PLoS ONE (Jan 2014)

Fluctuation between fasting and 2-H postload glucose state is associated with glomerular hyperfiltration in newly diagnosed diabetes patients with HbA1c < 7%.

  • Xinguo Hou,
  • Chuan Wang,
  • Shaoyuan Wang,
  • Weifang Yang,
  • Zeqiang Ma,
  • Yulian Wang,
  • Chengqiao Li,
  • Mei Li,
  • Xiuping Zhang,
  • Xiangmin Zhao,
  • Yu Sun,
  • Jun Song,
  • Peng Lin,
  • Kai Liang,
  • Lei Gong,
  • Meijian Wang,
  • Fuqiang Liu,
  • Wenjuan Li,
  • Fei Yan,
  • Junpeng Yang,
  • Lingshu Wang,
  • Meng Tian,
  • Jidong Liu,
  • Ruxing Zhao,
  • Shihong Chen,
  • Li Chen

DOI
https://doi.org/10.1371/journal.pone.0111173
Journal volume & issue
Vol. 9, no. 10
p. e111173

Abstract

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OBJECTIVE: To investigate whether fluctuations between the fasting and 2-h postload glucose ([2-hPBG]-fasting blood glucose [FBG]) states are associated with glomerular hyperfiltration (GHF) in middle-aged and elderly Chinese patients with newly diagnosed diabetes. DESIGN AND METHODS: In this study, we included 679 newly diagnosed diabetes patients who were ≥ 40 years old. All the subjects were divided into two groups; those with HbA1c<7% and ≥ 7%. The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation was used to estimate the glomerular filtration rate (GFR). GHF was defined as an eGFR ≥ the 90th percentile. First, a multiple linear regression analysis was used to estimate the association of 2-hPBG-FBG with eGFR. Then, a generalized additive model was used to explore the possible nonlinear relationship between 2-hPBG-FBG and eGFR. Next, the 2-hPBG-FBG values were divided into four groups as follows: 0-36, 36-72, 72-108 and ≥ 108 mg/dl. Finally, a multiple logistic regression analysis was used to investigate the association of 2-hPBG-FBG with the risk of GHF. RESULTS: For the group with HbA1c<7%, the eGFR and the percentage of GHF were significantly higher compared with the group with HbA1c ≥ 7%. After adjusting for age, gender, body mass index (BMI), systolic blood pressure (BP), diastolic BP, fasting insulin, cholesterol, triglycerides, smoking, drinking and glycated hemoglobin (HbA1c), 2-hPBG-FBG was significantly associated with increased eGFR and an increased risk of GHF (the GHF risk increased by 64.9% for every 36.0 mg/dl [2.0 mmol/L] 2-hPBG-FBG increase) only in those patients with HbA1c<7%. Additionally, 2-hPBG-FBG and eGFR showed a nonlinear association (P<0.001). CONCLUSIONS: Increased fluctuations between the fasting and 2-h postload glucose states are closely associated with increased eGFR and an increased risk of GHF in newly diagnosed diabetes patients with HbA1c<7%.