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Is Non-Stimulated C-Peptide at Diagnosis a Good Predictive Value for Insulin Use at Two Years after Diagnosis in Pediatric Diabetic Patients?
- Source :
- Medicina, Volume 57, Issue 9, Medicina, Vol 57, Iss 902, p 902 (2021)
- Publication Year :
- 2021
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2021.
-
Abstract
- Background and Objectives: Insulin treatment may be initially required to stabilize patients presenting with metabolic crisis at type 1 and 2 diabetes mellitus (DM) onset. Some patients with type 2 DM may need persistent insulin treatment. This study aimed to examine the predictive performance of non-stimulated C-peptide level at the time of diagnosis for future insulin use in pediatric diabetic patients. Materials and Methods: We reviewed the medical charts of diabetic patients aged 18 years or younger in a medical center in southern Taiwan from January 2000 to December 2019. Clinical and individual data were collected at the time of DM diagnosis. Outcomes were persistent insulin use at the time of diagnosis, as well as at one and two years after diagnosis. Results: The final analysis included a total of 250 patients. The best cut-off point of non-stimulated C-peptide was 0.95 ng/mL, and the predictive indices for the insulin use were 0.84 for sensitivity and 0.94 for specificity at two years after DM diagnosis. Incorporating age at onset and presence of GAD antibodies can further increase the predictive power of non-stimulated C-peptide. Conclusions: The value of non-stimulated C-peptide at diabetic onset was feasible and effective for predicting future insulin treatment up to the time point of two years after diagnosis.
- Subjects :
- Medicine (General)
medicine.medical_specialty
Southern taiwan
medicine.medical_treatment
glucagon test
Article
Glucagon test
chemistry.chemical_compound
R5-920
non-stimulated C-peptide
Internal medicine
Diabetes mellitus
Individual data
diabetes mellitus (DM)
medicine
Humans
Insulin
Child
Autoantibodies
C-Peptide
Glutamate Decarboxylase
C-peptide
business.industry
General Medicine
medicine.disease
Predictive value
glutamic acid decarboxylase (GAD) antibodies
INSULIN USE
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
chemistry
business
Subjects
Details
- Language :
- English
- ISSN :
- 16489144
- Database :
- OpenAIRE
- Journal :
- Medicina
- Accession number :
- edsair.doi.dedup.....6dfe86b7a694b8ed4f40602bad8d838c
- Full Text :
- https://doi.org/10.3390/medicina57090902