Maternal and Paternal Family History of Diabetes in Women with Gestational Diabetes or Insulin-Dependent Diabetes mellitus Type I

2001 ◽  
Vol 51 (3) ◽  
pp. 160-164 ◽  
Author(s):  
Thomas Harder ◽  
Kerstin Franke ◽  
Rainer Kohlhoff ◽  
Andreas Plagemann
1997 ◽  
Vol 136 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Birgit Nyholm ◽  
Sanne Fisker ◽  
Sten Lund ◽  
Niels Møller ◽  
Ole Schmitz

Abstract Objective: To explore a possible association between serum concentration of leptin, insulin sensitivity and non-insulin-dependent diabetes mellitus (NIDDM). Design: Forty first-degree relatives of NIDDM patients and 35 control subjects matched for age, gender and body mass index underwent a hyperinsulinaemic (insulin infusion rate 0·6 mU/kg per min) euglycaemic clamp combined with indirect calorimetry. Serum leptin was measured in fasting blood samples obtained before the clamp. Results: All subjects had a normal oral glucose tolerance test. Insulin-stimulated glucose uptake (M) was decreased in the relatives compared with the control subjects (4·58 ± 0·27 versus 606 ± 0·25 mg/kg per min, P < 0·001). Conversely, serum leptin was increased in the relatives (9·6·/÷ 1·1 versus 6·1·/÷ 1·2 ng/ml (geometric mean·/÷ antilog s.e.m.). P < 0·05). A positive correlation was observed between circulating levels of leptin and percentage body fat (P < 0·001) and inverse correlations were found between leptin, M (P < 0·01), maximal aerobic capacity (VO2 max) (P < 0·01), and energy expenditure (P ≤ 0·01) in both groups. In multiple linear regression analysis, percentage body fat, gender and M significantly determined the level of leptin (r2 = 0·71, P < 0·001) whereas family history of NIDDM and VO2 max did not. Conclusion: Serum leptin is increased in insulin-resistant offspring of NIDDM patients. The association between leptin, anthropometric measures and insulin sensitivity is, however, comparable with that of a control group. The increased concentrations of serum leptin in the relatives appear to be associated with the insulin resistance, but not with a family history of NIDDM. European Journal of Endocrinology 136 173–179


1999 ◽  
Vol 5 (1) ◽  
pp. 14-20 ◽  
Author(s):  
D. H. Al Asfoor ◽  
J. A. Al Lawati ◽  
A. J. Mohammed

Anthropometric measures of overall and central obesity as predictors of non-insulin-dependent diabetes mellitus [NIDDM]risk were studied. Data for 4728 Omanis were taken from the 1991 National Diabetes Survey. Diabetes mellitus was assessed using a 2-hour post glucose load. After adjusting for age, sex, family history of diabetes, physical activity and blood pressure, body mass index [BMI]was positively associated with increased risk of diabetes mellitus. Controlling for BMI and other potential confounders, waist-to-hip ratio and waist circumference were positively associated with increased risk of diabetes mellitus. Waist measurement [alone or with hip circumference]is a simple and independent tool for assessing the risk of NIDDM


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