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Heterogeneous clinical features of ketosis-prone type 2 diabetes mellitus patients: gender, age, loss of weight and HbA1c.
Minerva Endocrinol. 2019 Dec; 44(4):351-356.ME

Abstract

BACKGROUND

The aim of this study was to observe the clinical features of type 2 diabetes mellitus (T2DM) patients with ketosis as the initial symptom, and investigate its differences from clinical features of non-ketotic T2DM patients.

METHODS

A total of 385 T2DM patients treated in our hospital from 2014 to 2017 were selected and divided into ketosis-prone T2DM group and non-ketotic T2DM group. Ketosis-prone T2DM patients refer to DM patients with the urine ketone body++ or above or the blood ketone body ≥1.0 mmol/L when treated. Fasting venous blood was collected from all patients in the early morning at 2 d after admission to detect the liver function, renal function, blood glucose, triglyceride, total cholesterol, glycosylated hemoglobin and fasting C-peptide, glutamic acid decarboxylase antibody (GAD-Ab) and islet cell antibody (ICA) were also detected, and the 24 h urine specimen was retained to detect the 24 h urine microalbumin excretion rate.

RESULTS

The proportion of male in ketosis-prone T2DM group was significantly higher than that in non-ketotic T2DM group (P<0.01). Patients in ketosis-prone T2DM group was younger than those in non-ketotic T2DM group (P<0.05). The number of days from initial symptom to treatment in ketosis-prone T2DM group was smaller than that in non-ketotic T2DM group (P<0.05). The fasting C-peptide level in ketosis-prone T2DM group was significantly lower than that in non-ketotic T2DM group (P<0.05). The degree of weight loss and level of glycosylated hemoglobin in ketosis-prone T2DM group were significantly higher than those in non-ketotic T2DM group (P<0.05).

CONCLUSIONS

Ketosis-prone T2DM patients are characterized by lower age at onset, higher proportion of male, shorter duration of disease, poorer islet function, higher blood glucose and more significant weight loss than non-ketotic T2DM patients.

Authors+Show Affiliations

Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China.Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China.Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China.Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China.Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China.Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China.Unit of Endocrinology, Department of Rheumatism, the First People's Hospital of Wujiang District Suzhou, Suzhou, China - 307645526@qq.com.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

30482009

Citation

Wang, Juan, et al. "Heterogeneous Clinical Features of Ketosis-prone Type 2 Diabetes Mellitus Patients: Gender, Age, Loss of Weight and HbA1c." Minerva Endocrinologica, vol. 44, no. 4, 2019, pp. 351-356.
Wang J, Zhang M, Liu Z, et al. Heterogeneous clinical features of ketosis-prone type 2 diabetes mellitus patients: gender, age, loss of weight and HbA1c. Minerva Endocrinol. 2019;44(4):351-356.
Wang, J., Zhang, M., Liu, Z., Wang, X., Pang, Y., Lu, Y., & Liu, Z. (2019). Heterogeneous clinical features of ketosis-prone type 2 diabetes mellitus patients: gender, age, loss of weight and HbA1c. Minerva Endocrinologica, 44(4), 351-356. https://doi.org/10.23736/S0391-1977.18.02925-5
Wang J, et al. Heterogeneous Clinical Features of Ketosis-prone Type 2 Diabetes Mellitus Patients: Gender, Age, Loss of Weight and HbA1c. Minerva Endocrinol. 2019;44(4):351-356. PubMed PMID: 30482009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Heterogeneous clinical features of ketosis-prone type 2 diabetes mellitus patients: gender, age, loss of weight and HbA1c. AU - Wang,Juan, AU - Zhang,Meixiang, AU - Liu,Zhenzhen, AU - Wang,Xiujie, AU - Pang,Yuanxin, AU - Lu,Ye, AU - Liu,Zhengqing, Y1 - 2018/11/26/ PY - 2018/11/30/pubmed PY - 2020/8/20/medline PY - 2018/11/29/entrez SP - 351 EP - 356 JF - Minerva endocrinologica JO - Minerva Endocrinol VL - 44 IS - 4 N2 - BACKGROUND: The aim of this study was to observe the clinical features of type 2 diabetes mellitus (T2DM) patients with ketosis as the initial symptom, and investigate its differences from clinical features of non-ketotic T2DM patients. METHODS: A total of 385 T2DM patients treated in our hospital from 2014 to 2017 were selected and divided into ketosis-prone T2DM group and non-ketotic T2DM group. Ketosis-prone T2DM patients refer to DM patients with the urine ketone body++ or above or the blood ketone body ≥1.0 mmol/L when treated. Fasting venous blood was collected from all patients in the early morning at 2 d after admission to detect the liver function, renal function, blood glucose, triglyceride, total cholesterol, glycosylated hemoglobin and fasting C-peptide, glutamic acid decarboxylase antibody (GAD-Ab) and islet cell antibody (ICA) were also detected, and the 24 h urine specimen was retained to detect the 24 h urine microalbumin excretion rate. RESULTS: The proportion of male in ketosis-prone T2DM group was significantly higher than that in non-ketotic T2DM group (P<0.01). Patients in ketosis-prone T2DM group was younger than those in non-ketotic T2DM group (P<0.05). The number of days from initial symptom to treatment in ketosis-prone T2DM group was smaller than that in non-ketotic T2DM group (P<0.05). The fasting C-peptide level in ketosis-prone T2DM group was significantly lower than that in non-ketotic T2DM group (P<0.05). The degree of weight loss and level of glycosylated hemoglobin in ketosis-prone T2DM group were significantly higher than those in non-ketotic T2DM group (P<0.05). CONCLUSIONS: Ketosis-prone T2DM patients are characterized by lower age at onset, higher proportion of male, shorter duration of disease, poorer islet function, higher blood glucose and more significant weight loss than non-ketotic T2DM patients. SN - 1827-1634 UR - https://www.unboundmedicine.com/medline/citation/30482009/Heterogeneous_clinical_features_of_ketosis_prone_type_2_diabetes_mellitus_patients:_gender_age_loss_of_weight_and_HbA1c_ L2 - https://www.minervamedica.it/index2.t?show=R07Y2019N04A0351 DB - PRIME DP - Unbound Medicine ER -