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Chronic Mild Hyperglycemia in GCK-MODY Patients Does Not Increase Carotid Intima-Media Thickness
Joint Authors
Pedersen, Oluf Borbye
Anděl, Michal
Kulich, Michal
Pruhova, Stepanka
Zikmund, Jaroslav
Hansen, Torben
Kraml, Pavel J.
Broz, Jan
Cinek, Ondrej
Lebl, Jan
Prochazkova, Zdena
Dusatkova, Petra
Source
International Journal of Endocrinology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Aim.
GCK-MODY is an autosomal dominant form of diabetes caused by heterozygous mutations in the glucokinase gene leading to a lifelong mild hyperglycemia.
The risk of macrovascular complications is considered low, but studies are limited.
We, therefore, investigated the carotid intima-media thickness (CIMT) as an indicator of macrovascular complications in a group of patients with GCK-MODY.
Methods.
Twenty-seven GCK mutation carriers and 24 controls recruited among their first-degree relatives were compared, all aging over 35 years.
The CIMT was tested using a high-resolution B-mode carotid ultrasonography.
Medical history, anthropometry, and biochemical blood workup were obtained.
Results.
The mean CIMT was 0.707 ± 0.215 mm (mean ± SD) in GCK mutation carriers and 0.690 ± 0.180 mm in control individuals.
When adjusted for age, gender, and family status, the estimated mean difference in CIMT between the two groups increased to 0.049 mm (P=0.19).
No difference was detected for other characteristics, with the exception of fasting blood glucose (GCK-MODY 7.6 mmol/L ± 1.2 (136.4 mg/dL); controls 5.3 mmol/L ± 0.3 (95.4 mg/dL); P<0.0001) and glycated hemoglobin HbA1c (GCK-MODY 6.9% ± 1.0%, 52 mmol/mol ± 10; controls 5.7% ± 0.4%, 39 mmol/mol ± 3; P<0.0001).
The frequency of myocardial infarction and ischemic stroke did not differ between groups.
Conclusion.
Our data indicate that the persistent hyperglycemia in GCK-MODY is associated with a low risk of developing diabetic macrovascular complications.
American Psychological Association (APA)
Pruhova, Stepanka& Dusatkova, Petra& Kraml, Pavel J.& Kulich, Michal& Prochazkova, Zdena& Broz, Jan…[et al.]. 2013. Chronic Mild Hyperglycemia in GCK-MODY Patients Does Not Increase Carotid Intima-Media Thickness. International Journal of Endocrinology،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-493049
Modern Language Association (MLA)
Pruhova, Stepanka…[et al.]. Chronic Mild Hyperglycemia in GCK-MODY Patients Does Not Increase Carotid Intima-Media Thickness. International Journal of Endocrinology No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-493049
American Medical Association (AMA)
Pruhova, Stepanka& Dusatkova, Petra& Kraml, Pavel J.& Kulich, Michal& Prochazkova, Zdena& Broz, Jan…[et al.]. Chronic Mild Hyperglycemia in GCK-MODY Patients Does Not Increase Carotid Intima-Media Thickness. International Journal of Endocrinology. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-493049
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493049