|
|
The clinical value of arginine stimulation test for testing the function of islet β-cell |
Department of Endocrinology & Metabolism, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015 |
|
Cite this article: |
LIN Dini,GU Xuemei,SHEN Feixia, et al. The clinical value of arginine stimulation test for testing the function of islet β-cell[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(8): 604-.
|
|
Abstract Objective: To observe and assess the value of arginine stimulation test for testing the function of islet β-cell of patients with T2DM. Methods: The function of islet β-cell of 20 hospitalized patients with type 2 diabetes was evaluated using arginine stimulation test and standard bread meal. Assess the safety and efficiency of arginine stimulation test and estimate its clinical value for patients with T2DM. Results: There were no significant differences of blood glucose between each time point of arginine stimulation test (P=0.918); And the plasma glucose levels of 60 min and 120 min after the standard bread meal test were significantly higher (P=0.000). Insulin area under the curve, mean value, peak value of arginine stimulation test were positive correlation with insulin area under the curve of the standard bread meal test. Conclusion: Arginine stimulation test showed a superiority to assess islet function of patient with T2DM, with the advantages of less impact on blood glucose, simpler operation, and more safety. The last but not the least, the results of arginine stimulation test are consistent with the standard meal test’s, particularly for the first phase insulin secretion.
|
Received: 05 March 2014
|
|
|
|
|
[1] Greenbaum CJ, Mandrup-Poulsen T, McGee PF, et al. Mixed-meal tolerance test versus glucagon stimulation test for the assessment of β-cell function in therapeutic trials in type 1 diabetes[J]. Diabetes Care, 2008, 31(10): 1966-1971.
[2] 马晓静, 吴松华, 项坤三, 等. 精氨酸刺激试验在不同糖代谢状态人群的临床应用[J]. 中华内分泌代谢杂志, 2005,21(3): 215-218.
[3] 马晓静, 吴松华. 精氨酸刺激试验的原理及临床应用[J].医师进修杂志, 2004, 27(5): 50-51.
[4] Shabir S, Jham S, Harper L, et al. Validity of glycated haemoglobin to diagnose new onset diabetes after transplantation[J]. Transpl Int, 2013, 26(3): 315-321.
[5] 瞿迎九, 周丽诺, 方铭喜, 等. 短期胰岛素强化治疗对新诊断2型糖尿病患者相关指标的影响[J]. 中国糖尿病杂志,2013, 21(2): 166-168.
[6] 张建功, 程桦, 黎峰, 等. 血糖控制对2型糖尿病患者胰岛β细胞功能及胰岛素敏感性的影响[J]. 中华内分泌代谢杂 志, 2003, 19(1): 21-24.
[7] 胡肇衡, 高月琴, 卢纹凯, 等. 高血糖状态对2型糖尿病患者胰岛β细胞分泌功能的影响[J]. 中华糖尿病杂志, 2004, 12(4): 235-237.
[8] 贾伟平, 项坤三, 陆俊茜, 等. 中国人糖耐量异常与胰岛素抵抗和胰岛素分泌[J]. 中国糖尿病杂志, 2000, 8(2): 67-71.
[9] 马晓静, 吴松华, 项坤三, 等. 精氨酸刺激试验安全性的临床观察[J]. 上海医学, 2004, 27(12): 902-905.
[10] 包玉倩, 贾伟平, 高鑫, 等. 评估胰岛素分泌及胰岛素敏感性选择降糖药物的临床多中心研究[J]. 中华内分泌代谢杂志, 2007, 23(2): 104-109.
[11] 包玉倩, 贾伟平, 朱敏, 等. 快速相胰岛素分泌功能的评价[J]. 中华内分泌代谢杂志, 2004, 20(2): 129-131.
[12] 贾伟平, 陆俊茜, 高鑫, 等. 新诊断2型糖尿病患者一相胰岛素分泌和胰岛素敏感性评估[J]. 中华内分泌代谢杂志, 2007, 23(2): 100-103.
[13] 刘湘茹, 程桦, 何扬, 等. 精氨酸刺激试验与胰高血糖素刺激试验对β细胞功能评估的比较[J]. 中华内分泌代谢杂志, 2005, 21(3): 223-224.
[14] Rorsman P, Renstrom E. Insulin granule dynamics in pancreatic beta cells[J]. Diabetologia, 2003, 46(8): 1029-1045.
[15] Cheong YH, Kim MK, Son MH, et al. Glucose exposure pattern determines glucagon-like peptide 1 receptor expression and signaling through endoplasmic reticulum stress in rat insulinoma cells[J]. Biochem Biophys Res Commun,2011, 414(1): 220-225. |
|
|
|