1. Glucose time series complexity as a predictor of type 2 diabetes.
- Author
-
Rodríguez de Castro, Carmen, Vigil, Luis, Vargas, Borja, García Delgado, Emilio, García Carretero, Rafael, Ruiz ‐ Galiana, Julián, Varela, Manuel, Rodríguez de Castro, Carmen, García Delgado, Emilio, García Carretero, Rafael, and Ruiz-Galiana, Julián
- Subjects
BLOOD sugar analysis ,TYPE 2 diabetes diagnosis ,OBESITY complications ,GLYCOSYLATED hemoglobin ,HYPERTENSION ,LONGITUDINAL method ,MATHEMATICAL models ,TYPE 2 diabetes ,PATIENT monitoring ,PROGNOSIS ,THEORY ,DISEASE prevalence ,DISEASE complications - Abstract
Background: Complexity analysis of glucose profile may provide valuable information about the gluco-regulatory system. We hypothesized that a complexity metric (detrended fluctuation analysis, DFA) may have a prognostic value for the development of type 2 diabetes in patients at risk.Methods: A total of 206 patients with any of the following risk factors (1) essential hypertension, (2) obesity or (3) a first-degree relative with a diagnosis of diabetes were included in a survival analysis study for a diagnosis of new onset type 2 diabetes. At inclusion, a glucometry by means of a Continuous Glucose Monitoring System was performed, and DFA was calculated for a 24-h glucose time series. Patients were then followed up every 6 months, controlling for the development of diabetes.Results: In a median follow-up of 18 months, there were 18 new cases of diabetes (58.5 cases/1000 patient-years). DFA was a significant predictor for the development of diabetes, with ten events in the highest quartile versus one in the lowest (log-rank test chi2 = 9, df = 1, p = 0.003), even after adjusting for other relevant clinical and biochemical variables. In a Cox model, the risk of diabetes development increased 2.8 times for every 0.1 DFA units. In a multivariate analysis, only fasting glucose, HbA1c and DFA emerged as significant factors.Conclusions: Detrended fluctuation analysis significantly performed as a harbinger of type 2 diabetes development in a high-risk population. Complexity analysis may help in targeting patients who could be candidates for intensified treatment. Copyright © 2016 The Authors. Diabetes/Metabolism Research and Reviews Published by John Wiley & Sons Ltd. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF