The majority of patients with long-duration type 1 diabetes are insulin microsecretors and have functioning beta cells

作者: Richard A. Oram , Angus G. Jones , Rachel E. J. Besser , Bridget A. Knight , Beverley M. Shields

DOI: 10.1007/S00125-013-3067-X

关键词:

摘要: Aims/hypothesis Classically, type 1 diabetes is thought to proceed absolute insulin deficiency. Recently developed ultrasensitive assays capable of detecting C-peptide under 5 pmol/l now allow very low levels be detected in patients with long-standing diabetes. It not known whether this low-level endogenous secretion responds physiological stimuli. We aimed assess how commonly detectable occurs long-duration and it a meal stimulus.

参考文章(18)
A. G. Jones, R. E. J. Besser, T. J. McDonald, B. M. Shields, S. V. Hope, P. Bowman, R. A. Oram, B. A. Knight, A. T. Hattersley, Urine C-peptide creatinine ratio is an alternative to stimulated serum C-peptide measurement in late-onset, insulin-treated diabetes. Diabetic Medicine. ,vol. 28, pp. 1034- 1038 ,(2011) , 10.1111/J.1464-5491.2011.03272.X
M. W. Steffes, S. Sibley, M. Jackson, W. Thomas, β-Cell Function and the Development of Diabetes-Related Complications in the Diabetes Control and Complications Trial Diabetes Care. ,vol. 26, pp. 832- 836 ,(2003) , 10.2337/DIACARE.26.3.832
Randie R Little, Curt L Rohlfing, Alethea L Tennill, Richard W Madsen, Kenneth S Polonsky, Gary L Myers, Carla J Greenbaum, Jerry P Palmer, Eduard Rogatsky, Daniel T Stein, Standardization of C-Peptide Measurements Clinical Chemistry. ,vol. 54, pp. 1023- 1026 ,(2008) , 10.1373/CLINCHEM.2007.101287
Maria Nordwall, Johnny Ludvigsson, Clinical manifestations and beta cell function in Swedish diabetic children have remained unchanged during the last 25 years. Diabetes-metabolism Research and Reviews. ,vol. 24, pp. 472- 479 ,(2008) , 10.1002/DMRR.871
L. Wang, N. F. Lovejoy, D. L. Faustman, Persistence of Prolonged C-peptide Production in Type 1 Diabetes as Measured With an Ultrasensitive C-peptide Assay Diabetes Care. ,vol. 35, pp. 465- 470 ,(2012) , 10.2337/DC11-1236
G. L. King, H. A. Keenan, J. K. Sun, J. Levine, A. Doria, L. P. Aiello, G. Eisenbarth, S. Bonner-Weir, Residual Insulin Production and Pancreatic β-Cell Turnover After 50 Years of Diabetes: Joslin Medalist Study Diabetes. ,vol. 59, pp. 2846- 2853 ,(2010) , 10.2337/DB10-0676
C. J. Greenbaum, T. Mandrup-Poulsen, P. F. McGee, T. Battelino, B. Haastert, J. Ludvigsson, P. Pozzilli, J. M. Lachin, H. Kolb, , Mixed-meal tolerance test versus glucagon stimulation test for the assessment of beta-cell function in therapeutic trials in type 1 diabetes. Diabetes Care. ,vol. 31, pp. 1966- 1971 ,(2008) , 10.2337/DC07-2451
Tim J McDonald, Bridget A Knight, Beverley M Shields, Pamela Bowman, Maurice B Salzmann, Andrew T Hattersley, Stability and Reproducibility of a Single-Sample Urinary C-Peptide/Creatinine Ratio and Its Correlation with 24-h Urinary C-Peptide Clinical Chemistry. ,vol. 55, pp. 2035- 2039 ,(2009) , 10.1373/CLINCHEM.2009.129312