Short-term glucagon stimulation test of C-peptide effect on glucose utilization in patients with type 1 diabetes mellitus.

This work aimed to evaluate the use of a four-point glucagon stimulation test of C-peptide effect on glucose utilization in type 1 diabetic patients using a new mathematical model. A group of 32 type 1 diabetic patients and a group of 10 healthy control subjects underwent a four-point glucagon stimu...

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Publicado en:Medical & Biological Engineering & Computing Vol. 53; no. 12; pp. 1361 - 1370
Autores principales: Mojto, Viliam, Rausova, Zuzana, Chrenova, Jana, Dedik, Ladislav
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 53
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      pub: Springer Nature
      place: New York, New York
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        atl: Short-term glucagon stimulation test of C-peptide effect on glucose utilization in patients with type 1 diabetes mellitus.
      aug:
        au:
          Mojto, Viliam
          Rausova, Zuzana
          Chrenova, Jana
          Dedik, Ladislav
        affil: IIIrd Department of Internal Medicine, Derer's University Hospital, Limbova 5 833 05 Bratislava Slovakia
      sug:
        subj:
          Diabetes Mellitus, Type 1 Metabolism
          Blood Glucose Metabolism
          C-Peptide Metabolism
          Glucagon Metabolism
          Adult
          Glucose Tolerance Test
          Case Control Studies
          Glucagon Administration and Dosage
          Male
          Female
          Young Adult
          Models, Statistical
          Human
          Adult: 19-44 years
          Male
          Female
      ab: This work aimed to evaluate the use of a four-point glucagon stimulation test of C-peptide effect on glucose utilization in type 1 diabetic patients using a new mathematical model. A group of 32 type 1 diabetic patients and a group of 10 healthy control subjects underwent a four-point glucagon stimulation test with blood sampling at 0, 6, 15 and 30 min after 1 mg glucagon bolus intravenous administration. Pharmacokinetic and pharmacokinetic/pharmacodynamic models of C-peptide effect on glucose utilization versus area under curve (AUC) were used. A two-sample t test and ANOVA with Bonferroni correction were used to test the significance of differences between parameters. A significant difference between control and patient groups regarding the coefficient of whole-body glucose utilization and AUC C-peptide/AUC glucose ratio (p ≪ 0.001 and p = 0.002, respectively) was observed. The high correlation (r = 0.97) between modeled coefficient of whole-body glucose utilization and numerically calculated AUC C-peptide/AUC glucose ratio related to entire cohort indicated the stability of used method. The short-term four-point glucagon stimulation test allows the numerically calculated AUC C-peptide/AUC glucose ratio and/or the coefficient of whole-body glucose utilization calculated from model to be used to diagnostically identify type 1 diabetic patients.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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