Duprey J, Colliard M, Bouige D, Giraudet P
Ann Med Interne (Paris). 1979;130(11):507-12.
Twenty-two patients, whose initial oral glucose tolerance test (OGTT) was not diabetic, but who possibly had predisposition for diabetes, underwent iterative OGTT with plasma insulin determination and estimate of insulin-secretion capacity (plasma insulin area/blood glucose area ratio, and insulin-secretion coefficient). With a 30 months mean time interval between the two tests, a highly significant negative correlation was found between insulin-secretion capacity of the first test and blood glucose area of the last one. Glycemic curve of the OGTT was diabetic in 3 cases at the final test. Thus, it seems possible to select subjects most prone to future diabetes with simple parameters estimating insulin-secretion capacity during OGTT.
22名患者最初的口服葡萄糖耐量试验(OGTT)结果未显示糖尿病,但可能具有糖尿病易感性,他们接受了反复的OGTT检查,并测定血浆胰岛素水平以及评估胰岛素分泌能力(血浆胰岛素面积/血糖面积比值和胰岛素分泌系数)。两次检查的平均时间间隔为30个月,结果发现第一次检查时的胰岛素分泌能力与最后一次检查时的血糖面积之间存在高度显著的负相关。在最后一次检查时,3例患者的OGTT血糖曲线呈糖尿病状态。因此,通过在OGTT期间估算胰岛素分泌能力的简单参数,似乎有可能挑选出最易患未来糖尿病的人群。