DECREASED INSULIN SENSITIVITY IN OFFSPRING WHOSE PARENTS BOTH HAVE TYPE-2 DIABETES

被引:25
作者
RAMACHANDRAN, A
SNEHALATHA, C
MOHAN, V
BHATTACHARYYA, PK
VISWANATHAN, M
机构
[1] Diabetes Research Centre, M. V. Hospital for Diabetes, Madras, Royapuram
关键词
Insulin response; Insulin sensitivity; Insulin tolerance test; Offspring; Type; 2; diabetes;
D O I
10.1111/j.1464-5491.1990.tb01400.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Offspring of two Type 2 diabetic parents have a high prevalence of diabetes and impaired glucose tolerance. Studies in normoglycaemic offspring have shown abnormal insulin responses. Twenty‐four non‐obese offspring having normal oral glucose tolerance were investigated by the insulin tolerance test for abnormalities of insulin sensitivity. Plasma insulin responses were measured during an oral glucose tolerance test. Although the plasma glucose responses during the OGTT were similar to the control values, the corresponding insulin responses were higher. The mean area under the insulin curve was 121 ± 29 (± SD) mU I−1 h in the control subjects and 203 ± 73 mU I−1 h in the offspring (p < 0.001). The mean KITT value in the offspring was 4.3 ± 1.9 min−1 × 100 which was significantly lower (p < 0.01) than the value of 6.2 ± 2.0 min−1 × 100 in the control subjects. The results suggest that some offspring of two Type 2 diabetic parents have low insulin sensitivity and the presence of hyperinsulinism may be a compensatory phenomenon. 1990 Diabetes UK
引用
收藏
页码:331 / 334
页数:4
相关论文
共 18 条
[1]  
Viswanathan M., Mohan V., Snehalatha C., Ramachandran A., High prevalence of Type 2 (non‐insulin dependent) diabetes among the offspring of conjugal Type 2 diabetic parents in India, Diabetologia, 28, pp. 907-910, (1985)
[2]  
Snehalatha C., Mohan V., Ramachandran A., Jayashree R., Viswanathan M., Pancreatic beta cell function in offspring of conjugal diabetic parents: assessment by IRI and C‐peptide ratio, Horm Metab Res, 16, pp. 142-144, (1984)
[3]  
Ramachandran A., Snehalatha C., Mohan V., Viswanathan M., Abnormalities in insulin response to intravenous glucose tolerance in offspring of conjugal diabetic parents, J Assoc Physicians Ind, (1989)
[4]  
Lillioja S., Mott M., Zawadzki JK, Et al., In vivo insulin action is familial characteristic in non‐diabetic Pima Indians, Diabetes, 36, pp. 1329-1335, (1987)
[5]  
Leslie RDG, Ganesh A., Volkmann HP, Alberti KGMM., Insensitivity to insulin in offspring of non‐insulin dependent diabetic patients, Diabetes Nutr Metab, 3, pp. 235-237, (1988)
[6]  
(1980)
[7]  
Alford PP, Martin FIR, Pearson MJ., Significance and interpretation of mildly abnormal oral glucose tolerance test, Diabetologia, 7, pp. 173-180, (1971)
[8]  
Lundbeak K., Intravenous glucose tolerance as a tool in definition and diagnosis of diabetes mellitus, Br Med J, 1, pp. 1507-1513, (1962)
[9]  
Herbert V., Lau KS, Gottlieb CW, Bleicher SJ., Coated charcoal immunoassay of insulin, J Clin Endocrinol Metab, 25, pp. 1375-1384, (1965)
[10]  
Haffner SM, Stern MP, Hazuda HP, Pugh JA, Patterson JK., Hyperinsulinaemia in a population at high risk for non‐insulin dependent diabetes mellitus, N Engl J Med, 315, pp. 220-224, (1986)