1.Glycation of high-density lipoprotein in type 2 diabetes mellitus.
Jia-Teng SUN ; Ying SHEN ; An-Kang LÜ ; Lin LU ; Wei-Feng SHEN
Chinese Medical Journal 2013;126(21):4162-4165
OBJECTIVETo evaluate whether glycation of high-density lipoprotein (HDL) increases cardiovascular risk in patients with type 2 diabetes mellitus by altering its anti-atherogenic property.
DATA SOURCESData cited in this review were obtained mainly from Pubmed and Medline in English from 2000 to 2013, with keywords "glycation", "HDL", and "atherosclerosis". Study selection Articles regarding glycation of HDL and its role in atherogenesis in both humans and experimental animal models were identified, retrieved and reviewed.
RESULTSGlycation alters the structure of HDL and its associated enzymes, resulting in an impairment of atheroprotective functionality and increased risks for cardiovascular events in type 2 diabetic patients.
CONCLUSIONGlycation of HDL exerts a deleterious effect on the development of cardiovascular complications in diabetes.
Atherosclerosis ; etiology ; metabolism ; Cardiovascular Diseases ; etiology ; metabolism ; Diabetes Mellitus, Type 2 ; complications ; metabolism ; Humans ; Lipoproteins, HDL
2.The relevance of the metabolic syndrome.
Annals of the Academy of Medicine, Singapore 2009;38(1):29-25
INTRODUCTIONTo review the definitions of the metabolic syndrome according to various expert groups and assess their relevance to clinical practice.
MATERIALS AND METHODSMedline searches were conducted to identify studies which addressed: (i) the utility of the metabolic syndrome compared to multivariable predictive functions for the identification of individuals at high risk of type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD), (ii) the importance and definition of obesity in the definition of the metabolic syndrome and (iii) the impact of lifestyle and pharmacological interventions designed to reduce the risk of cardiovascular disease in those with and without the metabolic syndrome.
RESULTSAlthough inferior to multivariable risk scores in predicting T2DM and CVD, the metabolic syndrome represents a simple clinical tool, particularly for the prediction of T2DM. Obesity is not a critical component of the metabolic syndrome for identifying those at increased risk of CVD but may be important for predicting T2DM. If anything, pharmacological therapy, especially lipid lowering is as, if not more, effective in those with the metabolic syndrome than in those without.
CONCLUSIONSAlthough the metabolic syndrome appears to have limited utility for the identification of individuals at increased risk of T2DM or CVD, the diagnosis of the metabolic syndrome presents an opportunity to rationalise health services to deliver coordinated care to those with metabolic syndrome.
Cardiovascular Diseases ; etiology ; Diabetes Mellitus, Type 2 ; etiology ; Humans ; Metabolic Syndrome ; complications ; diagnosis ; Obesity ; complications
3.MicroRNAs 103 and 107: potential molecular links between diabetes and cancer.
Qian XU ; Min-xiu YAO ; Li CHEN
Chinese Medical Journal 2013;126(13):2553-2555
Animals
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Diabetes Mellitus, Type 2
;
etiology
;
genetics
;
Humans
;
Insulin Resistance
;
Mice
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MicroRNAs
;
physiology
;
Neoplasms
;
etiology
;
genetics
4.Status Quo and Research Progress in Diagnosis and Treatment of Patients With Diabetes Mellitus and Chronic Kidney Disease.
Piao-Yu DAI ; Qiong-Jing YUAN ; Zhang-Zhe PENG ; Yan-Yun XIE ; Li-Jian TAO ; Ling HUANG
Acta Academiae Medicinae Sinicae 2023;45(6):987-996
As the incidence of diabetes mellitus is rapidly increasing worldwide,that of related complications,such as diabetic kidney disease(DKD),also increases,conferring a heavy economic burden on the patients,families,society,and government.Diabetes mellitus complicated with chronic kidney disease(CKD)includes DKD and the CKD caused by other reasons.Because of the insufficient knowledge about CKD,the assessment of diabetes mellitus complicated with CKD remains to be improved.The therapies for diabetes mellitus complicated with CKD focus on reducing the risk factors.In clinical practice,DKD may not be the CKD caused by diabetes.According to clinical criteria,some non-diabetic kidney disease may be misdiagnosed as DKD and not be treated accurately.This review summarizes the status quo and research progress in the assessment,diagnosis,and treatment of diabetes mellitus complicated with CKD and predicts the directions of future research in this field.
Humans
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Diabetes Mellitus, Type 2/complications*
;
Diabetic Nephropathies/etiology*
;
Renal Insufficiency, Chronic/therapy*
;
Risk Factors
;
Diabetes Mellitus/therapy*
5.Superior orbital fissure syndrome in a latent type 2 diabetic patient
A. C. Cheng ; A. K. Sinha ; I. H. Kevau
Papua New Guinea medical journal 1999;42(1-2):10-12
Although isolated cranial nerve palsies are common in diabetic patients, multiple, simultaneous cranial neuropathies are rare. We describe the second case of a complete superior orbital fissure syndrome including the optic nerve in a middle-aged Papuan man with newly diagnosed diabetes mellitus. The differential diagnosis included septic cavernous sinus thrombosis and Tolosa Hunt syndrome, and management was initially directed at excluding these serious, treatable conditions.
Cavernous Sinus Thrombosis - diagnosis
;
Diabetes Mellitus, Type 2 - complications
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Diabetes Mellitus, Type 2 - diagnosis
;
New Guinea
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Oculomotor Nerve Diseases - diagnosis
;
Oculomotor Nerve Diseases - etiology
;
Tolosa-Hunt Syndrome - diagnosis
6.Association between adiponectin concentrations and diabetic retinopathy in patients with type 2 diabetes: a meta analysis.
Xiaohong FAN ; Qunhong WU ; Yuan LI ; Yanhua HAO ; Ning NING ; Zheng KANG ; Yu CUI ; Ruohong LIU ; Liyuan HAN
Chinese Medical Journal 2014;127(4):765-771
BACKGROUNDNumerous studies have investigated the association between adiponectin concentrations and diabetic retinopathy (DR) caused by type 2 diabetic mellitus. However, the results remain conflicting. We performed a meta-analysis to explore the relationship between adiponectin concentrations and risk of DR caused by type 2 diabetic mellitus from published articles.
METHODSA published literature search was performed through the PubMed, Cochrane Library, EMBASE, Science Citation Index Expanded database, Chinese CNKI, and Chinese Wan Fang databases for articles published in English and Chinese. Pooled standardized mean differences (SMDs) and 95% confidence intervals (95% CIs) were calculated using random or fixed effects model. Heterogeneity between studies was assessed using the Cochrane Q test and I(2) statistics.
RESULTSNineteen studies with a total of 1 545 cases and 1 502 controls were retrieved. The original meta-analysis found a significant difference in the adiponectin concentrations between the DR and non-DR (NDR) groups. After excluding the high heterogeneity studies, the second meta-analysis also demonstrated the significant association (SMD (95% CI) = -0.62 (-0.80 to -0.44), P = 0.0001). According to the available data, there was statistical significance in the adiponectin concentrations considering non-proliferative DR (NPDR) versus NDR, PDR versus NPDR in Chinese populations with high heterogeneity.
CONCLUSIONAdiponectin concentrations are correlated with DR; however, the relationship between adiponectin concentrations and DR needs more in-depth investigations with larger sample sizes.
Adiponectin ; blood ; Diabetes Mellitus, Type 2 ; complications ; Diabetic Retinopathy ; blood ; etiology
8.Research development of Mendelian inherited diabetes.
Yan-li YANG ; Yan MENG ; Fu-de FANG
Acta Academiae Medicinae Sinicae 2005;27(3):382-387
Diabetes mellitus is a chronic syndrome of abnormal metabolism, determined by interaction of multifactorial genetic and environmental factors. Some specific types of diabetes, such as MODY, Leprechaunism, lipoatrophic diabetes, and Rabson-Mendenhall syndrome, are monogenic forms of diabetes and are inherited as a Mendelian pattern. The article reviews the research development of these Mendelian inherited diabetes will be reviewed.
Diabetes Mellitus, Type 2
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etiology
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genetics
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Genetic Predisposition to Disease
;
Glucokinase
;
genetics
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Humans
;
Mutation
;
genetics
9.Role of gastric surgery in treating obese patients with type 2 diabetes.
Acta Academiae Medicinae Sinicae 2010;32(1):13-15
Gastric surgery can reduce the body weight in obese patients with type 2 diabetes and decrease their blood glucose. In the latter, incretins may play certain roles.
Diabetes Mellitus, Type 2
;
etiology
;
surgery
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Gastric Bypass
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Humans
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Obesity, Morbid
;
complications
;
surgery
;
Treatment Outcome
10.Type 2 diabetes in children and adolescents.
Chinese Journal of Pediatrics 2003;41(4):269-271
Adolescent
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Child
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Diabetes Mellitus, Type 2
;
diagnosis
;
etiology
;
therapy
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Diet
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Exercise
;
Humans
;
Self Care