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刘秉志, 许秀举, 布仁巴图. 蒙古族人群2型糖尿病瘦素水平与胰岛素抵抗[J]. 中国公共卫生, 2009, 25(5): 551-552. DOI: 10.11847/zgggws2009-25-05-23
引用本文: 刘秉志, 许秀举, 布仁巴图. 蒙古族人群2型糖尿病瘦素水平与胰岛素抵抗[J]. 中国公共卫生, 2009, 25(5): 551-552. DOI: 10.11847/zgggws2009-25-05-23
LIU Bing-zhi, XUN Xiu-ju, BUREN Batu. Study on relationship between insulin resistance and leptin in type 2 diabetes mellitus patients of Mongolian population[J]. Chinese Journal of Public Health, 2009, 25(5): 551-552. DOI: 10.11847/zgggws2009-25-05-23
Citation: LIU Bing-zhi, XUN Xiu-ju, BUREN Batu. Study on relationship between insulin resistance and leptin in type 2 diabetes mellitus patients of Mongolian population[J]. Chinese Journal of Public Health, 2009, 25(5): 551-552. DOI: 10.11847/zgggws2009-25-05-23

蒙古族人群2型糖尿病瘦素水平与胰岛素抵抗

Study on relationship between insulin resistance and leptin in type 2 diabetes mellitus patients of Mongolian population

  • 摘要: 目的在蒙古族人群中探讨血清瘦素水平与2型糖尿病胰岛素抵抗的关系。方法在蒙古族人群中选择2型糖尿病患者54例及健康对照36人,检测其血清瘦素(Leptin)水平、空腹血糖(FPG)、空腹胰岛素(FINS)、体质指数(BMI)、血压、血脂等指标,并计算胰岛素敏感指数(ISI)。结果病例组与对照组比较,瘦素、FPG、FINS、BMI、甘油三酯(TG)、明显高于对照组,而ISI、高密度脂蛋白(HDL-C)明显低于对照组(P<0.05);糖尿病组瘦素与BMI、FINS、TG、总胆固醇(TC)呈正相关,而与ISI呈负相关(P<0.05);多元逐步回归分析显示,影响胰岛素敏感指数(ISI)的独立预测因素是瘦素、BMI、FINS(P<0.05)。结论2型糖尿病患者血清瘦素水平明显升高,肥胖、瘦素抵抗与胰岛素抵抗(IR)密切相关。

     

    Abstract: ObjectiveTo investigate serum leptin level and its relationship with in sulin resistance in Mongolian population.MethodsFifty four patients with type 2 diabetesme llitus and 36 healthy controls were studied.Leptin,fasting blood glucose(FBG),fasting insulin(FINS),boby mass index(BMI),blood pressure,blood lipids were measured.Meantime the insulin sensitivity index(ISI)was calculated.ResultsThe serum leptin,FBG,FINS,BMI,triglyceride(TG)were siginficantly higher but ISI and HDLC were siginficantly lower in patiengs with type 2 diabe tesmellitus than those in health controls(P<0.05).The serum leptin was positively correlated with BMI,FINS,TG,TC,but negatively correlated with ISI in the patients with type 2 diabetes mellitus(P<0.05).Multiple regressive analysis revealed that the independent predicting factors affecting ISI were leptin,BMI,FINS(P<0.05).ConclusionIn patients with type 2 diabetes mellitus,these rumleptin is siginficantly higher than that in the healthy controls.BMI and leptin resistance is related to in sulin resistance.

     

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