PMID- 33536771 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220420 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 14 DP - 2021 TI - Plasma Alarin Level and Its Influencing Factors in Obese Newly Diagnosed Type 2 Diabetes Patients. PG - 379-385 LID - 10.2147/DMSO.S290072 [doi] AB - OBJECTIVE: To investigate the plasma alarin level in newly diagnosed obese type 2 diabetes mellitus (T2DM) and its correlation with glucose and lipid metabolism and insulin resistance. METHODS: From October 2018 to June 2020, 239 newly diagnosed T2DM patients were collected. According to obesity, patients were divided into T2DM obese group (n=135) and T2DM non-obese group (n =104). Gender, age, body mass index (BMI), blood lipids, blood glucose, glycosylated hemoglobin A1c (HbA1c), fasting insulin (FINS), plasma alarin concentration, homeostasis model assessment for insulin resistance (HOMA-IR), homeostasis model assessment for beta-cell function (HOMA-beta) and other clinical data were collected and analyzed. RESULTS: BMI, triacylglycerol (TG), total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C), fasting blood glucose (FPG), HbA1c, FINS, plasma alarin levels and HOMA-IR in the control group, T2DM non-obese group and T2DM obese group increased sequentially, and high-density lipoprotein-cholesterol (HDL-L) and HOMA-beta decreased sequentially (P<0.05). Correlation analysis results showed that plasma alarin levels in T2DM patients were positively correlated with waistline, BMI, TC, LDL-C, FPG, HbA1c, FINS and HOMA-IR (P<0.05), and negatively correlated with HDL-C and HOMA-beta (P <0.05), and the correlation coefficient of T2DM obese group was significantly higher than that of T2DM non-obese group (P<0.05). Multiple linear stepwise regression analysis showed that BMI, FPG, HbA1c, HOMA-beta, and HOMA-IR were independent factors related to plasma alarin levels in T2DM non-obese and T2DM obese patients, and the correlation coefficient of the T2DM obese group was significantly higher than that of the T2DM non-obese group (P <0.05). CONCLUSION: Plasma alarin levels increase in newly diagnosed T2DM and obese T2DM patients, which are affected by TC, BMI, FPG, HbA1c, HOMA-beta and HOMA-IR, and may be involved in development of T2DM. CI - (c) 2021 Zhou et al. FAU - Zhou, Xin AU - Zhou X AD - Department of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400000, People's Republic of China. FAU - Luo, Mei AU - Luo M AD - Department of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400000, People's Republic of China. FAU - Zhou, Sha AU - Zhou S AD - Department of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400000, People's Republic of China. FAU - Cheng, Zhiling AU - Cheng Z AD - Department of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400000, People's Republic of China. FAU - Chen, Zhongpei AU - Chen Z AD - Department of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400000, People's Republic of China. FAU - Yu, Xiaoxia AU - Yu X AD - Department of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400000, People's Republic of China. LA - eng PT - Journal Article DEP - 20210127 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC7850453 OTO - NOTNLM OT - blood lipids OT - blood sugar OT - insulin OT - insulin resistance OT - obesity OT - plasma alarin level OT - type 2 diabetes mellitus COIS- The authors declare that they have no conflicts of interest for this work. EDAT- 2021/02/05 06:00 MHDA- 2021/02/05 06:01 PMCR- 2021/01/27 CRDT- 2021/02/04 05:50 PHST- 2020/11/02 00:00 [received] PHST- 2020/12/22 00:00 [accepted] PHST- 2021/02/04 05:50 [entrez] PHST- 2021/02/05 06:00 [pubmed] PHST- 2021/02/05 06:01 [medline] PHST- 2021/01/27 00:00 [pmc-release] AID - 290072 [pii] AID - 10.2147/DMSO.S290072 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2021 Jan 27;14:379-385. doi: 10.2147/DMSO.S290072. eCollection 2021.