Declining ß-cell function is associated with the lack of long-range negative correlation in glucose dynamics and increased glycemic variability: A retrospective analysis in patients with type 2 diabetes

Autor: Klaus-Dieter Kohnert, Peter Heinke, Lutz Vogt, Petra Augstein, Eckhard Salzsieder
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Journal of Clinical & Translational Endocrinology, Vol 1, Iss 4, Pp 192-199 (2014)
Druh dokumentu: article
ISSN: 2214-6237
DOI: 10.1016/j.jcte.2014.09.003
Popis: Objective: To determine whether characteristics of glucose dynamics are reflections of β-cell function or rather of inadequate diabetes control. Materials/methods: We analyzed historical liquid meal tolerance test (LMTT) and continuous glucose monitoring (CGM) data, which had been obtained from 56 non-insulin treated type 2 diabetic outpatients during withdrawal of antidiabetic drugs. Computed CGM parameters included detrended fluctuation analysis (DFA)-based indices, autocorrelation function exponent, mean amplitude of glycemic excursions (MAGE), glucose SD, and measures of glycemic exposure. The LMTT-based disposition index (LMTT-DI) calculated from the ratio of the area-under-the-insulin-curve to the area-under-the-glucose-curve and Matsuda index was used to assess relationships among β-cell function, glucose profile complexity, autocorrelation function, and glycemic variability. Results: The LMTT-DI was inverse linearly correlated with the short-range α1 and long-range scaling exponent α2 (r = −0.275 and −0.441, respectively, p
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