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Pleus S, Tytko A, Landgraf R, Heinemann L, Werner C, Müller-Wieland D, Ziegler AG, Müller UA, Freckmann G, Kleinwechter H, Schleicher E, Nauck M, Petersmann A. Definition, Classification, Diagnosis and Differential Diagnosis of Diabetes Mellitus: Update 2023. Exp Clin Endocrinol Diabetes 2024; 132:112-124. [PMID: 38378016 DOI: 10.1055/a-2166-6643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Affiliation(s)
- Stefan Pleus
- Institut für Diabetes-Technologie Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Ulm, Germany
| | | | | | - Lutz Heinemann
- Science-Consulting in Diabetes GmbH, Düsseldorf, Germany
| | - Christoph Werner
- Department of Internal Medicine III, University Hospital Jena, Jena, Germany
| | | | | | - Ulrich A Müller
- Practice for Endocrinology and Diabetology, Dr. Kielstein Ambulante Medizinische Versorgung GmbH, Jena, Germany
| | - Guido Freckmann
- Institut für Diabetes-Technologie Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Ulm, Germany
| | | | - Erwin Schleicher
- Institute of Clinical Chemistry and Pathobiochemistry - Central Laboratory, University Hospital Tübingen, Tübingen, Germany
- German Center for Diabetes Research (DZD) Munich-Neuherberg, Munich-Neuherberg, Germany
| | - Matthias Nauck
- Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, University Medicine, Greifswald, Germany
| | - Astrid Petersmann
- Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany
- Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Oldenburg, Oldenburg, Germany
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Landgraf R, Heinemann L, Schleicher E, Gerdes C, Petersmann A, Müller-Wieland D, Müller UA, Freckmann G, Thaler M, Ziegler AG, Kleinwechter H, Nauck M. Definition, Klassifikation, Diagnostik und Differenzialdiagnostik des Diabetes mellitus: Update 2022. DIABETOL STOFFWECHS 2022. [DOI: 10.1055/a-1789-5615] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | - Lutz Heinemann
- Science-Consulting in Diabetes GmbH, Kaarst, Deutschland
| | - Erwin Schleicher
- Institut für Klinische Chemie und Pathobiochemie – Zentrallabor, Universitätsklinikum Tübingen, Deutschland
- Deutsches Zentrum für Diabetesforschung (DZD) München-Neuherberg, Deutschland
| | - Christian Gerdes
- Klinik für Innere Medizin III, Universitätsklinikum Jena, Deutschland
| | - Astrid Petersmann
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsmedizin Oldenburg, Deutschland
| | | | - Ulrich A. Müller
- Praxis für Endokrinologie und Diabetologie, Dr. Kielstein Ambulante Medizinische Versorgung GmbH, Jena, Deutschland
| | - Guido Freckmann
- Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Deutschland
| | - Markus Thaler
- Klinikum rechts der Isar der TU München, Institut für Klinische Chemie und Pathobiochemie, München, Deutschland
| | | | | | - Matthias Nauck
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsmedizin Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Partnerseite Greifswald, Universitätsmedizin, Greifswald, Deutschland
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Schleicher E, Gerdes C, Petersmann A, Müller-Wieland D, Müller UA, Freckmann G, Heinemann L, Nauck M, Landgraf R. Definition, Classification and Diagnosis of Diabetes Mellitus. Exp Clin Endocrinol Diabetes 2022; 130:S1-S8. [PMID: 35451038 DOI: 10.1055/a-1624-2897] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Erwin Schleicher
- Institute for Clinical Chemistry and Pathobiochemistry - Central Laboratory, University Hospital Tübingen, Germany.,German Center for Diabetes Research (DZD) München-Neuherberg, Germany
| | - Christian Gerdes
- Department of Internal Medicine III, University Hospital Jena, Germany
| | - Astrid Petersmann
- Institute for Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Germany.,Institute for Clinical Chemistry and Laboratory Medicine, University of Oldenburg, Germany
| | | | - Ulrich A Müller
- Practice for Endocrinology and Diabetology, Dr. Kielstein Ambulante Medizinische Versorgung GmbH, Jena, Germany
| | - Guido Freckmann
- Institute for Diabetes Technology, Research and Development Company at the University of Ulm, Germany
| | | | - Matthias Nauck
- Institute for Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, University Medicine, Greifswald, Germany
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Definition, Klassifikation und Diagnostik des Diabetes mellitus: Update 2021. DIABETOLOGE 2022. [DOI: 10.1007/s11428-021-00847-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Schleicher E, Gerdes C, Petersmann A, Müller-Wieland D, Müller UA, Freckmann G, Heinemann L, Nauck M, Landgraf R. Definition, Klassifikation und Diagnostik des Diabetes mellitus: Update 2021. DIABETOL STOFFWECHS 2021. [DOI: 10.1055/a-1515-8638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Erwin Schleicher
- Institut für Klinische Chemie und Pathobiochemie – Zentrallabor, Universitätsklinikum Tübingen
- Deutsches Zentrum für Diabetesforschung (DZD) München-Neuherberg
| | | | - Astrid Petersmann
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsmedizin Greifswald
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universität Oldenburg
| | | | - Ulrich A. Müller
- Praxis für Endokrinologie und Diabetologie, Dr. Kielstein Ambulante Medizinische Versorgung GmbH, Jena
| | - Guido Freckmann
- Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm
| | | | - Matthias Nauck
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsmedizin Greifswald
- DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, University Medicine, Greifswald, Germany
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Nauck M, Gerdes C, Petersmann A, Müller-Wieland D, Müller UA, Freckmann G, Heinemann L, Schleicher E, Landgraf R. Definition, Klassifikation und Diagnostik des Diabetes mellitus: Update 2020. DIABETOLOGE 2021. [DOI: 10.1007/s11428-021-00763-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Özcürümez M, Arzideh F, Torge A, Figge A, Haeckel R, Streichert T. The influence of sampling time on indirect reference limits, decision limits, and the estimation of biological variation of random plasma glucose concentrations. J LAB MED 2021. [DOI: 10.1515/labmed-2020-0146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Objectives
Plasma glucose concentrations exhibit a pronounced daytime-dependent variation. The oscillations responsible for this are currently not considered in the determination of reference limits (RL) and decision limits.
Methods
We characterized the daily variation inherent in large-scale laboratory data from two different university hospitals (site 1 n=513,682, site 2 n=204,001). Continuous and distinct RL for daytime and night were estimated. Diurnal characteristics of glucose concentrations were further investigated by quantile regression analyses introducing age and cosinor-functions as predictors in the model.
Results
Diurnal variations expressed as amplitude/Midline Estimating Statistic of Rhythm (MESOR) ratio, averaged 7.7% (range 5.9–9.3%). The amplitude of glucose levels decreased with increasing concentrations. Between 06:00 and 10:00 h an average decrease of 4% has to be considered. Nocturnal glucose samples accounted for only 5% of the total amount but contributed to 19.5% of all findings over 11.1 mmol/L. Partitioning of RL between day and night is merely justified for the upper reference limit. The nocturnal upper RLs for both genders differed from those obtained during the day by 11.0 and 10.6% at site 1 and by 7.6 and 7.5% at site 2.
Conclusions
We conclude that indirect approaches to estimate upper RL of random plasma glucose concentrations require stratification concerning the time of sample collection.
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Affiliation(s)
- Mustafa Özcürümez
- Medizinische Klinik, Universitätsklinikum Knappschaftskrankenhaus Bochum , Bochum , Germany
| | - Farhad Arzideh
- Medizinische Klinik, Universitätsklinikum Knappschaftskrankenhaus Bochum , Bochum , Germany
| | - Antje Torge
- Institut für Klinische Chemie , Universitätsklinikum Schleswig-Holstein , Kiel , Germany
| | - Anja Figge
- Medizinische Klinik, Universitätsklinikum Knappschaftskrankenhaus Bochum , Bochum , Germany
| | - Rainer Haeckel
- Bremer Zentrum für Laboratoriumsmedizin, Klinikum Bremen Mitte , Bremen , Germany
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Nauck M, Gerdes C, Petersmann A, Müller-Wieland D, Müller UA, Freckmann G, Heinemann L, Schleicher E, Landgraf R. Definition, Klassifikation und Diagnostik des Diabetes mellitus: Update 2020. DIABETOL STOFFWECHS 2020. [DOI: 10.1055/a-1193-3185] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Matthias Nauck
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsmedizin Greifswald
- DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, University Medicine, Greifswald, Germany
| | | | - Astrid Petersmann
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universitätsmedizin Greifswald
- Institut für Klinische Chemie und Laboratoriumsmedizin, Universität Oldenburg
| | | | - Ulrich A. Müller
- Praxis für Endokrinologie und Diabetologie, Dr. Kielstein Ambulante Medizinische Versorgung GmbH, Jena
| | - Guido Freckmann
- Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm
| | | | - Erwin Schleicher
- Institut für Klinische Chemie und Pathobiochemie – Zentrallabor, Universitätsklinikum Tübingen
- Deutsches Zentrum für Diabetesforschung (DZD) München-Neuherberg
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