The shape of plasma glucose concentration curve during OGTT predicts future risk of type 2 diabetes
Open accessAbstract
Background: The aim of the study is to assess the relationship between the shape of plasma glucose concentration during the OGTT and future risk for T2DM. Methods: 2445 non‐diabetic subjects from the Botnia study received an OGTT at baseline and after 7–8 years of follow‐up. Results: NGT and IFG subjects who returned their plasma glucose concentration following an ingested glucose load below FPG within 60 min had increased insulin sensitivity, greater insulin secretion and lower risk for future T2DM compared to NGT and IFG subjects whose post‐load plasma glucose concentration required 120 min or longer to return their plasma glucose level to FPG level. IGT subjects who had a lower plasma glucose concentration at 1‐h compared to 2‐h during OGTT had greater insulin sensitivity, better beta cell function and lower risk for future T2DM. Conclusions: These data suggest that the shape of glucose curve can be utilized to assess future risk for T2DM. Copyright © 2010 John Wiley & Sons, Ltd.
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The difference in diabetes incidence between our study and Abdul-Ghani et al. could be explained by dietary recommendations or metformin.
“This difference could be explained by the dietary recommendations or the recommendation for drug therapy with metformin among our patients.”
From Spontaneous hypoglycemia: should we mind the gap? Long-term follow-up of healthy people who met Whipple’s triad criteria (2024) · cites this paper as [49]
The Results report diabetes incidence in Abdul-Ghani et al.’s cohort, and the Discussion recommends considering lifestyle change and pharmacological therapy to reduce future risk. The paper does not establish that dietary recommendations or metformin explain an incidence difference between that cohort and the citing authors’ patients; that explanation is the citing authors’ own speculation. (LLM, conf=0.78)
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Cites
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The Triumvirate: β-Cell, Muscle, Liver: A Collusion Responsible for NIDDM
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Cited by
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Hulman, A., Witte, D. R., Vistisen, D., Balkau, B., Dekker, J. M., Herder, C., Hatunic, M., Konrad, T., Færch, K., & Manco, M. (2018) · Diabetes Care · doi:10.2337/dc18-0279 · Cited by 66 · see citing works
Hulman, A., Vistisen, D., Glümer, C., Bergman, M., Witte, D. R., & Færch, K. (2018) · Diabetologia · doi:10.1007/s00125-017-4468-z · Cited by 60 · see citing works
Armato, J., DeFronzo, R. A., Abdul-Ghani, M., & Ruby, R. (2012) · Endocrine Practice · doi:10.4158/ep11194.or · Cited by 35 · see citing works
Self-citationAdelmeyer, J., Schauer, C. M., & Kann, P. H. (2024) · Hormones · doi:10.1007/s42000-024-00542-1 · Cited by 3 · see citing works
“This is not consistent with the data of Abdul-Ghani et al. who observed the development of dia - betes mellitus in approximately 12% of patients with IGT over a period of 7–8 years [ 49 ].”
- Authors
- Abdul‐Ghani, M. A., Lyssenko, V., Tuomi, T., DeFronzo, R. A., & Groop, L.
- Affiliations
- Lund University (SE)
- The University of Texas at San Antonio Health Science Center (US)
- Venue
- Diabetes/Metabolism Research and Reviews
- Publisher
- Wiley
- Published
- 2010-05
- Volume
- 26
- Issue
- 4
- Pages
- 280-286
- ISSN
- 1520-7552 (ISSN-L)
- 1520-7560
- OpenAlex
- W2101702701
- Cited by
- 139
- References
- 4
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 10 · 2023: 6 · 2022: 11 · 2021: 11 · 2020: 16 · 2019: 8 · 2018: 15 · 2017: 12 · 2016: 6 · 2015: 5 · 2014: 10 · 2013: 3 · 2012: 5
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes/Metabolism Research and Reviews (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Folkhälsanin Tutkimussäätiö
- Vetenskapsrådet
- Samfundet Folkhälsan
- Diabetestutkimussäätiö
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes risk, oral glucose tolerance test, insulin sensitivity, beta-cell function, impaired fasting glucose, impaired glucose tolerance, non-diabetic patients
- MeSH terms
- Age Factors, Blood Glucose, Blood Pressure, Body Weight, Cholesterol, Diabetes Mellitus, Type 2, Female, Glucose Tolerance Test, Humans, Insulin, Cholesterol, HDL, Male, Triglycerides, Body Mass Index, Risk Assessment
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