[1]陈京京,陈盈玲,单浩杰,等.2型糖尿病患者连续血糖监测目标范围内时间与血清骨钙素N端中分子片段、Ⅰ型前胶原氨基端前肽相关性研究[J].陕西医学杂志,2025,54(3):319-322,327.[doi:DOI:10.3969/j.issn.1000-7377.2025.03.006]
 CHEN Jingjing,CHEN Yingling,SHAN Haojie,et al.Correlation between TIR and serum N-MID OC,PINP in patients with type 2 diabetes mellitus[J].,2025,54(3):319-322,327.[doi:DOI:10.3969/j.issn.1000-7377.2025.03.006]
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2型糖尿病患者连续血糖监测目标范围内时间与血清骨钙素N端中分子片段、Ⅰ型前胶原氨基端前肽相关性研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
54
期数:
2025年3期
页码:
319-322,327
栏目:
临床研究
出版日期:
2025-03-05

文章信息/Info

Title:
Correlation between TIR and serum N-MID OC,PINP in patients with type 2 diabetes mellitus
作者:
陈京京12陈盈玲12单浩杰2蒋伏松12于晓巍2
(1.江西中医药大学,江西 南昌 330004; 2.上海交通大学医学院附属第六人民医院,上海 200233)
Author(s):
CHEN Jingjing12CHEN Yingling12SHAN Haojie2JIANG Fusong12YU Xiaowei2
(1.Jiangxi University of Chinese Medicine,Nanchang 330004,China; 2.The Sixth Affiliated People's Hospital of Medical School,Shanghai Jiaotong University,Shanghai 200233,China)
关键词:
2型糖尿病 骨形成标志物 骨钙素N端中分子片段 Ⅰ型前胶原氨基端前肽 连续血糖监测
Keywords:
Type 2 diabetes mellitus Bone formation markers N-terminal mid-fragment of osteocalcin Propeptide of type Ⅰ procollage Continuous glucose monitoring
分类号:
R 587.1
DOI:
DOI:10.3969/j.issn.1000-7377.2025.03.006
文献标志码:
A
摘要:
目的:探讨2型糖尿病(T2DM)患者连续血糖监测(CGM)目标范围内时间(TIR)与骨形成标志物血清骨钙素N端中分子片段(N-MID OC)和Ⅰ型前胶原氨基端前肽(PINP)之间的关系。方法:选取住院T2DM患者336例为研究对象,均接受72 h连续血糖监测,并计算TIR。根据TIR水平将患者分为TIR<70%组(154例)和TIR≥70%组(182例)。检测所有患者血清N-MID OC、PINP和其他生化指标水平。TIR与N-MID OC、PINP的相关性采用Pearson相关性分析和多元线性回归分析进行。结果:TIR<70%组N-MID OC、PINP水平低于TIR≥70%组(均P<0.05)。Pearson相关性分析结果显示,TIR与N-MID OC、PINP呈正相关(均P<0.05)。调整与骨质疏松和糖尿病发生密切相关因素后,多元线性回归分析结果显示,TIR仍与N-MID OC、PINP存在正相关关系(均P<0.05)。结论:T2DM患者TIR与骨形成指标物N-MID OC和PINP水平呈正相关。
Abstract:
Objective:To investigate the relationship between time in range(TIR)within continuous glucose monitoring(CGM)and the N-terminal mid-fragment of osteocalcin(N-MID OC)and propeptide of type Ⅰ procollage(PINP)in patients with type 2 diabetes mellitus(T2DM).Methods:A total of 336 hospitalized patients with T2DM were selected as the study subjects,all of whom received 72-hour CGM,and TIR was calculated.Patients were divided into TIR <70% group(154 cases)and TIR ≥70% group(182 cases)according to their TIR levels.Serum N-MID OC,PINP and other biochemical indexes were detected in all patients.The correlation between TIR and N-MID OC,PINP was performed by Pearson correlation analysis and multiple linear regression analysis.Results:The levels of N-MID OC and PINP in TIR <70% group were lower than those in TIR ≥70% group(all P<0.05).Pearson correlation analysis showed that TIR was positively correlated with N-MID OC and PINP(all P<0.05).After adjusting the factors closely related to osteoporosis and diabetes,the results of multiple linear regression analysis showed that TIR was still positively correlated with N-MID OC and PINP(all P<0.05).Conclusion:TIR was positively correlated with N-MID OC and PINP levels in T2DM patients.

参考文献/References:

[1] SELLMEYER D E,CIVITELLI R,HOFBAUER L C,et al.Skeletal metabolism,fracture risk,and fracture outcomes in type 1 and type 2 diabetes[J].Diabetes,2016,65(7):1757-1766.
[2] MARTINIAKOVA M,BIRO R,PENZES N,et al.Links among obesity,type 2 diabetes mellitus,and osteoporosis:Bone as a target[J].Int J Mol Sci,2024,25(9):4827.
[3] BAUER D,KREGE J,LANE N,et al.National bone health alliance bone turnover marker project:Current practices and the need for us harmonization,standardization,and common reference ranges[J].Osteoporos Int,2012,23(10):2425-2433.
[4] CONSORTIUM U P.Uniprot:The universal protein knowledgebase in 2023[J].Nucleic Acids Research,2023,51(D1):d523-d531.
[5] KOMORI T.Functions of osteocalcin in bone,pancreas,testis,and muscle[J].Int J Mol Sci,2020,21(20):7513.
[6] MARIAN S,TATIANE V,FATMA G,et al.Bone turnover markers:Basic biology to clinical applications[J].Endocr Rev,2022,44(3):417-473.
[7] BECK R W,BERGENSTAL R M,RIDDLESWORTH T D,et al.Validation of time in range as an outcome measure for diabetes clinical trials[J].Diabetes Care,2019,42(3):400-405.
[8] JACKSON M A,AHMANN A,SHAH V N.Type 2 diabetes and the use of real-time continuous glucose monitoring[J].Diabetes Technol Ther,2021,23(S1):s27-s34.
[9] BATTELINO T,DANNE T,BERGENSTAL R M,et al.Clinical targets for continuous glucose monitoring data interpretation:Recommendations from the international consensus on time in range[J].Diabetes Care,2019,42(8):1593-1603.
[10] DRAZNIN B,ARODA V R,BAKRIS G,et al.Summary of revisions:Standards of medical care in diabetes-2022[J].Diabetes Care,2022,45(Suppl 1):s4-s7.
[11] RICKHAM P P.Human experimentation.Code of ethics of the world medical association.Declaration of helsinki[J].Br Med J,1964,2(5402):177.
[12] BECK R W,BERGENSTAL R M,CHENG P,et al.The relationships between time in range,hyperglycemia metrics,and HbA1c[J].J Diabetes Sci Technol,2019,13(4):614-626.
[13] 秦华,覃海,宋晓钰,等.血清25羟维生素D、甲状旁腺激素、总Ⅰ型胶原氨基端延长肽/β-胶联降解产物水平与老年骨质疏松症患者胸腰椎压缩性骨折关系及检测意义[J].陕西医学杂志,2024,53(6):768-772.
[14] YUAN S,JIANG X,KARL M,et al.Genetic prediction of serum 25-hydroxyvitamin D,calcium,and parathyroid hormone levels in relation to development of type 2 diabetes:A mendelian randomization study[J].Diabetes Care,42(12):2197-2203.
[15] HULYA A,FATIH A,NACIYE K,et al.Serum 1,25 dihydroxy vitamin D(1,25(OH)2D3),25 hydroxy vitamin D(25(OH)D)and parathormone levels in diabetic retinopathy[J].Clin Biochem,2000,33(1):47-51.
[16] SACKS D B,ARNOLD M,BAKRIS G L,et al.Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus[J].Diabetes Care,2023,46(10):e151-e199.
[17] LIU X,CHEN F,LIU L,et al.Prevalence of osteoporosis in patients with diabetes mellitus:A systematic review and meta-analysis of observational studies[J].BMC Endocr Disord,2023,23(1):1.
[18] 贾真,何旺,张渭涛,等.2型糖尿病患者骨转换指标与血糖的相关性[J].陕西医学杂志,2017,46(8):1083-1084.
[19] 陶乐维.不同剂量六味地黄丸对胰岛素抵抗小鼠糖代谢及体重的影响[J].陕西中医,2022,43(3):275-278.
[20] CHANNUWONG P,SPEIGHT V,YUAN Y,et al.Hyperglycemia from diabetes potentiates uncarboxylated osteocalcin-stimulated insulin secretion in rat INS-1 pancreatic β-cells[J].Nutrients,2024,16(15):2384.
[21] HUANG R,WANG H,SHEN Z,et al.Increased glycemic variability evaluated by continuous glucose monitoring is associated with osteoporosis in type 2 diabetic patients[J].Front Endocrinol(Lausanne),2022,13:861131.
[22] IGLESIAS P,ARRIETA F,PINERA M,et al.Serum concentrations of osteocalcin,procollagen type 1 N-terminal propeptide and beta-crosslaps in obese subjects with varying degrees of glucose tolerance[J].Clin Endocrinol,2011,75:184-188.
[23] RUBIN M R,BOER I H,BACKLUND J C,et al.Biochemical markers of bone turnover in older adults with type 1 diabetes[J].J Clin Endocrinol Metab,2022,107(6):e2405-e2416.
[24] MOSHE P,REVITAL N,RICHARD M B,et al.Consensus recommendations for the use of automated insulin delivery technologies in clinical practice[J].Endocr Rev,2023,44(2):254-280.
[25] 贾伟平.血糖监测技术的进步与展望[J].上海交通大学学报(医学版),2022,42(9):1171-1175.

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备注/Memo

备注/Memo:
[基金项目]国家自然科学基金资助项目(82372387); 上海交通大学医工交叉研究基金资助项目(YG2024ZD19)
更新日期/Last Update: 2025-03-05