Baolan Ji, Guanqi Gao, Hongyan Zhao, Jie Sheng, Xuan Ma, Shuwei Shi, Bo Ban
{"title":"作为2型糖尿病正常蛋白尿患者的预测因子，Loge GDR与NAFLD密切相关。","authors":"Baolan Ji, Guanqi Gao, Hongyan Zhao, Jie Sheng, Xuan Ma, Shuwei Shi, Bo Ban","doi":"10.2147/DMSO.S500739","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>Attenuated insulin-sensitivity (IS) is a characteristic of type 2 diabetes (T2D) and is closely linked to non-alcoholic fatty liver disease (NAFLD). In recent years, many surrogate markers of IS have emerged to predict NAFLD. A natural log transformation of the glucose disposal rate (log<sub>e</sub> GDR) has been proposed as a new model for IS in patients with T2D. Our aim is to explore the correlation between log<sub>e</sub> GDR and NAFLD in normoalbuminuric patients with T2D.</p><p><strong>Methods: </strong>A total of 1227 normoalbuminuric patients with T2D were involved in our study. NAFLD was evaluated by ultrasound. Biochemical and clinical data were collected, including parameters essential for calculating the log<sub>e</sub> GDR (triglycerides, urinary albumin-to-creatinine ratio, γ-glutamyl transferase and body mass index), as well as other relevant covariates required for adjustment. The relationship between the log<sub>e</sub> GDR and NAFLD was analyzed.</p><p><strong>Results: </strong>NAFLD patients showed lower log<sub>e</sub> GDR values than non-NAFLD (P < 0.001). As the log<sub>e</sub> GDR tertiles increased, the prevalence of NAFLD was decreased (P < 0.001). Multivariate analysis displayed that log<sub>e</sub> GDR was independently corrected with NAFLD (OR: 0.084; 95% CI: 0.040-0.177). Furthermore, receiver operating characteristic (ROC) analysis showed that log<sub>e</sub> GDR (area under the curves: 0.797) was superior to other evaluation variables.</p><p><strong>Conclusion: </strong>The log<sub>e</sub> GDR was strongly associated with NAFLD and might be a useful predictor in normoalbuminuric patients with T2D.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"115-124"},"PeriodicalIF":2.8000,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740567/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Log<sub>e</sub> GDR Was Strongly Associated with NAFLD as a Predictor in Normoalbuminuric Patients with Type 2 Diabetes.\",\"authors\":\"Baolan Ji, Guanqi Gao, Hongyan Zhao, Jie Sheng, Xuan Ma, Shuwei Shi, Bo Ban\",\"doi\":\"10.2147/DMSO.S500739\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>Attenuated insulin-sensitivity (IS) is a characteristic of type 2 diabetes (T2D) and is closely linked to non-alcoholic fatty liver disease (NAFLD). In recent years, many surrogate markers of IS have emerged to predict NAFLD. A natural log transformation of the glucose disposal rate (log<sub>e</sub> GDR) has been proposed as a new model for IS in patients with T2D. Our aim is to explore the correlation between log<sub>e</sub> GDR and NAFLD in normoalbuminuric patients with T2D.</p><p><strong>Methods: </strong>A total of 1227 normoalbuminuric patients with T2D were involved in our study. NAFLD was evaluated by ultrasound. Biochemical and clinical data were collected, including parameters essential for calculating the log<sub>e</sub> GDR (triglycerides, urinary albumin-to-creatinine ratio, γ-glutamyl transferase and body mass index), as well as other relevant covariates required for adjustment. The relationship between the log<sub>e</sub> GDR and NAFLD was analyzed.</p><p><strong>Results: </strong>NAFLD patients showed lower log<sub>e</sub> GDR values than non-NAFLD (P < 0.001). As the log<sub>e</sub> GDR tertiles increased, the prevalence of NAFLD was decreased (P < 0.001). Multivariate analysis displayed that log<sub>e</sub> GDR was independently corrected with NAFLD (OR: 0.084; 95% CI: 0.040-0.177). Furthermore, receiver operating characteristic (ROC) analysis showed that log<sub>e</sub> GDR (area under the curves: 0.797) was superior to other evaluation variables.</p><p><strong>Conclusion: </strong>The log<sub>e</sub> GDR was strongly associated with NAFLD and might be a useful predictor in normoalbuminuric patients with T2D.</p>\",\"PeriodicalId\":11116,\"journal\":{\"name\":\"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy\",\"volume\":\"18 \",\"pages\":\"115-124\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-01-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740567/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/DMSO.S500739\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/DMSO.S500739","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
The Loge GDR Was Strongly Associated with NAFLD as a Predictor in Normoalbuminuric Patients with Type 2 Diabetes.
Aim: Attenuated insulin-sensitivity (IS) is a characteristic of type 2 diabetes (T2D) and is closely linked to non-alcoholic fatty liver disease (NAFLD). In recent years, many surrogate markers of IS have emerged to predict NAFLD. A natural log transformation of the glucose disposal rate (loge GDR) has been proposed as a new model for IS in patients with T2D. Our aim is to explore the correlation between loge GDR and NAFLD in normoalbuminuric patients with T2D.
Methods: A total of 1227 normoalbuminuric patients with T2D were involved in our study. NAFLD was evaluated by ultrasound. Biochemical and clinical data were collected, including parameters essential for calculating the loge GDR (triglycerides, urinary albumin-to-creatinine ratio, γ-glutamyl transferase and body mass index), as well as other relevant covariates required for adjustment. The relationship between the loge GDR and NAFLD was analyzed.
Results: NAFLD patients showed lower loge GDR values than non-NAFLD (P < 0.001). As the loge GDR tertiles increased, the prevalence of NAFLD was decreased (P < 0.001). Multivariate analysis displayed that loge GDR was independently corrected with NAFLD (OR: 0.084; 95% CI: 0.040-0.177). Furthermore, receiver operating characteristic (ROC) analysis showed that loge GDR (area under the curves: 0.797) was superior to other evaluation variables.
Conclusion: The loge GDR was strongly associated with NAFLD and might be a useful predictor in normoalbuminuric patients with T2D.
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An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.
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