Cited by 508Diabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and ResearchDiabetes Treatment and Management

Normal fasting plasma glucose levels and type 2 diabetes in young men

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Tirosh, Amir, Shai, Iris, Tekes-Manova, Dorit, Israeli, Eran, Pereg, David, Shochat, Tzippora, Kochba, Ilan, Rudich, Assaf·2005·New England Journal of Medicine

Abstract

BACKGROUND: The normal fasting plasma glucose level was recently defined as less than 100 mg per deciliter (5.55 mmol per liter). Whether higher fasting plasma glucose levels within this range independently predict type 2 diabetes in young adults is unclear. METHODS: We obtained blood measurements, data from physical examinations, and medical and lifestyle information from men in the Israel Defense Forces who were 26 to 45 years of age. RESULTS: A total of 208 incident cases of type 2 diabetes occurred during 74,309 person-years of follow-up (from 1992 through 2004) among 13,163 subjects who had baseline fasting plasma glucose levels of less than 100 mg per deciliter. A multivariate model, adjusted for age, family history of diabetes, body-mass index, physical-activity level, smoking status, and serum triglyceride levels, revealed a progressively increased risk of type 2 diabetes in men with fasting plasma glucose levels of 87 mg per deciliter (4.83 mmol per liter) or more, as compared with those whose levels were in the bottom quintile (less than 81 mg per deciliter [4.5 mmol per liter], P for trend <0.001). In multivariate models, men with serum triglyceride levels of 150 mg per deciliter (1.69 mmol per liter) or more, combined with fasting plasma glucose levels of 91 to 99 mg per deciliter (5.05 to 5.50 mmol per liter), had a hazard ratio of 8.23 (95 percent confidence interval, 3.6 to 19.0) for diabetes, as compared with men with a combined triglyceride level of less than 150 mg per deciliter and fasting glucose levels of less than 86 mg per deciliter (4.77 mmol per liter). The joint effect of a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or more and a fasting plasma glucose level of 91 to 99 mg per deciliter resulted in a hazard ratio of 8.29 (95 percent confidence interval, 3.8 to 17.8), as compared with a body-mass index of less than 25 and a fasting plasma glucose level of less than 86 mg per deciliter. CONCLUSIONS: Higher fasting plasma glucose levels within the normoglycemic range constitute an independent risk factor for type 2 diabetes among young men, and such levels may help, along with body-mass index and triglyceride levels, to identify apparently healthy men at increased risk for diabetes.

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  1. [5]5. Rothman KJ, Greenland S. Modern epi- demiology. 2nd ed. Philadelphia: Lippincott- Raven, 1998.
  2. [17]17. Rothman DL, Magnusson I, Katz LD, Shulman RG, Shulman GI. Quantitation of hepatic glycogenolysis and gluconeogene- sis in fasting humans with 13C NMR. Sci- ence 1991;254:573-6.

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Authors
Tirosh, A., Shai, I., Tekes-Manova, D., Israeli, E., Pereg, D., Shochat, T., Kochba, I., & Rudich, A.
Affiliations
  • Sheba Medical Center (IL)
  • Israel Defense Forces Medical Corps (IL)
  • Meir Medical Center (IL)
  • Ben-Gurion University of the Negev (IL)
Venue
New England Journal of Medicine
Published
2005-10-06
Volume
353
Issue
14
Pages
1454-1462
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2022852506
Cited by
508
References
37
Citations by year
2026: 4 · 2025: 7 · 2024: 17 · 2023: 28 · 2022: 11 · 2021: 17 · 2020: 24 · 2019: 15 · 2018: 24 · 2017: 14 · 2016: 24 · 2015: 21 · 2014: 33 · 2013: 35 · 2012: 31
FWCI
21.52
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
fasting blood glucose, type 2 diabetes, prediabetes, young men, diabetes risk prediction, serum triglycerides, body mass index, hypertriglyceridemia, military personnel, new-onset diabetes
MeSH terms
Adult, Blood Glucose, Diabetes Mellitus, Type 2, Fasting, Follow-Up Studies, Humans, Male, Middle Aged, Reference Values, Risk Factors, Triglycerides, Body Mass Index, Multivariate Analysis, Proportional Hazards Models

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