Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus

C-peptide is produced in equimolar amounts to insulin and is the best measure of endogenous insulin secretion. This cross-sectional study was conducted in a tertiary hospital of Bangladesh from January 2016 to December 2017 to assess fasting serum c-peptide as a marker of the endogenous insulin secr...

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Main Authors: A. K. M. Saber Ahmed, A. B. M. Kamrul-Hasan, Mohammed Ruhul-Kabir, Habibur Rahman, Mohammad Shofiullah, A. F. M. Nazmul-Islam
Format: Article
Language:English
Published: Sri Lanka College of Endocrinologists 2019-12-01
Series:Sri Lanka Journal of Diabetes Endocrinology and Metabolism
Subjects:
Online Access:https://sjdem.sljol.info/articles/7395
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author A. K. M. Saber Ahmed
A. B. M. Kamrul-Hasan
Mohammed Ruhul-Kabir
Habibur Rahman
Mohammad Shofiullah
A. F. M. Nazmul-Islam
author_facet A. K. M. Saber Ahmed
A. B. M. Kamrul-Hasan
Mohammed Ruhul-Kabir
Habibur Rahman
Mohammad Shofiullah
A. F. M. Nazmul-Islam
author_sort A. K. M. Saber Ahmed
collection DOAJ
description C-peptide is produced in equimolar amounts to insulin and is the best measure of endogenous insulin secretion. This cross-sectional study was conducted in a tertiary hospital of Bangladesh from January 2016 to December 2017 to assess fasting serum c-peptide as a marker of the endogenous insulin secretory capacity in newly diagnosed subjects with type 2 diabetes mellitus (T2DM). 60 newly diagnosed T2DM subjects were investigated along with 30 age-sex matched healthy controls. Fasting c-peptide was significantly higher in T2DM subjects than controls (8.97±5.96 vs. 1.69±0.66 ng/ml). None of the T2DM subjects had subnormal c-peptide, 19 (32%) had normal c-peptide, and 41 (68%) of them had elevated c-peptide levels. Higher fasting plasma glucose (FPG), plasma glucose 2-hours after 75gm oral glucose tolerance test (PG 2H-OGTT) and HbA1c levels were observed in T2DM subjects with elevated c-peptide in comparison to T2DM subjects having normal c-peptide. In T2DM subjects, c-peptide showed significant positive correlations with body mass index (BMI), FPG, PG 2H-OGTT, and HbA1c. This study found higher levels of fasting c-peptide in newly diagnosed T2DM in comparison to nondiabetic controls. None of the T2DM subjects had a subnormal c-peptide level.
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spelling doaj.art-7fdecc243e6343b895be2ad9c1bfece12022-12-21T22:33:14ZengSri Lanka College of EndocrinologistsSri Lanka Journal of Diabetes Endocrinology and Metabolism2012-998X2019-12-0192253010.4038/sjdem.v9i2.73955619Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitusA. K. M. Saber Ahmed0A. B. M. Kamrul-Hasan1Mohammed Ruhul-Kabir2Habibur Rahman3Mohammad Shofiullah4A. F. M. Nazmul-Islam5Sylhet M A G Osmani Medical College, SylhetMymensingh Medical College Hospital, MymensinghSylhet M A G Osmani Medical College, SylhetSylhet M A G Osmani Medical College, SylhetSylhet M A G Osmani Medical College, SylhetSylhet M A G Osmani Medical College, SylhetC-peptide is produced in equimolar amounts to insulin and is the best measure of endogenous insulin secretion. This cross-sectional study was conducted in a tertiary hospital of Bangladesh from January 2016 to December 2017 to assess fasting serum c-peptide as a marker of the endogenous insulin secretory capacity in newly diagnosed subjects with type 2 diabetes mellitus (T2DM). 60 newly diagnosed T2DM subjects were investigated along with 30 age-sex matched healthy controls. Fasting c-peptide was significantly higher in T2DM subjects than controls (8.97±5.96 vs. 1.69±0.66 ng/ml). None of the T2DM subjects had subnormal c-peptide, 19 (32%) had normal c-peptide, and 41 (68%) of them had elevated c-peptide levels. Higher fasting plasma glucose (FPG), plasma glucose 2-hours after 75gm oral glucose tolerance test (PG 2H-OGTT) and HbA1c levels were observed in T2DM subjects with elevated c-peptide in comparison to T2DM subjects having normal c-peptide. In T2DM subjects, c-peptide showed significant positive correlations with body mass index (BMI), FPG, PG 2H-OGTT, and HbA1c. This study found higher levels of fasting c-peptide in newly diagnosed T2DM in comparison to nondiabetic controls. None of the T2DM subjects had a subnormal c-peptide level.https://sjdem.sljol.info/articles/7395type 2 diabetes, endogenous insulin, c-peptide, insulin secretion
spellingShingle A. K. M. Saber Ahmed
A. B. M. Kamrul-Hasan
Mohammed Ruhul-Kabir
Habibur Rahman
Mohammad Shofiullah
A. F. M. Nazmul-Islam
Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus
Sri Lanka Journal of Diabetes Endocrinology and Metabolism
type 2 diabetes, endogenous insulin, c-peptide, insulin secretion
title Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus
title_full Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus
title_fullStr Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus
title_full_unstemmed Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus
title_short Serum c-peptide level in newly diagnosed Bangladeshi adults with type 2 diabetes mellitus
title_sort serum c peptide level in newly diagnosed bangladeshi adults with type 2 diabetes mellitus
topic type 2 diabetes, endogenous insulin, c-peptide, insulin secretion
url https://sjdem.sljol.info/articles/7395
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