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Erken Yaşamda Yetersiz Beslenmenin Tip 2 Diyabetes Mellitus Gelişim Riskine Etkisi
Pub Date : 2021-12-30 DOI: 10.25048/tudod.929258
Ülger KAÇAR MUTLUTÜRK, Zeynep Caferoğlu, Nihal Hatipoğlu
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引用次数: 0
Laparoskopik Sleeve Gastrektomi Materyallerinde Rutin Histopatolojik İncelemenin Önemi ve Preoperatif Üst Gastrointestinal Endoskopik Biyopsinin Rolü
Pub Date : 2021-12-30 DOI: 10.25048/tudod.1009269
Döndü Nergi̇z
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引用次数: 0
Vitamin D Deficiency and Microalbuminuria in Patients with Diabetes Mellitus 糖尿病患者维生素D缺乏与微量白蛋白尿
Pub Date : 2021-12-30 DOI: 10.25048/tudod.942751
Savaş Karataş, Ş. Köse, Y. Hacıoğlu
Aim: As diabetes mellitus and its complications become more prevalent in the world, it is becoming an important public health problem. Previous studies have investigated vitamin D in the context of diabetes mellitus and its complications.. Microalbuminuria is important as the initial level of diabetic nephropathy. In this context, we aimed to investigate the level and deficiency of vitamin D in diabetic patients with microalbuminuria. Material and Methods: 52 type 1 (20.1%) and 206 (79.9%) type 2 diabetes patients who applied to the outpatient Endocrinology and Metabolic Diseases clinic between April 2019 and December 2020 were included in the study. Patients were classified according to microalbuminuria. Fasting glucose, HbA1c, duration of diabetes, and 25 (OH) Vitamin D levels and mean waist circumference were compared between the groups. Finally, the groups were compared according to diabetes type and microalbuminuria. Results: Urinary albumin/creatinine rates (UAC) in 159 (42.7%) diabetic patients were in normal range, and 65 (17.5%) diabetics had UAC between 30-300 mcg. 12 (3.2%) had UAC >300 mcg. 22 (5.9%) had chronic renal failure. Vitamin D deficiency was 61.6% and vitamin D insufficiency was 28.6% in all study groups. Median GFR was 98 (38-136) ml/dk and median 25 (OH) D level was 17.1 (5.0-44.2)mg/dl. 25 (OH) Vitamin D levels and GFR were found to be significantly lower in the microalbuminuria group (p<0.01). 25 (OH) D levels were found to be low in both type 1 and type 2 diabetes patients with the complication of microalbuminuria, however only in type 1 diabetes patients low vitamin D this was found significant (p=0.01) Conclusion: 25 (OH) vitamin D deficiency and insufficiency were found to be more common in patients with diabetes. with microalbuminuria, which was more significant in type 1 diabetes patients The underlying mechanisms and potential therapeutic effect of vitamin D should be further investigated.
目的:随着糖尿病及其并发症在世界范围内的日益流行,糖尿病已成为一个重要的公共卫生问题。以前的研究已经调查了维生素D在糖尿病及其并发症中的作用。微量白蛋白尿作为糖尿病肾病的初始水平是重要的。在这种情况下,我们的目的是研究糖尿病患者微量白蛋白尿中维生素D的水平和缺乏。材料与方法:纳入2019年4月至2020年12月在内分泌与代谢疾病门诊就诊的1型糖尿病患者52例(20.1%)和2型糖尿病患者206例(79.9%)。根据微量白蛋白尿对患者进行分类。比较两组之间的空腹血糖、糖化血红蛋白、糖尿病持续时间、25 (OH)维生素D水平和平均腰围。最后,根据糖尿病类型和微量白蛋白尿对两组进行比较。结果:159例(42.7%)糖尿病患者尿白蛋白/肌酐(UAC)在正常范围内,65例(17.5%)糖尿病患者UAC在30 ~ 300 mcg之间。12例(3.2%)UAC >300 mcg。22例(5.9%)有慢性肾功能衰竭。在所有研究组中,维生素D缺乏的比例为61.6%,维生素D不足的比例为28.6%。中位GFR为98 (38-136)ml/dk,中位25 (OH) D水平为17.1 (5.0-44.2)mg/dl。微量白蛋白尿组25 (OH)维生素D水平和GFR显著降低(p<0.01)。25 (OH) D水平在合并微量白蛋白尿的1型和2型糖尿病患者中均较低,但只有1型糖尿病患者维生素D水平较低(p=0.01)。结论:25 (OH)维生素D缺乏和不足在糖尿病患者中更为常见。微量白蛋白尿在1型糖尿病患者中更为显著,维生素D的潜在机制和潜在的治疗效果有待进一步研究。
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引用次数: 1
Deneysel Diyabetin Serebellar CREB / BDNF Yolağı, Oksidatif Stres ve Motor Fonksiyona Etkisi
Pub Date : 2021-12-30 DOI: 10.25048/tudod.976507
Birgül Altuğ, İnci Turan, Hale SAYAN ÖZAÇMAK, V. H. Özaçmak
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引用次数: 0
Diyabetik Hastalarda Bütünlük Duygusu ile Glisemik Kontrol İlişkisi
Pub Date : 2021-08-29 DOI: 10.25048/tudod.835154
Levent Çoban, Ceren Beyca, H. Mutlu
Aim: The sense of coherence is a concept that reflects people’s coping with stress in a way that contributes positively to their health. The relationship of this concept with chronic diseases has attracted attention. Based on this, our study aims to investigate the relationship between the sense of coherence and glycemic control in patients with diabetes who applied to our Obesity outpatient clinic. Material and Methods: In this cross-sectional study, 319 Type 2 Diabetes patients who had diabetes for less than 10 years and who did not receive treatment changes between two HbA1c values measured at three months intervals were included in this cross-sectional study. The patients were divided into two groups according to the HbA1c level. Those with a HbA1c level of 7 and above were included in the group with poor glycemic control, those with a HbA1c level below 7, and those with optimal glycemic control. Depression, anxiety, and sense of coherence were compared between the group with good and poor glycemic control. In order to test the differences between the two measurements; independent samples t test for parametric tests, Mann-Whitney-U test for non-parametric tests and Pearson chi-square analysis for testing the differences between categoric measurements was performed. Results: No difference was found between the groups with poor and glycemic control in terms of depression, anxiety and sense of coherence (p = 0.441; p = 0.688; p = 0.761). Conclusion: In our study, no relationship was found between glycemic control and sense of coherence.
目的:连贯感是一个概念,反映了人们以一种对健康有积极贡献的方式应对压力。这一概念与慢性疾病的关系引起了人们的关注。基于此,我们的研究旨在探讨在我们的肥胖门诊就诊的糖尿病患者的连贯感与血糖控制的关系。材料和方法:在这项横断面研究中,319名2型糖尿病患者被纳入这项横断面研究,这些患者患有糖尿病不到10年,并且没有接受治疗,每隔3个月测量两次HbA1c值。根据HbA1c水平将患者分为两组。HbA1c≥7分为血糖控制不良组、HbA1c≤7组和血糖控制最佳组。比较血糖控制良好组和血糖控制不良组的抑郁、焦虑和连贯性。为了检验两个测量值之间的差异;参数检验采用独立样本t检验,非参数检验采用Mann-Whitney-U检验,分类测量差异采用Pearson卡方分析。结果:血糖控制不良组和血糖控制不良组在抑郁、焦虑和连贯感方面无显著差异(p = 0.441;P = 0.688;P = 0.761)。结论:在我们的研究中,血糖控制与连贯感之间没有关系。
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引用次数: 0
Merkezi Yolla Enjekte Edilen Histamin ve Reseptör Antagonistlerinin, Sıçanların Yem, Su Alımı ve Vücut Ağırlıkları Üzerine Etkileri
Pub Date : 2021-08-29 DOI: 10.25048/tudod.968923
Burcin Altinbas, G. Bayram, Murat Yalçın
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引用次数: 0
The Relationship Between Eating Behaviors and Learned Helplessness among the People with Overweight and Affected by Obesity: A Cross-Sectional Study 超重及肥胖人群饮食行为与习得性无助的关系:一项横断面研究
Pub Date : 2021-08-29 DOI: 10.25048/tudod.970776
A. Ozdemir, E. Serin, T. Şahin
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引用次数: 1
Investigation of Relationship Between Body Mass Index and Neck Biomechanics in Healty Young Adults: A Cross-Sectional Study in a Single Center 健康年轻人体重指数与颈部生物力学关系的调查:单中心横断面研究
Pub Date : 2021-08-29 DOI: 10.25048/tudod.852027
H. Kılınç, A. Karaduman
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引用次数: 0
Evaluation of the Relationship between Healthy Lifestyle Behaviors and the Risk of Type 2 Diabetes in Healthcare Professionals 保健专业人员健康生活方式行为与2型糖尿病风险关系的评价
Pub Date : 2021-08-29 DOI: 10.25048/tudod.872780
E. Serin, Kevser Işık, Ahmet Ozdemir
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引用次数: 0
Evaluation of α-klotho, FGF-23 and Insulin Resistance in Obese Prediabetics 肥胖前驱糖尿病患者α-klotho、FGF-23与胰岛素抵抗的关系
Pub Date : 2021-08-29 DOI: 10.25048/tudod.926907
C. Severcan, A. Hamamcioglu, T. Bayraktaroğlu
Aim: Prediabetes is a condition with hyperglycemia and risk of development type 2 diabetes mellitus (T2DM). The aim of this study is to determine the concentrations of blood pressure, serum lipoproteins, glucose and insulin levels as well as the concentrations of α-klotho and FGF-23 parameters. We also aim at the correlation between all these parameters in obese prediabetics and obese normoglycemics. Material and Methods: A total of 26 obese normoglycemic (control group) and 25 obese prediabetic individuals were included in this study. Glucose, haemoglobin A1c (HbA1c) and cholesterols levels were analyzed as part of a routine procedure in the biochemistry laboratories of our hospital using an autoanalyzer. In order to determine α-klotho and fibroblast growth factor-23 (FGF-23) levels, ELISA method was used. Student-t Test and Mann-Whitney U Test were used for evaluation of parameters’ statistical analyzes. Spearman correlation test was used for correlation analysis. Results: According to the findings, a significant increase was detected in serum LDL-C, TC, HbA1c, glucose, insulin and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) levels in the obese prediabetic group compared to the control group (p <0.05). However, serum α-klotho and FGF-23 levels were found to be significantly lower in the obese prediabetic group compared to the control group (p <0.05). α-klotho and FGF-23 values showed strong negative correlation when compared with HOMA-IR values separately (p <0.01). Conclusion: These findings indicate that α-klotho and FGF-23 levels decrease in prediabetic patients and are associated with insulin resistance. The results of our study will make a significant contribution to the literature.
目的:糖尿病前期是一种具有高血糖和发展为2型糖尿病(T2DM)风险的疾病。本研究的目的是测定血压、血清脂蛋白、葡萄糖和胰岛素水平以及α-klotho和FGF-23参数的浓度。我们还旨在探讨肥胖糖尿病前期患者与肥胖血糖正常者所有这些参数之间的相关性。材料与方法:本研究共纳入26例肥胖血糖正常者(对照组)和25例肥胖糖尿病前期患者。葡萄糖、血红蛋白A1c (HbA1c)和胆固醇水平在我院生物化学实验室使用自动分析仪作为常规程序的一部分进行分析。采用ELISA法测定α-klotho和成纤维细胞生长因子-23 (FGF-23)水平。参数的统计分析采用Student-t检验和Mann-Whitney U检验。相关分析采用Spearman相关检验。结果:肥胖糖尿病前期组血清LDL-C、TC、HbA1c、葡萄糖、胰岛素及胰岛素抵抗稳态模型评估(HOMA-IR)水平较对照组显著升高(p <0.05)。而肥胖前期糖尿病组血清α-klotho和FGF-23水平明显低于对照组(p <0.05)。α-klotho与FGF-23分别与HOMA-IR呈极显著负相关(p <0.01)。结论:糖尿病前期患者α-klotho和FGF-23水平下降与胰岛素抵抗有关。我们的研究结果将对文献做出重大贡献。
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Turkish Journal of Diabetes and Obesity
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