1. Effect of glycemic state on postprandial hyperlipidemia and hyperinsulinemia in patients with coronary artery disease
- Author
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Kazuki Noda, Sota Nakajima, Akihiro Nakamura, Tohru Takahashi, Hideaki Endo, Yuto Monma, Shoko Kajitani, and Eiji Nozaki
- Subjects
Blood Glucose ,Male ,Time Factors ,medicine.medical_treatment ,Coronary Artery Disease ,030204 cardiovascular system & hematology ,Coronary Angiography ,Severity of Illness Index ,Hyperinsulinemia ,0302 clinical medicine ,Risk Factors ,Hyperlipidemia ,Insulin ,Diabetes ,Middle Aged ,Postprandial Period ,Lipids ,Postprandial ,Area Under Curve ,Original Article ,Cardiology and Cardiovascular Medicine ,medicine.medical_specialty ,Hyperlipidemias ,030209 endocrinology & metabolism ,Prediabetic State ,03 medical and health sciences ,Insulin resistance ,Hyperinsulinism ,Internal medicine ,Diabetes mellitus ,Dietary Carbohydrates ,medicine ,Humans ,cardiovascular diseases ,Aged ,Glycemic ,Glycated Hemoglobin ,business.industry ,Postprandial hyperlipidemia ,medicine.disease ,Dietary Fats ,Endocrinology ,Diabetes Mellitus, Type 2 ,ROC Curve ,business ,Biomarkers - Abstract
Both postprandial hyperlipidemia and hyperinsulinemia have been thought to play an important role in the development of atherosclerosis, and to be a potent risk factor for cardiovascular event. To examine effects of glycemic state on postprandial hyperlipidemia and hyperinsulinemia in patients with coronary artery disease (CAD), a total of 112 consecutive male pati ents with angiographically confirmed CAD were loaded with a high-fat and high-glucose test meal. CAD patients were divided into three groups as “non-diabetic”, “prediabetic”, and “diabetic” CAD groups. The serum triglyceride (TG) and remnant-like particle cholesterol (RLP-C) levels at the 6th hour in diabetic CAD group showed significantly higher than non-diabetic CAD group, and the incremental area under the curves (iAUCs) of these levels in diabetic CAD group were significantly greater than non-diabetic CAD group (TG, P = 0.0194; RLP-C, P = 0.0219). There were no significant differences in the iAUCs of TG or RLP-C between prediabetic and non-diabetic CAD group. The AUCs of plasma insulin levels or insulin resistance index (IRI): (AUCs of insulin) × (AUCs of glucose) as the insulin resistance marker were greater in diabetic CAD group than non-diabetic CAD group (insulin, P = 0.0373; IRI, P = 0.0228). The AUCs of serum TG or RLP-C levels showed a correlation with the AUCs of plasma insulin (AUC-TG, r = 0.5437, P
- Published
- 2015
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