201. Metabolic flexibility and oxidative capacity independently associate with insulin sensitivity in individuals with newly diagnosed type 2 diabetes
- Author
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Maria, Apostolopoulou, Klaus, Strassburger, Christian, Herder, Birgit, Knebel, Jörg, Kotzka, Julia, Szendroedi, Michael, Roden, and D, Ziegler
- Subjects
Adult ,Blood Glucose ,Male ,0301 basic medicine ,medicine.medical_specialty ,Adolescent ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Type 2 diabetes ,Newly diagnosed ,Biology ,Young Adult ,03 medical and health sciences ,Oxygen Consumption ,0302 clinical medicine ,Insulin resistance ,Internal medicine ,Internal Medicine ,medicine ,Humans ,Insulin ,Subclinical inflammation ,Obesity ,Muscle, Skeletal ,Aged ,Insulin sensitivity ,VO2 max ,Calorimetry, Indirect ,Human physiology ,Middle Aged ,Overweight ,medicine.disease ,C-Reactive Protein ,030104 developmental biology ,Endocrinology ,Diabetes Mellitus, Type 2 ,Glucose Clamp Technique ,Oxidative capacity ,Female ,Insulin Resistance ,Oxidation-Reduction - Abstract
Both inherited and acquired insulin resistance have been associated with abnormal muscle mitochondrial function. At whole-body level, maximal oxygen uptake ([Formula: see text]) and/or metabolic flexibility (as given by ΔRQ) reflect certain features of mitochondrial function. This study tests the hypotheses (1) that [Formula: see text] and ΔRQ correlate tightly with each other and with insulin sensitivity and (2) that glycaemia, lipidaemia or subclinical inflammation would explain such relationships.Near-normoglycaemic individuals with type 2 diabetes mellitus (n = 136) with a short known disease duration (12 months) underwent cycling spiroergometry, indirect calorimetry and hyperinsulinaemic-euglycaemic clamp tests.Both [Formula: see text] (r = 0.39, p 0.0001) and ΔRQ (r = 0.32, p 0.0001) correlated positively with whole-body insulin sensitivity, even after adjusting for anthropometric variables, glycaemia and glucose-lowering medication, but not after adjusting for NEFA. [Formula: see text] further correlated negatively with circulating high-sensitivity C-reactive protein concentration. However, [Formula: see text] did not relate to ΔRQ, even after adjusting for whole-body insulin sensitivity.Oxidative capacity and metabolic flexibility are independent determinants of insulin sensitivity but are influenced by circulating NEFA in recent-onset type 2 diabetes. ClinicalTrial.gov registration no: NCT01055093.
- Published
- 2016
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