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Impairment of Glucose Tolerance Over 10 Years in Middle-Aged Normal Glucose Tolerant Indians

  1. Chittaranjan S. Yajnik, MD1,
  2. Kishore M. Shelgikar, MD1,
  3. Sadanand S. Naik, PHD1,
  4. Mehmood G. Sayyad, MSC1,
  5. Kondiram N. Raut, MSW1,
  6. Dattatraya S. Bhat, MSC1,
  7. Jyoti A. Deshpande, MSC1,
  8. Shailaja D. Kale, MD1 and
  9. Derek Hockaday, FRCP2
  1. 1Diabetes Unit, KEM Hospital and Research Centre, Pune, India
  2. 2Oxford Lipid Metabolism Unit, Sheikh Rashid Laboratories, Radcliffe Infirmary, Oxford, U.K
  1. Address correspondence to Chittaranjan S. Yajnik, MD, Diabetes Unit, KEM Hospital and Research Centre, Rasta Peth, Pune 411011, India. E-mail: diabetes{at}vsnl.com

We followed 191 normal glucose tolerant (NGT; 1985 World Health Organization criteria) nondiabetic subjects (115 men) as control subjects in the Wellcome Diabetes Study (1). Their mean age was 41 years (SD 11.2), BMI 23.6 kg/m2 (34% >25 kg/m2), and 31% had a first-degree relative with diabetes.

During the next 10 years, 8 (7 men) died, 40 were lost to follow up, 14 men and 8 women became impaired glucose tolerant (IGT), and 2 men and 4 women developed diabetes. Men whose glucose tolerance deteriorated were heavier at entry …

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