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对糖尿病前期个体口服葡萄糖耐量试验、血糖水平与胆固醇水平之间关系的评估。

Evaluation of the relationship between oral glucose tolerance test, blood sugar levels and cholesterol levels in prediabetic individuals.

作者信息

Oduncu Esra Aksoy, Tural Egemen, Dayan Akin

机构信息

Esra Aksoy Oduncu, Family Medicine Clinic, Eyupsultan State Hospital, Istanbul, Turkey.

Egemen Tural, Department of Family Medicine, Haydarpasa, Numune Training and Research Hospital, Istanbul, Turkey.

出版信息

Pak J Med Sci. 2024 May-Jun;40(5):907-912. doi: 10.12669/pjms.40.5.8292.

Abstract

OBJECTIVE

This study aimed to investigate whether there is a difference in lipid levels between prediabetic individuals with one-hour post-Oral Glucose Tolerance Test (OGTT) plasma glucose (PG) values > 155 mg/dl and those with one-hour PG values ≤ 155 mg/dl.

METHODS

This retrospective cross sectional study was initiated on August 2020 and concluded on June 2021, and conducted with 229 prediabetic patients who presented to the Diabetes Clinic of the Research Hospital. A correlation analysis was performed to investigate the relationship between OGTT values and serum lipid levels. Additionally, the patients were divided into two groups based on the one-hour post-OGTT PG value of 155 mg/dl, and the presence of any difference in serum lipid levels between the two groups was examined using the Mann-Whitney U test. The SPSS 20 software was used for statistical analysis, and a statistical significance level of P < 0.05 was considered.

RESULTS

Out of the 229 prediabetic patients included in the study, 172 were female. The number of patients with one-hour post-OGTT PG ≤ 155 mg/dl was 86, while those with values > 155 mg/dl were 143. A statistically significant difference was found between the group with one-hour post-OGTT PG > 155 mg/dl and the group with ≤ 155 mg/dl in terms of high-density lipoprotein (HDL-C) and triglyceride (TG) levels. There was a statistically significant negative correlation between one-hour PG and HDL-C.

CONCLUSION

The evaluation of HDL-C and TG levels is important in prediabetic patients with a one-hour OGTT PG level greater than 155 mg/dL.

摘要

目的

本研究旨在调查口服葡萄糖耐量试验(OGTT)后1小时血浆葡萄糖(PG)值>155mg/dl的糖尿病前期个体与1小时PG值≤155mg/dl的个体之间血脂水平是否存在差异。

方法

这项回顾性横断面研究于2020年8月开始,2021年6月结束,对229名到研究医院糖尿病门诊就诊的糖尿病前期患者进行。进行相关性分析以研究OGTT值与血清脂质水平之间的关系。此外,根据OGTT后1小时PG值155mg/dl将患者分为两组,使用曼-惠特尼U检验检查两组之间血清脂质水平是否存在差异。使用SPSS 20软件进行统计分析,统计学显著性水平设定为P<0.05。

结果

纳入研究的229名糖尿病前期患者中,172名是女性。OGTT后1小时PG≤155mg/dl的患者有86名,而PG值>155mg/dl的患者有143名。在高密度脂蛋白(HDL-C)和甘油三酯(TG)水平方面,OGTT后1小时PG>155mg/dl的组与≤155mg/dl的组之间存在统计学显著差异。1小时PG与HDL-C之间存在统计学显著的负相关。

结论

对于OGTT后1小时PG水平大于​155mg/dL的糖尿病前期患者,评估HDL-C和TG水平很重要。

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