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2型糖尿病患者治疗前后内脂素与内皮素及胰岛素抵抗的关系
引用本文:高谷,李倩,袁璐,丁波,李惠琴,马建华,齐绍康.2型糖尿病患者治疗前后内脂素与内皮素及胰岛素抵抗的关系[J].中华内分泌代谢杂志,2010,26(7).
作者姓名:高谷  李倩  袁璐  丁波  李惠琴  马建华  齐绍康
作者单位:南京医科大学附属南京第一医院内分泌科,210006
基金项目:南京市医学科技发展项目 
摘    要:探讨2型糖尿病发病机制中内脂素与内皮素及胰岛素抵抗的关系.比较治疗前后内皮素、内脂素等指标.治疗后内脂素水平降低,内皮素与空腹胰岛素、稳态模型评估的胰岛素抵抗指数(HOMA-IR)、稳态模型评估的胰岛β细胞功能(HOMA-β)、内脂素正相关,内脂素与内皮素、HbA1c、空腹胰岛素、HOMA-IR正相关,HOMA-IR是血浆内脂素的独立相关因素.内脂素与内皮素、胰岛索抵抗有关,可能与2型糖尿病及胰岛素抵抗的发病机制密切相关.

关 键 词:糖尿病  2型  内脂素  内皮素  胰岛素抵抗  甘精胰岛素

The relationship among plasma visfatin,endothelin, and insulin resistance in type 2 diabetic patients before and after treatment
GAO Gu,LI Qian,YUAN Lu,DING Bo,LI Hui-qin,MA Jian-hua,QI Shao-kang.The relationship among plasma visfatin,endothelin, and insulin resistance in type 2 diabetic patients before and after treatment[J].Chinese Journal of Endocrinology and Metabolism,2010,26(7).
Authors:GAO Gu  LI Qian  YUAN Lu  DING Bo  LI Hui-qin  MA Jian-hua  QI Shao-kang
Abstract:The relationship between visfatin.endothelin, and insulin resistance in the pathogenesis of type 2 diabetes mellitus was explored. Endothelin, visfatin, and other markers were compared. Plasma visfatin was reduced after therapy. Endothelin was positively correlated with fasting insulin, HOMA-IR, HOMA-p, and visfatin. Visfatin was positively correlated with endothelin, HbA1C , fasting insulin, and HOMA-IR. HOMA-IR was an independent related factor in influencing visfatin. The visfatin is related to endothelin and insulin resistance, which may contribute to the pathogenesis of insulin resistance and type 2 diabetes mellitus.
Keywords:Diabetes mellitus  type 2  Visfatin  Endothelin  Insulin resistance  Insulin glargine
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