Abstract
Objective: Evaluation the relation between age at the time of diabetes diagnosis and glutamic acid decarboxylase (GAD) antibody in non- overweight, obese diabetic individuals
Method: A cross-sectional study on 284 non overweight- obesity diabetic patients at Hue Central hospital from August, 2017 to August, 2019. All patients were measured autoantibodies glutamic acid decarboxylase (anti-GAD). GAD antibody- positive was determined when autoantibodies to GAD concentration was higher than 5 IU/mL. Clinical data (age, sex, weight, hight) were obtained. Age at the time of diabetes diagnosis was interviewed. Data were analysed by SPSS version 16.0 and Medcalc sofware.
Results: The risk of glutamic acid decarboxylase (GAD) antibody- positive in non- overweight, obese diabetic individuals increased 2.7 time when aged at the time of diabetes diagnosis 50 and older. The cut-off of age at the time of diabetes diagnosis for detecting risk of glutamic acid decarboxylase (GAD) antibody- positive in non- overweight, obese diabetic individuals was 57.
Conclusion: This study showed non- overweight, obese diabetic individuals should be screened for glutamic acid decarboxylase (GAD) antibody at aged 50 and older
References
Arikan E., Sabuncu T., et al. (2005), “The clinical characteristic of latent autoimmune diabetes mellitus in adults and its relation with chronic complication in metabolically poor controlled Turkish patients with type 2 diabetes mellitus”, J Diabetes Complication, 19(5), pp. 254- 258.
Carlson S., Midthjell K., et al. (2007), “Age, overweight and physical inactivity increase the risk of latent autoimmune diabetes mellitus in adults: results from the Nord-Trndelag health study”, Diabetogia, 50, pp. 55- 58.
Davis T.M.E., Zimmet P., et al. (2000), “Islet autoantibodies in clinically diagnosed type 2 diabetes: prevalence and relationship with
metabolic control (UKPDS 70)”, Diabetologia, 48(4), pp. 695- 702.
Fourlanos S., C. Perry, M.S. Stein, J. Stankovich, L.C. Harrison, P.G. Colman (2006), “Clinical screening tool identifies autoimmune diabetes in
adults”, Diabetes Care, 29, pp. 970–975.
Hamaguchi K., Kimura A., et al. (2004), “Clinical and genetic characteristics of GAD-antibody positive patients initially diagnosed as having
type 2 diabetes”, Diabetes Research and Clinical Practice, 66, pp. 163–171
Hội Nội tiết & Đái tháo đường Việt Nam (2016), Khuyến cáo về bệnh nội tiết và chuyển hóa, Nhà xuất bản Y học, Hà Nội.
Ishii M., Hasegawa G., et al. (2005), “Clinical and genetic characteristic of diabetic patients with high-titer (>10 000U/ml) of antibodies to glutamic acid decarboxylase”, Immunol Lett, 99(2), pp. 180- 185.
Karvonen M., Kajander M.V., et al (2000), “Incidence of childhood type 1 diabetes worldwide”, Diabetes Care, 23, pp. 1516- 1526.
Kobayashi T., Tanaka S., et al. (2006), “Immunopathological and genetic features in slowly progressive insulin-dependent diabetes mellitus and latent autoimmune diabetes mellitus in adults”, Ann N Y Acad Sci, 1079, pp. 60- 66.
Trần Quang Khánh (2010), Tỷ lệ kháng thể kháng Glutamic Acid Decarboxylase và kháng tiểu đảo tụy trên bệnh nhân đái tháo đường týp 2, Luận án Tiến sĩ Y học, trường Đại học Y Dược thành phố Hồ Chí Minh.
Nguyễn Thị Thu Mai (2010), Nghiên cứu một số đặc điểm lâm sàng, kháng thể kháng GAD và điều trị ở bệnh nhân đái tháo đường có BMI
< 23, Luận văn Thạc sĩ Y học, trường Đại học Y Dược Huế.
Pihoker C., Gilliam L.K., et al (2005), “Autoantibodies in diabetes”, Diabetes, 54, pp. 52- 60.
Thai A.C., Ng W.Y., et al. (1997), “Anti-GAD antibodies in Chinese patients with youth and adult-onset IDDM and NIDDM”, Diabetologia,
, pp. 1425- 1430.
Toumi T., Carlson A., et al. (1999), “Clinical and genetic characteristic of type 2 diabetes with and without GAD antibodies”, Diabetes, 48(1),
pp. 150- 157.
Turner C., Stratton I., et al. (1997), “Autoantibodies to islet-cell cytoplasm and glutamic acid decarboxylase for prediction of insulin requirement in type 2 diabetes. UK Prospective Diabetes Study Group (UKPDS 25)”, Lancet, 350(9087), pp. 1288- 1293.
Zhou Z., Ouyang L., et al., (1999), “Diagnostic role of antibodies to glutamic acid decarboxylase in latent autoimmune diabetes mellitus in adults”, Chin Med J (Engl), 112, pp. 554- 557.
Zimmet P.Z, Tuomi T. et al (1994), “Latent autoimmune diabetes mellitus in adults (LADA): the role of antibodies to glutamic acid decarboxylase in diagnosis and prediction of insulin dependency”, Diabet Med, 11(3), pp. 299- 303.
Zinman B., Kahn S.E., et al. (2004), “Phenotypic characteristic of GAD antibody-positive recently diagnosed patients with type 2 diabetes in
North America and Europe”, Diabetes, 53(12), pp. 3193- 3120.
Published | 11-01-2025 | |
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Issue | No. 57 (2019) | |
Section | Original article | |
DOI | 10.38103/jcmhch.2019.57.3 | |
Keywords | Từ khóa: kháng thể kháng Glutamic Acid Decarbovylase (GAD), đái tháo đường, không thừa cân- béo phì, tuổi phát hiện bệnh. Key words: autoantibodies glutamic acid decarboxylase (anti-GAD), diabetic individual, non- overweight, obese, age at the time of diabetes diagnosis |

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