High Residual β-cell Function in Chinese Patients With Autoimmune Type 1 Diabetes

Autor: Yueshu Wang, Yao Qin, Huilan Gu, Linyu Zhang, Jing Wang, Yiting Huang, Yuwen Shi, Qizhen Hu, Yang Chen, Yong Gu, Yun Shi, Yang Tao, Mei Zhang
Rok vydání: 2021
Předmět:
Zdroj: The Journal of clinical endocrinology and metabolism. 107(6)
ISSN: 1945-7197
Popis: Objective The destruction of pancreatic β cells causes type 1 diabetes mellitus (T1D), an autoimmune disease. Studies have demonstrated that there is heterogeneity in residual β-cell function in Caucasians; therefore, we aimed to evaluate β-cell function in Chinese autoimmune T1D patients. Methods β-cell function was determined using oral glucose tolerance testing or standardized steamed bread meal tolerance test in 446 participants with autoantibody-positive T1D. Clinical factors, such as age onset, sex, duration, body mass index, autoantibodies, other autoimmune diseases, diabetic ketoacidosis, hypoglycemia events, glycosylated hemoglobin, and insulin dose, were retrieved. We also analyzed single nucleotide polymorphism (SNP) data for C-peptides from 144 participants enrolled in the Chinese-T1D genome-wide association study. Results Of 446 T1D patients, 98.5%, 97.4%, 86.9%, and 42.6% of individuals had detectable C-peptide values (≥ 0.003 nmol/L) at durations of Conclusion Our results have indicated that there are high residuals of β-cell mass in Chinese patients with autoimmune T1D. These findings may aid in the consideration of therapeutic strategies seeking prevention and reversal of β-cell function among Chinese T1D patients.
Databáze: OpenAIRE