Drexel H, Patsch J R
Universitätsklinik für Innere Medizin, Innsbruck.
Wien Klin Wochenschr Suppl. 1990;180:24-32; discussion 32-3.
In 127 patients, we investigated the influence of hyperlipemia on observed fructosamine values. An in vitro influence of the lipids on the fructosamine reading could be excluded for cholesterol, HDL-cholesterol and triglycerides. However, in patients with type I diabetes, both, cholesterol and triglycerides significantly (p less than 0.05) correlated with fructosamine. This may be explained by in vivo effects of hyperglycemia on lipids or lipoproteins. For a given level of hyperglycemia, fructosamine is slightly more sensitive than HbA1c.
在127例患者中,我们研究了高脂血症对所观察到的果糖胺值的影响。对于胆固醇、高密度脂蛋白胆固醇和甘油三酯,可排除脂质对果糖胺读数的体外影响。然而,在I型糖尿病患者中,胆固醇和甘油三酯均与果糖胺显著相关(p<0.05)。这可能是由于高血糖对脂质或脂蛋白的体内作用所致。对于给定的高血糖水平,果糖胺比糖化血红蛋白(HbA1c)稍敏感。