PMID- 29218834 OWN - NLM STAT- MEDLINE DCOM- 20191108 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 18 IP - 4 DP - 2018 Apr TI - Comparative evaluation of simple indices using a single fasting blood sample to estimate beta cell function after islet transplantation. PG - 990-997 LID - 10.1111/ajt.14620 [doi] AB - Six single fasting blood sample-based indices-Secretory Unit of Islet Transplant Objects (SUITO), Transplant Estimated Function (TEF), Homeostasis Model Assessment (HOMA)2-B%, C-peptide/glucose ratio (CP/G), C-peptide/glucose creatinine ratio (CP/GCr), and BETA-2 score-were compared against commonly used 90-minute mixed meal tolerance test (MMTT) serum glucose and beta score to assess which of them best recognizes the state of acceptable blood glucose control without insulin supplementation after islet allotransplantation (ITx). We also tested whether the indices could identify the success of ITx based on the Igls classification of beta cell graft function. We analyzed values from 47 MMTT tests in 4 patients with up to 140 months follow-up and from 54 MMTT tests in 13 patients with up to 42 months follow-up. SUITO, CP/G, HOMA2-B%, and BETA-2 correlated well with the 90-minute glucose of the MMTT and beta-score (r 0.54-0.76), whereas CP/GCr showed a modest performance (r 0.41-0.52) while TEF showed little correlation. BETA-2 and SUITO were the best identifiers and predictors of the need for insulin support, glucose intolerance, and ITx success (P < .001), while HOMA2-B% and TEF were unreliable. Single fasting blood sample SUITO and BETA-2 scores are very practical alternative tools that allow for frequent assessments of graft function. CI - (c) 2017 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Golebiewska, Justyna E AU - Golebiewska JE AUID- ORCID: 0000-0001-5346-8369 AD - Department of Surgery, University of Chicago, Chicago, IL. AD - Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Solomina, Julia AU - Solomina J AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Thomas, Celeste AU - Thomas C AD - Department of Medicine, University of Chicago, Chicago, IL. FAU - Kijek, Mark R AU - Kijek MR AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Bachul, Piotr J AU - Bachul PJ AD - Department of Surgery, University of Chicago, Chicago, IL. AD - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland. FAU - Basto, Lindsay AU - Basto L AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Golab, Karolina AU - Golab K AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Wang, Ling-Jia AU - Wang LJ AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Fillman, Natalie AU - Fillman N AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Tibudan, Martin AU - Tibudan M AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Cieply, Kamil AU - Cieply K AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Philipson, Louis AU - Philipson L AD - Department of Medicine, University of Chicago, Chicago, IL. FAU - Debska-Slizien, Alicja AU - Debska-Slizien A AD - Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Millis, J Michael AU - Millis JM AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Fung, John AU - Fung J AD - Department of Surgery, University of Chicago, Chicago, IL. FAU - Witkowski, Piotr AU - Witkowski P AUID- ORCID: 0000-0002-4459-6673 AD - Department of Surgery, University of Chicago, Chicago, IL. LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. DEP - 20180121 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Blood Glucose) RN - 0 (C-Peptide) RN - 0 (Insulin) SB - IM EIN - Am J Transplant. 2020 Aug;20(8):2290-2292. PMID: 32735392 MH - Adult MH - Blood Glucose/analysis MH - C-Peptide/blood MH - Cohort Studies MH - Diabetes Mellitus, Type 1/*blood/*therapy MH - Fasting/*blood MH - Female MH - Follow-Up Studies MH - Glucose Tolerance Test MH - *Graft Survival MH - Humans MH - Insulin/blood MH - Islets of Langerhans/*physiology MH - Islets of Langerhans Transplantation/*methods MH - Male MH - Middle Aged MH - Prognosis OTO - NOTNLM OT - clinical research/practice OT - islet transplantation OT - islets of Langerhans, monitoring OT - physiologic EDAT- 2017/12/09 06:00 MHDA- 2019/11/09 06:00 CRDT- 2017/12/09 06:00 PHST- 2017/09/28 00:00 [received] PHST- 2017/11/17 00:00 [revised] PHST- 2017/11/29 00:00 [accepted] PHST- 2017/12/09 06:00 [pubmed] PHST- 2019/11/09 06:00 [medline] PHST- 2017/12/09 06:00 [entrez] AID - S1600-6135(22)24765-0 [pii] AID - 10.1111/ajt.14620 [doi] PST - ppublish SO - Am J Transplant. 2018 Apr;18(4):990-997. doi: 10.1111/ajt.14620. Epub 2018 Jan 21.