Beta cell response to a mixed meal in nigerian patients with type 2 diabetes

The pathophysiology of type2 diabetes involves both insulin resistance and poor beta cell function. Studies have been done in several populations to assess the relative importance of these mechanisms in individual patients. In our environment studies to assess beta cell function have been done with...

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Bibliographic Details
Published in:BMC endocrine disorders 2012-06, Vol.12 (1), p.11-11, Article 11
Main Authors: Young, Ekenechukwu E, Chinenye, Sonny, Unachukwu, Chioma N
Format: Article
Language:English
Subjects:
Analysis
Beta cell
Blood sugar
Body mass index
Cells
Diabetes
Diabetes therapy
Glucagon
Glucose
Glucose tolerance tests
Glycaemic control
Glycosylated hemoglobin
Insulin
Insulin resistance
Meal stimulation
Medical research
Medicine, Experimental
Menus
Pancreas
Pancreatic beta cells
Type 2 diabetes
Type2 diabetes
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Summary:The pathophysiology of type2 diabetes involves both insulin resistance and poor beta cell function. Studies have been done in several populations to assess the relative importance of these mechanisms in individual patients. In our environment studies to assess beta cell function have been done with glucagon stimulation or an oral glucose tolerance test. This study was done to assess the response of the beta cell to a standardized mixed meal and its relationship with glycaemic control in patients with type2 diabetes. Ninety patients with type 2 diabetes were recruited into the study. Weight, height, body mass index and waist circumference were measured. Blood samples were analysed for fasting plasma glucose (FPG) and fasting C peptide (FCP) and glycated haemoglobin (HbA1c). Patients were given their usual drugs for management of their diabetes and then served with a standard meal calculated to contain 50 g of carbohydrate, made up of 53 % carbohydrate, 17 % of protein and 30 % of lipids, providing 500 kcal. Blood samples 2 hours after the start of the meal were analysed for postprandial glucose (PPG) and postprandial C peptide (PCP). Fasting (M0) and postprandial beta cell responsiveness (M1) were calculated. The mean FPG and PPG were 7.51+/- 3.39 mmol/l and 11.02+/-4.03 mmol/l respectively while the mean glycated haemoglobin (HbA1c) was 9.0+/-2.5 %. The mean fasting C peptide was 1.44+/-1.80ug/ml. Many of the patients (56.7 %) had low FCP levels. The mean postprandial C peptide was 4.0+/-2.8 ng/ml. There were significant correlations between M1, HbA1c and PPG (p = 0.015, 0.024, 0.001 respectively) and also between M0, HbA1c, PPG and FPG (p = 0.001, 0.002, 0.001). HbA1c decreased across increasing tertiles of M0 (p 
ISSN:1472-6823
1472-6823
DOI:10.1186/1472-6823-12-11