PMID- 36738836 OWN - NLM STAT- MEDLINE DCOM- 20230315 LR - 20230315 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 197 DP - 2023 Mar TI - Clinical expert consensus on the assessment and protection of pancreatic islet beta-cell function in type 2 diabetes mellitus. PG - 110568 LID - S0168-8227(23)00043-8 [pii] LID - 10.1016/j.diabres.2023.110568 [doi] AB - Islet beta-cell dysfunction is a basic pathophysiological characteristic of type 2 diabetes mellitus (T2DM). Appropriate assessment of islet beta-cell function is beneficial to better management of T2DM. Protecting islet beta-cell function is vital to delay the progress of type 2 diabetes mellitus. Therefore, the Pancreatic Islet beta-cell Expert Panel of the Chinese Diabetes Society and Endocrinology Society of Jiangsu Medical Association organized experts to draft the "Clinical expert consensus on the assessment and protection of pancreatic islet beta-cell function in type 2 diabetes mellitus." This consensus suggests that beta-cell function can be clinically assessed using blood glucose-based methods or methods that combine blood glucose and endogenous insulin or C-peptide levels. Some measures, including weight loss and early and sustained euglycemia control, could effectively protect islet beta-cell function, and some newly developed drugs, such as Sodium-glucose cotransporter-2 inhibitor and Glucagon-like peptide-1 receptor agonists, could improve islet beta-cell function, independent of glycemic control. CI - Copyright (c) 2023 The Author(s). Published by Elsevier B.V. All rights reserved. FAU - Zhu, Jian AU - Zhu J AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Han, Junfeng AU - Han J AD - Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Clinical Center for Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, China. FAU - Liu, Liehua AU - Liu L AD - Department of Endocrinology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Liu, Yu AU - Liu Y AD - Endocrinology Department, Sir Run Run Hospital of Nanjing Medical University, Nanjing, China. FAU - Xu, Wen AU - Xu W AD - Department of Endocrinology and Metabolism, Guangdong Provincial Key Laboratory of Diabetology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Li, Xiaomu AU - Li X AD - Department of Endocrine and Metabolism, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Yang, Lin AU - Yang L AD - National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology, Ministry of Education, Department of Metabolism and Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Gu, Yong AU - Gu Y AD - Department of Endocrinology and Metabolism, First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Tang, Wei AU - Tang W AD - Department of Endocrinology, Geriatric Hospital of Nanjing Medical University, Nanjing, China. FAU - Shi, Yongquan AU - Shi Y AD - Department of Endocrinology, Changzheng Hospital, The Navy Military Medical University, Shanghai, China. FAU - Ye, Shandong AU - Ye S AD - Department of Endocrinology, Anhui Provincial Hospital, Hefei, China. FAU - Hua, Fei AU - Hua F AD - Department of Endocrinology, The First People's Hospital of Changzhou, Changzhou, China. FAU - Xiang, Guangda AU - Xiang G AD - Department of Endocrinology, General Hospital of Central Theater Command of Chinese People' s Liberation Army, Wuhan, China. FAU - Liu, Ming AU - Liu M AD - Department of Endocrinology, General Hospital, Tianjin Medical University, Tianjin, China. FAU - Sun, Zilin AU - Sun Z AD - Department of Endocrinology, Zhongda Hospital, Institute of Diabetes, School of Medicine, Southeast University, Nanjing, China. FAU - Su, Qing AU - Su Q AD - Department of Endocrinology, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, China. FAU - Li, Xiaoying AU - Li X AD - Department of Endocrine and Metabolism, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Li, Yuxiu AU - Li Y AD - Department of Endocrinology, Peking Union Medical College Hospital, Beijing, China. FAU - Li, Yanbing AU - Li Y AD - Department of Endocrinology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Li, Hong AU - Li H AD - Department of Endocrinology, First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Li, Yiming AU - Li Y AD - Department of Endocrinology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Yang, Tao AU - Yang T AD - Department of Endocrinology and Metabolism, First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Yang, Jing AU - Yang J AD - Department of Endocrinology, First Hospital of Shanxi Medical University, Taiyuan, China. FAU - Shi, Lixin AU - Shi L AD - Department of Endocrinology, Guiqian International General Hospital, Guiyang 550018, China. FAU - Yu, Xuefeng AU - Yu X AD - Department of Endocrinology, Tongji Hospital, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, China. FAU - Chen, Li AU - Chen L AD - Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, China. FAU - Shao, Jiaqing AU - Shao J AD - Department of Endocrinology, the Affiliated Jinling Hospital of Nanjing Medical University, General Hospital of Eastern Theater Command, Nanjing, China. FAU - Liang, Jun AU - Liang J AD - Department of Endocrinology, Xuzhou Central Hospital, Xuzhou, China. FAU - Han, Xiao AU - Han X AD - Key Laboratory of Human Functional Genomics of Jiangsu Province, School of Basic Medical Science, Nanjing Medical University, Nanjing, China. FAU - Xue, Yaomin AU - Xue Y AD - The First Clinical Medical Institute, Southern Medical University, Guangzhou, China. FAU - Ma, Jianhua AU - Ma J AD - Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. Electronic address: majianhua@china.com. FAU - Zhu, Dalong AU - Zhu D AD - Department of Endocrinology, Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China. Electronic address: zhudalong@nju.edu.cn. FAU - Mu, Yiming AU - Mu Y AD - Department of Endocrinology, Chinese PLA General Hospital, Beijing, China. Electronic address: muyiming@301hospital.com.cn. CN - Pancreatic Islet beta-cell Expert Panel of the Chinese Diabetes Society and Endocrinology Society of Jiangsu Medical Association LA - eng PT - Journal Article PT - Review DEP - 20230203 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Blood Glucose) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Insulin) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2 MH - Blood Glucose MH - Consensus MH - *Sodium-Glucose Transporter 2 Inhibitors/pharmacology MH - Insulin/pharmacology MH - *Insulin-Secreting Cells MH - *Islets of Langerhans/physiology OTO - NOTNLM OT - Expert consensus OT - Functional assessment OT - Intensive insulin therapy OT - Islets OT - Weight loss OT - beta-cell COIS- Declaration of Competing Interest All authors declare no conflict of interests. EDAT- 2023/02/05 06:00 MHDA- 2023/03/16 06:00 CRDT- 2023/02/04 19:23 PHST- 2022/09/08 00:00 [received] PHST- 2023/01/08 00:00 [revised] PHST- 2023/01/30 00:00 [accepted] PHST- 2023/02/05 06:00 [pubmed] PHST- 2023/03/16 06:00 [medline] PHST- 2023/02/04 19:23 [entrez] AID - S0168-8227(23)00043-8 [pii] AID - 10.1016/j.diabres.2023.110568 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2023 Mar;197:110568. doi: 10.1016/j.diabres.2023.110568. Epub 2023 Feb 3.