PMID- 30069271 OWN - NLM STAT- MEDLINE DCOM- 20181030 LR - 20220321 IS - 1875-8630 (Electronic) IS - 0278-0240 (Print) IS - 0278-0240 (Linking) VI - 2018 DP - 2018 TI - Clinical Applications of Adiponectin Measurements in Type 2 Diabetes Mellitus: Screening, Diagnosis, and Marker of Diabetes Control. PG - 5187940 LID - 10.1155/2018/5187940 [doi] LID - 5187940 AB - BACKGROUND: Adipose tissue-derived adiponectin has pleiotropic protective effects with suppression of inflammatory and metabolic derangements that may result in insulin resistance, metabolic syndrome, type 2 diabetes mellitus (T2DM), and cardiovascular disease. The aim of this study was to evaluate adiponectin as a diagnostic marker of T2DM and diabetes control. METHODS: Fasting adiponectin, insulin, glucose, and HbA1c were determined in 376 patients with known T2DM and 575 subjects with undiagnosed diabetes but with family history of T2DM. Clinical and anthropometric data were recorded. Subjects were classified on the basis of degree of adiposity, insulin resistance (IR), and achievement of target HbA1c levels. Receiver operating characteristic (ROC) curve analysis was used to examine the diagnostic performance for undiagnosed DM. RESULTS: In undiagnosed subjects, adiponectin was significantly lower in subjects with IR and diabetic subjects compared with those without. The area under the adiponectin ROC curve for diagnosis of DM was 0.740. In known T2DM subjects, those with good control had significantly higher adiponectin (8.6 versus 7.4 mug/mL) compared to subjects with poor control. CONCLUSIONS: Adiponectin levels are associated with better glycemic control and could be a useful adjunct for screening for IR and T2DM. Therapeutic measures that increase adiponectin levels might be valuable targets for improving diabetes control and decreasing complications. FAU - Abdella, Nabila A AU - Abdella NA AUID- ORCID: 0000-0001-8344-144X AD - Department of Medicine, Faculty of Medicine, Kuwait University, Safat, Kuwait. FAU - Mojiminiyi, Olusegun A AU - Mojiminiyi OA AUID- ORCID: 0000-0002-3353-328X AD - Department of Pathology, Faculty of Medicine, Kuwait University, Safat, Kuwait. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20180705 PL - United States TA - Dis Markers JT - Disease markers JID - 8604127 RN - 0 (Adiponectin) RN - 0 (Biomarkers) SB - IM MH - Adiponectin/*blood MH - Adolescent MH - Adult MH - Biomarkers/blood MH - Diabetes Mellitus, Type 2/*blood/drug therapy MH - Female MH - Humans MH - Insulin Resistance MH - Male PMC - PMC6057311 EDAT- 2018/08/03 06:00 MHDA- 2018/10/31 06:00 PMCR- 2018/07/05 CRDT- 2018/08/03 06:00 PHST- 2017/12/27 00:00 [received] PHST- 2018/06/02 00:00 [accepted] PHST- 2018/08/03 06:00 [entrez] PHST- 2018/08/03 06:00 [pubmed] PHST- 2018/10/31 06:00 [medline] PHST- 2018/07/05 00:00 [pmc-release] AID - 10.1155/2018/5187940 [doi] PST - epublish SO - Dis Markers. 2018 Jul 5;2018:5187940. doi: 10.1155/2018/5187940. eCollection 2018.