Alarin Level Response to an Oral Glucose Tolerance Test in Subjects with Gestational Diabetes Mellitus

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Abstract

Alarin has been reported to ameliorate insulin resistance in type 2 diabetis mellitus. However, until now, there is no report examined the relationship between alarin and gestational diabetes mellitus (GDM). Therefore, the purpose of this study is to examine the level of alarin in subjects with and without gestational diabetes mellitus. 30 healthy and 30 gestational diabetes mellitus subjects were recruited for this study. A 2-hour 75 g oral glucose tolerance test (OGTT) was performed at 24–28 weeks of pregnancy. GDM were diagnosed using nationally endorsed criteria (fasting [FPG], 1- or 2-hour blood glucose [at least one abnormal value]. Plasma alarin level was measured by ELISA. Plasma alarin levels were significantly higher GDM subjects than in healthy individuals (12. 3±1.4 ng/mL vs 7.8±0.8 ng/mL; p < .05).1- (18. 8±1.9 ng/mL) and 2-hour (24. 2±3.1 ng/mL) alarin levels in women with GDM were significantly increased at OGTT compared with women without GDM [1- (9.4±0.9 ng/mL); 2- (9.7±0.6 ng/mL)]. Plasma alarin positively correlated with FBG, HbA1c, HOMA-IR and insulin). The above results suggest that alarin might be associated in the pathogenesis of gestational diabetes mellitus.
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妊娠期糖尿病患者口服糖耐量试验对丙氨酸水平的反应
有报道称Alarin可改善2型糖尿病患者的胰岛素抵抗。然而,到目前为止,还没有关于alarin与妊娠期糖尿病(GDM)关系的报道。因此,本研究的目的是检查妊娠期糖尿病患者和非妊娠期糖尿病患者的丙氨酸水平。本研究招募了30名健康和30名妊娠期糖尿病患者。妊娠24-28周进行2小时75 g口服葡萄糖耐量试验(OGTT)。根据国家认可的标准(空腹[FPG], 1或2小时血糖[至少一个异常值])诊断GDM。elisa法检测血浆丙肝素水平。GDM患者血浆alarin水平明显高于健康人群(12)。3±1.4 ng/mL vs7.8±0.8 ng/mL;p < 0.05)。1 -(18。8±1.9 ng/mL), 2小时(24小时)。(2±3.1 ng/mL) GDM女性的alarin水平在OGTT时显著高于无GDM女性[1-(9.4±0.9 ng/mL);2-(9.7±0.6 ng/mL)]。血浆alarin与FBG、HbA1c、HOMA-IR、胰岛素呈正相关。提示警示素可能与妊娠期糖尿病的发病机制有关。
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