PMID- 29737093 OWN - NLM STAT- MEDLINE DCOM- 20190108 LR - 20190108 IS - 1672-173X (Print) IS - 1672-173X (Linking) VI - 49 IP - 1 DP - 2018 Jan TI - [Serum Uric Acid and Islet beta-cell Function in Patients with Pre-diabetes and Type 2 Diabetes Mellitus]. PG - 69-73 AB - OBJECTIVE: To determine the correlation between serum uric acid (SUA) and insulin secretion function in patients with pre-diabetes and type-2 diabetes mellitus (T2DM). METHODS: A total of 4 112 adult people participated in this study. They were divided into three groups according to the results of oral glucose tolerance test (OGTT): 493 with normal glucose regulation (NGR),1 251 with impaired glucose regulation (IGR),and 2 368 with T2DM. Their levels of SUA,fasting insulin (FIns),2 h post-meal insulin (2 h-Ins),and insulin resistance index (HOMA-IR) were determined. Correlations between SUA and insulin secretion and HOMA-IR were estimated. RESULTS: IGR patients had higher levels of SUA and 2 h-Ins compared with those with NGR and T2DM ( P<0.000 1). T2DM patients had higher levels of FIns,glucosylated hemoglobin (HbA1c) and HOMA-IR compared with those with NGR and IGR ( P<0.000 1). In both male and female participants,the highest level of 2 h-Ins appeared in those with IGR,while T2DM had the highest level of HOMA-IA and HbA1c. FIns,2 h-Ins and HOMA-IR increased with SUA in both patients with IGR and T2DM. HbA1c decreased with SUA in T2DM patients. CONCLUSION: High serum SUA is correlated with islet beta-cell dysfunction. It may become an indicator of progression from pre-diabetes to T2DM. CI - CopyrightCopyright(c) by Editorial Board of Journal of Sichuan University (Medical Science Edition). FAU - Wu, Yi-Tian AU - Wu YT AD - Department of Laboratory Medicine,West China Hospital,Sichuan University,Chengdu 610041,China. FAU - He, He AU - He H AD - Department of Laboratory Medicine,West China Hospital,Sichuan University,Chengdu 610041,China. FAU - Wang, Xia AU - Wang X AD - Department of Laboratory Medicine,West China Hospital,Sichuan University,Chengdu 610041,China. FAU - Zhang, Mei AU - Zhang M AD - Department of Laboratory Medicine,West China Hospital,Sichuan University,Chengdu 610041,China. FAU - An, Zhen-Mei AU - An ZM AD - Department of Endocrinology and Metabolism,West China Hospital,Sichuan University,Chengdu 610041,China. FAU - Huang, Heng-Jian AU - Huang HJ AD - Department of Laboratory Medicine,West China Hospital,Sichuan University,Chengdu 610041,China. LA - chi PT - Journal Article PL - China TA - Sichuan Da Xue Xue Bao Yi Xue Ban JT - Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition JID - 101162609 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 268B43MJ25 (Uric Acid) SB - IM MH - Blood Glucose MH - Diabetes Mellitus, Type 2/*blood/physiopathology MH - Female MH - Glucose Tolerance Test MH - Humans MH - Insulin/blood MH - Insulin Resistance MH - Islets of Langerhans/cytology/*pathology MH - Male MH - Prediabetic State/*blood/physiopathology MH - Uric Acid/*blood OTO - NOTNLM OT - HOMA-IR OT - IGR OT - Insulin OT - SUA OT - T2DM EDAT- 2018/05/08 06:00 MHDA- 2019/01/09 06:00 CRDT- 2018/05/09 06:00 PHST- 2018/05/09 06:00 [entrez] PHST- 2018/05/08 06:00 [pubmed] PHST- 2019/01/09 06:00 [medline] PST - ppublish SO - Sichuan Da Xue Xue Bao Yi Xue Ban. 2018 Jan;49(1):69-73.