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C-peptide levels and the risk of diabetes and pre-diabetes among Chinese women with gestational diabetes

To examine the association of connecting peptide (C-peptide) and the risks of postpartum diabetes and pre-diabetes among women with prior gestational diabetes. A cross-sectional study of 1263 women with prior gestational diabetes was carried out at 1–5years after delivery in Tianjin, China. Logistic... Full description

Journal Title: Journal of diabetes and its complications 2017, Vol.31 (12), p.1658-1662
Main Author: Yin, Ping
Other Authors: Shao, Ping , Liu, Huikun , Li, Weiqin , Wang, Leishen , Wang, Jing , Zhang, Shuang , Leng, Junhong , Li, Nan , Tian, Huiguang , Yang, Xilin , Yu, Zhijie , Hu, Gang
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 1056-8727
Link: https://www.ncbi.nlm.nih.gov/pubmed/28919328
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title: C-peptide levels and the risk of diabetes and pre-diabetes among Chinese women with gestational diabetes
format: Article
creator:
  • Yin, Ping
  • Shao, Ping
  • Liu, Huikun
  • Li, Weiqin
  • Wang, Leishen
  • Wang, Jing
  • Zhang, Shuang
  • Leng, Junhong
  • Li, Nan
  • Tian, Huiguang
  • Yang, Xilin
  • Yu, Zhijie
  • Hu, Gang
subjects:
  • Adult
  • Article
  • Biomarkers - blood
  • Body mass index
  • C-peptide
  • C-Peptide - blood
  • Cancer
  • China - epidemiology
  • Chronic diseases
  • Cross-Sectional Studies
  • Diabetes
  • Diabetes in pregnancy
  • Diabetes Mellitus, Type 2 - blood
  • Diabetes Mellitus, Type 2 - epidemiology
  • Diabetes Mellitus, Type 2 - ethnology
  • Diabetes Mellitus, Type 2 - etiology
  • Diabetes, Gestational - ethnology
  • Diabetes, Gestational - physiopathology
  • Disease Susceptibility - ethnology
  • Ethnicity
  • Female
  • Gestational diabetes mellitus
  • Glucose
  • Glucose Intolerance - blood
  • Glucose Intolerance - epidemiology
  • Glucose Intolerance - ethnology
  • Glucose Intolerance - etiology
  • Health risk assessment
  • Health Surveys
  • Humans
  • Incidence
  • Insulin resistance
  • Oncology, Experimental
  • Peptides
  • Pre-diabetes
  • Prediabetic state
  • Prediabetic State - blood
  • Prediabetic State - epidemiology
  • Prediabetic State - ethnology
  • Prediabetic State - etiology
  • Pregnancy
  • Pregnant women
  • Prevalence
  • Risk
  • Risk factors
  • Up-Regulation
  • Women
  • Womens health
ispartof: Journal of diabetes and its complications, 2017, Vol.31 (12), p.1658-1662
description: To examine the association of connecting peptide (C-peptide) and the risks of postpartum diabetes and pre-diabetes among women with prior gestational diabetes. A cross-sectional study of 1263 women with prior gestational diabetes was carried out at 1–5years after delivery in Tianjin, China. Logistic regression was used to assess the associations of C-peptide and the risks of diabetes and pre-diabetes. The multivariable-adjusted odds ratios based on different levels of C-peptide (0–33%, 34–66%, 67–90%, and >90% as C-peptide cutpoints) were 1.00, 1.93 (95% confidence interval [CI] 0.85–4.39), 2.49 (95% CI 1.06–5.87), and 3.88 (95% CI 1.35–11.1) for diabetes (P for trend
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1056-8727
fulltext: fulltext
issn:
  • 1056-8727
  • 1873-460X
url: Link


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creatorYin, Ping ; Shao, Ping ; Liu, Huikun ; Li, Weiqin ; Wang, Leishen ; Wang, Jing ; Zhang, Shuang ; Leng, Junhong ; Li, Nan ; Tian, Huiguang ; Yang, Xilin ; Yu, Zhijie ; Hu, Gang
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descriptionTo examine the association of connecting peptide (C-peptide) and the risks of postpartum diabetes and pre-diabetes among women with prior gestational diabetes. A cross-sectional study of 1263 women with prior gestational diabetes was carried out at 1–5years after delivery in Tianjin, China. Logistic regression was used to assess the associations of C-peptide and the risks of diabetes and pre-diabetes. The multivariable-adjusted odds ratios based on different levels of C-peptide (0–33%, 34–66%, 67–90%, and >90% as C-peptide cutpoints) were 1.00, 1.93 (95% confidence interval [CI] 0.85–4.39), 2.49 (95% CI 1.06–5.87), and 3.88 (95% CI 1.35–11.1) for diabetes (P for trend <0.0001), and 1.00, 1.66 (95% CI 1.18–2.36), 2.38 (95% CI 1.56–3.62) and 2.35 (95% CI 1.27–4.37) for pre-diabetes (P for trend <0.0001), respectively. Restricted cubic splines models showed a positive linear association of C-peptide as a continuous variable with the risks of type 2 diabetes and pre-diabetes. The positive association was significant when stratified by healthy weight and overweight participants. We found a positive association between serum C-peptide levels and the risks of diabetes and pre-diabetes among Chinese women with prior gestational diabetes. Our finding suggested that elevated C-peptide levels may be a predictor of diabetes and pre-diabetes. •The association of C-peptide and the risks of postpartum diabetes and pre-diabetes among women with prior GDM was examined.•The analysis showed a positive association between plasma C-peptide levels and the risks of diabetes and pre-diabetes among Chinese women with prior GDM.•It suggested that elevated C-peptide levels may be a predictor of postpartum diabetes and pre-diabetes among GDM women.
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subjectAdult ; Article ; Biomarkers - blood ; Body mass index ; C-peptide ; C-Peptide - blood ; Cancer ; China - epidemiology ; Chronic diseases ; Cross-Sectional Studies ; Diabetes ; Diabetes in pregnancy ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - ethnology ; Diabetes Mellitus, Type 2 - etiology ; Diabetes, Gestational - ethnology ; Diabetes, Gestational - physiopathology ; Disease Susceptibility - ethnology ; Ethnicity ; Female ; Gestational diabetes mellitus ; Glucose ; Glucose Intolerance - blood ; Glucose Intolerance - epidemiology ; Glucose Intolerance - ethnology ; Glucose Intolerance - etiology ; Health risk assessment ; Health Surveys ; Humans ; Incidence ; Insulin resistance ; Oncology, Experimental ; Peptides ; Pre-diabetes ; Prediabetic state ; Prediabetic State - blood ; Prediabetic State - epidemiology ; Prediabetic State - ethnology ; Prediabetic State - etiology ; Pregnancy ; Pregnant women ; Prevalence ; Risk ; Risk factors ; Up-Regulation ; Women ; Womens health
ispartofJournal of diabetes and its complications, 2017, Vol.31 (12), p.1658-1662
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8Li, Nan
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11Yu, Zhijie
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descriptionTo examine the association of connecting peptide (C-peptide) and the risks of postpartum diabetes and pre-diabetes among women with prior gestational diabetes. A cross-sectional study of 1263 women with prior gestational diabetes was carried out at 1–5years after delivery in Tianjin, China. Logistic regression was used to assess the associations of C-peptide and the risks of diabetes and pre-diabetes. The multivariable-adjusted odds ratios based on different levels of C-peptide (0–33%, 34–66%, 67–90%, and >90% as C-peptide cutpoints) were 1.00, 1.93 (95% confidence interval [CI] 0.85–4.39), 2.49 (95% CI 1.06–5.87), and 3.88 (95% CI 1.35–11.1) for diabetes (P for trend <0.0001), and 1.00, 1.66 (95% CI 1.18–2.36), 2.38 (95% CI 1.56–3.62) and 2.35 (95% CI 1.27–4.37) for pre-diabetes (P for trend <0.0001), respectively. Restricted cubic splines models showed a positive linear association of C-peptide as a continuous variable with the risks of type 2 diabetes and pre-diabetes. The positive association was significant when stratified by healthy weight and overweight participants. We found a positive association between serum C-peptide levels and the risks of diabetes and pre-diabetes among Chinese women with prior gestational diabetes. Our finding suggested that elevated C-peptide levels may be a predictor of diabetes and pre-diabetes. •The association of C-peptide and the risks of postpartum diabetes and pre-diabetes among women with prior GDM was examined.•The analysis showed a positive association between plasma C-peptide levels and the risks of diabetes and pre-diabetes among Chinese women with prior GDM.•It suggested that elevated C-peptide levels may be a predictor of postpartum diabetes and pre-diabetes among GDM women.
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13Diabetes Mellitus, Type 2 - epidemiology
14Diabetes Mellitus, Type 2 - ethnology
15Diabetes Mellitus, Type 2 - etiology
16Diabetes, Gestational - ethnology
17Diabetes, Gestational - physiopathology
18Disease Susceptibility - ethnology
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21Gestational diabetes mellitus
22Glucose
23Glucose Intolerance - blood
24Glucose Intolerance - epidemiology
25Glucose Intolerance - ethnology
26Glucose Intolerance - etiology
27Health risk assessment
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29Humans
30Incidence
31Insulin resistance
32Oncology, Experimental
33Peptides
34Pre-diabetes
35Prediabetic state
36Prediabetic State - blood
37Prediabetic State - epidemiology
38Prediabetic State - ethnology
39Prediabetic State - etiology
40Pregnancy
41Pregnant women
42Prevalence
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46Women
47Womens health
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notesP.Y. and P. S. contributed equally to this work.
abstractTo examine the association of connecting peptide (C-peptide) and the risks of postpartum diabetes and pre-diabetes among women with prior gestational diabetes. A cross-sectional study of 1263 women with prior gestational diabetes was carried out at 1–5years after delivery in Tianjin, China. Logistic regression was used to assess the associations of C-peptide and the risks of diabetes and pre-diabetes. The multivariable-adjusted odds ratios based on different levels of C-peptide (0–33%, 34–66%, 67–90%, and >90% as C-peptide cutpoints) were 1.00, 1.93 (95% confidence interval [CI] 0.85–4.39), 2.49 (95% CI 1.06–5.87), and 3.88 (95% CI 1.35–11.1) for diabetes (P for trend <0.0001), and 1.00, 1.66 (95% CI 1.18–2.36), 2.38 (95% CI 1.56–3.62) and 2.35 (95% CI 1.27–4.37) for pre-diabetes (P for trend <0.0001), respectively. Restricted cubic splines models showed a positive linear association of C-peptide as a continuous variable with the risks of type 2 diabetes and pre-diabetes. The positive association was significant when stratified by healthy weight and overweight participants. We found a positive association between serum C-peptide levels and the risks of diabetes and pre-diabetes among Chinese women with prior gestational diabetes. Our finding suggested that elevated C-peptide levels may be a predictor of diabetes and pre-diabetes. •The association of C-peptide and the risks of postpartum diabetes and pre-diabetes among women with prior GDM was examined.•The analysis showed a positive association between plasma C-peptide levels and the risks of diabetes and pre-diabetes among Chinese women with prior GDM.•It suggested that elevated C-peptide levels may be a predictor of postpartum diabetes and pre-diabetes among GDM women.
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doi10.1016/j.jdiacomp.2017.08.006
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