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预混门冬胰岛素强化治疗对2型糖尿病患者血浆中成纤维细胞生长因子-21水平的影响
引用本文:曾俊,李伶,杨刚毅,李钶,李生兵,陈文雯. 预混门冬胰岛素强化治疗对2型糖尿病患者血浆中成纤维细胞生长因子-21水平的影响[J]. 华西医学, 2011, 0(6): 807-810
作者姓名:曾俊  李伶  杨刚毅  李钶  李生兵  陈文雯
作者单位:重庆医科大学附属第二医院内分泌科;成都医学院临床技能中心;重庆医科大学检验系临床生化教研室和教育部实验诊断重点实验室
基金项目:国家自然科学基金资助项目(30771037,30871199,30971388)~~
摘    要:目的 探讨预混门冬胰岛素对2型糖尿病(type 2 diabetes mellitus,T2DM)患者血浆成纤维细胞生长因子-21(fibroblast growth factor-21,FGF-21)水平的影响.方法 2008年2-12月采用酶联免疫吸附试验测定44例正常人及37例采用预混门冬胰岛素治疗前后的T2DM...

关 键 词:成纤维细胞生长因子-21  2型糖尿病  人胰岛素类似物

Effects of Aspart Insulin Thrice Daily Treatment on Plasma Fibroblast Growth Factor-21 Level in Patients with Type 2 Diabetes Mellitus
ZENG Jun,LI Ling,YANG Gang-Yi,LI Ke,LI Sheng-bing,CHEN Wen-wen. Effects of Aspart Insulin Thrice Daily Treatment on Plasma Fibroblast Growth Factor-21 Level in Patients with Type 2 Diabetes Mellitus[J]. West China Medical Journal, 2011, 0(6): 807-810
Authors:ZENG Jun  LI Ling  YANG Gang-Yi  LI Ke  LI Sheng-bing  CHEN Wen-wen
Affiliation:1.1.Department of Endocrinology,the Second Affiliated Hospital,Chongqing Medical University,Chongqing 400010,P.R.China;2.Clnical Skill Center,Chengdu Medical College,Chengdu,Sichuan 610083,P.R.China;3.Clinical Biochemistry Branch of the Department of Laboratory Medicine,and Key Laboratory of Experimental Diagnosis of the Ministry of Education,Chongqing Medical University,Chongqing 400010,P.R.China
Abstract:Objective To investigate the effects of treatment with aspart insulin on plasma fibroblast growth factor-21(FGF-21) levels in patients with type 2 diabetes mellitus(T2DM).Methods From February to December 2008,plasma FGF-21 levels were measured by enzyme-linked immunosorbent assay in 37 patients with T2DM treated with aspart insulin and 44 normal controls.The relationship between plasma FGF-21 levels and body mass index(BMI),percentage of body fat(FAT%),waist-hip ratio(WHR),blood lipid,blood glucose,hemoglobin A1c(HbA1c),and free fatty acid(FFA) was analyzed.Results Before treatment,plasma FGF-21 level was significantly higher in T2DM patients [(1.79±0.04) μg/L] than that in the normal controls [(1.35±0.21) μg/L](P0.01).After 16 weeks of treatment with premixed human insulin analogues(BIAsp 50 and BIAsp 30),FFA,HbA1c,fasting plasma glucose and 2-hour postprandial blood glucose decreased significantly(P0.01),and fasting plasma FGF-21 level decreased to(1.33±0.39) μg/L which was significantly different from that before treatment(P0.01).Correlation analysis showed that plasma FGF-21 level was positively correlated with BMI(r=0.53,P0.01),which was an independent factor in influencing the FGF-21 level in the patients.Conclusion Aspart insulin treatment can remarkably improve glucose metabolism and significantly decrease the fasting plasma FGF-21 level.
Keywords:Type 2 diabetes mellitus  Fibroblast growth factor-21  Human insulin analogues
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