PMID- 30286482 OWN - NLM STAT- MEDLINE DCOM- 20190506 LR - 20190506 IS - 1439-4286 (Electronic) IS - 0018-5043 (Linking) VI - 50 IP - 11 DP - 2018 Nov TI - Ghrelin Levels in Basal Conditions and During Glucose Tolerance Test in Prediabetic and Diabetic Patients. PG - 822-826 LID - 10.1055/a-0746-4014 [doi] AB - Ghrelin is associated with glucose homeostasis but its' possible relevance with glucose levels in physiological and pathological conditions has so far been poorly investigated. The aim of the present study was to evaluate circulating ghrelin levels in prediabetic and diabetic patients in basal conditions and in response to oral glucose tolerance test (OGTT). A total of 90 male adults aged 40 - 73 years old were enrolled in our study. Fasting and postprandial plasma ghrelin, insulin and glucose levels were measured at 0, 60, 120 and 180 min following an OGTT in 40 patients with type 2 diabetes mellitus (T2DM), 20 with impaired glucose tolerance (IGT) and 30 controls. Incremental and total area under response curve were determined and calculated for glucose, insulin and ghrelin. Fasting plasma ghrelin concentrations were significantly lower in the T2DM group than IGT and control group patients (p<0.01) but not between healthy subjects and IGT group (p=0.746). In the diabetics' group ghrelin levels showed a statistically significant negative correlation with insulin and a positive correlation with HbA1c and glucose. At all time points after the OGTT ghrelin concentrations were significantly lower in the T2DM group compared to IGT group and controls. Plasma ghrelin concentrations are lower in male diabetic patients at the fasting state and remain lower at all time points after an OGTT while minor differences were found between normal and IGT subjects. Ghrelin might play a role in insulin and glucose metabolism in diabetic patients but not in patients with IGT. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Bounias, Ioannis AU - Bounias I AD - Medical School, Division of Endocrinology, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Pouliliou, Stamatia AU - Pouliliou S AD - Medical School, Department of Radiotherapy/Oncology, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Tripsianis, Gregory AU - Tripsianis G AD - Department of Medical Statistics, Democritus Univeristy of Thrace, Alexandroupolis, Greece. FAU - Antonoglou, Cristos AU - Antonoglou C AD - Medical School, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Papazoglou, Anna AU - Papazoglou A AD - Medical School, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Maltezos, Efstratios AU - Maltezos E AD - Medical School, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Papazoglou, Dimitrios AU - Papazoglou D AD - Medical School, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. LA - eng PT - Journal Article DEP - 20181004 PL - Germany TA - Horm Metab Res JT - Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme JID - 0177722 RN - 0 (Blood Glucose) RN - 0 (Ghrelin) RN - 0 (Insulin) SB - IM MH - Adult MH - Aged MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/*blood MH - Fasting/blood MH - Female MH - Ghrelin/*blood MH - Glucose Intolerance/blood MH - Glucose Tolerance Test MH - Humans MH - Insulin/blood MH - Male MH - Middle Aged MH - Prediabetic State/*blood COIS- The authors declare that they have no conflict of interest. EDAT- 2018/10/05 06:00 MHDA- 2019/05/07 06:00 CRDT- 2018/10/05 06:00 PHST- 2018/10/05 06:00 [pubmed] PHST- 2019/05/07 06:00 [medline] PHST- 2018/10/05 06:00 [entrez] AID - 10.1055/a-0746-4014 [doi] PST - ppublish SO - Horm Metab Res. 2018 Nov;50(11):822-826. doi: 10.1055/a-0746-4014. Epub 2018 Oct 4.