance
β Scribed by T. Kadowaki; Y. Miyake; R. Hagura; Y. Akanuma; H. Kajinuma; N. Kuzuya; F. Takaku; K. Kosaka
- Publisher
- Springer
- Year
- 1984
- Tongue
- English
- Weight
- 656 KB
- Volume
- 26
- Category
- Article
- ISSN
- 0012-186X
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β¦ Synopsis
In a 5-12 year follow-up study of 288 subjects with impaired glucose tolerance after a 100-g glucose load, 48 worsened to overt Type 2 (non-insulin-dependent) diabetes with the elevation of fasting blood glucose. The initial level of blood glucose was a major predictor of subsequent worsening to diabetes. In addition, subjects with a lower insulin response to glucose showed a higher incidence of worsening to the disease, irrespective of blood glucose levels. Multivariate analysis indicated that a diminished insulin response and a high maximal body weight index, as well as a high level of fasting and 2-h glucose values at the initial 100-g oral glucose tolerance test were significant independent risk factors for the development of diabetes in Japanese subjects.
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