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The change of insulin-like growth factor-1 in diabetic patients with neuropathy

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机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Neurol, Beijing 100730, Peoples R China [2]Capital Med Univ, Beijing Tongren Hosp, Dept Diabet, Beijing 100730, Peoples R China
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关键词: diabetic neuropathy (DNP) insulin-like growth factor proliferative diabetic retinopathy (PDR)

摘要:
Objective To evaluate the possible relationship between insulin-like growth factor-1 (IGF-1) and diabetic neuropathy (DNP). Methods Sixty-nine patients with Type 2 non-insulin-dependent diabetes (54 with peripheral neuropathy and 15 without neuropathy) were observed. Normal controls were 34 non-diabetic persons. Diabetic peripheral neuropathy diagnosis was carried out taking into account results of NS, ND, NC and AF. After an overnight fast, blood was taken for IGF-1, glucose, hemoglobin Alc, C-peptide, and insulin. Plasma IGF-1 was measured by radioimmunoassay (RIA) method. Results The neuropathic group had significantly lower levels for IGF-1 (86.43 ng/ml +/- 45.18 ng/ml) compared to normal controls (119.68 ng/ml +/- 89.42 ng/ml) (P < 0.05), and to diabetic patients without neuropathy (113.75 ng/ml +/- 66.58 ng/ml) (P < 0.05). No significant difference was found between diabetic non-neuropathic group and normal control subjects (P > 0.05). In diabetic subjects there was a positive correlation (gamma = 0.27, P < 0.05) between IGF-1 and beat to variation in heart rate. There were negative correlation between IGF-1 and postprandial blood glucose (gamma = -0.3, p < 0.05), and aspartic acid translocase (gamma = - 0.27, P < 0.05). Conclusion In diabetic patients with peripheral neuropathy there are abnormalities of IGF-1 that may contribute to the pathogeneses of diabetic neuropathy.

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出版当年[1998]版:
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
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出版当年[1997]版:
Q4 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q1 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[1997版] 出版当年五年平均 出版前一年[1996版] 出版后一年[1998版]

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Neurol, Beijing 100730, Peoples R China
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