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The Role of Iron in Diabetes and Its Complications

Reponse to Swaminathan et al.

  1. Giovanni Targher, MD1,
  2. Massimo Franchini, MD2,
  3. Martina Montagnana, MD3 and
  4. Giuseppe Lippi, MD3
  1. 1Section of Endocrinology, Department of Biomedical and Surgical Sciences, University Hospital of Verona, Verona, Italy
  2. 2Service of Immunohematology and Transfusion, Civil Hospital, Verona, Italy
  3. 3Section of Clinical Chemistry, Department of Biomedical and Morphological Sciences, University Hospital of Verona, Verona, Italy
  1. Address correspondence to Dr. Giovanni Targher, Section of Endocrinology, Department of Biomedical and Surgical Sciences, University of Verona, Ospedale Civile Maggiore, Piazzale Stefani, 1, 37126 Verona, Italy. E-mail: giovanni.targher{at}univr.it

Markers of fatty liver such as γ-glutamyltransferase (GGT) are independently associated with an increased risk of type 2 diabetes (1). Some recent studies have shown that hyperferritinemia may also predict new-onset type 2 diabetes (2).

We assessed the cross-sectional relationships between ferritin, GGT, and glucose intolerance status in a large cohort of adults. We performed a retrospective analysis on the database of our clinical chemistry laboratory to retrieve results of serum ferritin, GGT, lipids, glucose (fasting plasma glucose [FPG]), and C-reactive protein (high-sensitivity C-reactive protein [hs-CRP]) tests, which were performed on the whole cohort of outpatient adults (aged ≥35 years) consecutively referred …

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