Elevated Serum Concentration of Adipose-Derived Factor, Adiponectin, in Patients With Type 1 Diabetes

  1. Akihisa Imagawa, MD, PHD,
  2. Tohru Funahashi, MD, PHD,
  3. Tadashi Nakamura, MD, PHD,
  4. Makoto Moriwaki, MD, PHD,
  5. Sachiyo Tanaka,
  6. Hitoshi Nishizawa, MD, PHD,
  7. Kouichi Sayama, MD,
  8. Sae Uno, MD,
  9. Hiromi Iwahashi, MD, PHD,
  10. Kazuya Yamagata, MD, PHD,
  11. Jun-ichiro Miyagawa, MD, PHD and
  12. Yuji Matsuzawa, MD, PHD
  1. From the Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University

    Adiponectin, also referred to as Acrp30, AdipoQ, and GBP28, is a plasma protein exclusively produced by adipose tissue and a possible insulin-sensitizing agent (1–6). Serum adiponectin levels are negatively correlated to BMI in healthy individuals and decreased in type 2 diabetic patients (1–6). However, serum adiponectin levels in type 1 diabetes have not been elucidated.

    We examined the serum adiponectin concentrations in 46 type 1 diabetic patients (21 males and 25 females) and compared them with those of BMI-matched healthy control subjects (17 males and 19 females). Mean age was 33 ± 3 and 33 ± 4 years, BMI was 19.8 ± 0.5 and 19.9 ± 0.6 kg/m2, HbA1c level was 9.7± 0.7 and 10.4 ± 0.6%, duration of diabetes was 3.2 ± 0.9 and 3.4 ± 1.3 years, and urinary C-peptide excretion was 18.4 ± 4.3 and 18.0 ± 2.4 μg/day in male and …

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