Vernet Vernet M, Sender Palacios MJ, Jovell Fernández E, Casals Riera R, Tor Figueras E, Anglada Barceló J. [Glucose metabolism alterations and follow-up study of a non-diabetic adult population].
Rev Clin Esp 2009;
209:3-8. [PMID:
19268090 DOI:
10.1016/s0014-2565(09)70351-0]
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Abstract
OBJECTIVE
To determine the appearance of type 2 diabetes mellitus (DM2) and impaired fasting glucose (IFG) at five years of follow-up in a known non-diabetic population.
PATIENTS AND METHODS
DESIGN
nested case control studies (case s-control into a cohort) developed in two stages: 1) identification and characterization of the cohort and 2) follow-up.
STUDY POPULATION
representative sample of a non-diabetic population between 40 and 75 years old attended in a Primary Health Center.
RESULTS
IDENTIFICATION
326 persons, 2.1% of whom were diagnosed of previously unknown DM2 and 7.3% of IFG. Insulin resistance (IR) was higher in patients with IFG and pancreatic function of beta cells (PFBC) was higher in the population without glucose metabolism alteration.
FOLLOW-UP
121 persons, 9.7 % of whom evolved to DM2 (all with IFG). IFG proportion at the end of the follow-up was 23.96%.
CONCLUSIONS
At 5 years of follow-up, more than 1/3 of the population studied developed DM2 or IFG. These diagnoses were related with IR and PFBC.
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