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Nghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đường (Luận án tiến sĩ)

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Nghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đườngNghiên cứu sự thay đổi chức năng tế bào bêta, độ nhạy insulin và kết quả can thiệp bằng thay đổi lối sống ở người tiền đái tháo đường

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Bookmark not defined 15 18 20 insulin, kháng insulin 22 1.3 C 1.3.1 25 25 27 insulin 31 35 38 38 38 39 43 43 43 45 45 46 49 56 61 62 63 65 65 65 66 67 67 67 72 79 79 84 86 93 93 93 95 97 97 103 108 108 113 insulin, kháng insulin sau 24 tháng 116 121 123 DANH M C CÁC CƠNG TRÌNH CƠNG B C UC TÀI, LU N ÁN O CÁC K T QU NGHIÊN ADA: BMI: BT: CNTB: CS: CT : GLP: HA: HATTh: HATTr: HHS: IDF: IFG: ) Impaired Fasting Glucose ( IGT: NG Normal Glucose (Glucose RLLM: THA: TG: Triglycerid YTNC: WHO: (World Health Organization) Trang 1.1 insulin, ch So sánh n nhóm ti 1.2 Phân b bào bêta, kháng insulin ng so v ng 21 ng nghiên c u theo nhóm ch ng can thi p 34 2.2 2.3 Phân lo i huy t áp theo JNC 59 r i lo n lipid theo tiêu chu n c a Hi p h a ng m ch Châu Âu (European Atherosclerosis Society EAS) 59 3.1 So sánh tu i, gi i c a nhóm b nh nhóm ch ng 65 3.2 Phân b t l ng nghiên c u theo nhóm tu i 65 3.3 m lâm sàng ch s nhân tr c ng so v i nhóm ch 3.4 m ch s huy t áp so v i nhóm ch nhóm ti n ng 66 nhóm ti ng ng 66 3.5 So sánh ch s sinh hóa máu gi a nhóm nghiên c u 67 3.6 T l y u t l i s ng i ti ng 67 3.7 T l y u t v ho ng th l c i ti ng 68 3.8 T l tình tr ng béo b ng theo gi i i ti 3.9 T l r i lo n lipid máu 3.10 Tóm t t t l m t s b nh, h i ch ng i ti ng 69 ng 70 i b nh ti n ng 71 3.11 So sánh giá tr gi i h n c a ch s insulin gi ti 3.12 ng nhóm ch ng 72 So sánh giá tr g i h n ch s HOMA2 gi ti 3.13 i ng nhóm ch T l kháng insulin, gi ng 72 nh y insulin suy gi m ch c bào bêta theo HOMA2 3.14 i i ti M a ch s insulin, ch bào bêta v i tu i ng 73 nh y i ti ng 74 3.15 So sánh trung bình ch s ch nh y insulin, bào bêta theo gi i i ti ng 74 3.16 Liên quan gi a ch s bào bêta v i th a cân nh y insulin, ch c béo phì i ti ng 75 3.17 Liên quan gi a ch s bào bêta v nh y insulin, ch c t áp i ti ng 75 3.18 Liên quan gi a ch s bào bêta v i béo b ng 3.19 nh y insulin, ch c i ti Liên quan gi a ch s bào bêta v i r i lo n lipid máu ng 76 nh y insulin, ch c i ti tháo ng 76 3.20 Liên quan gi a ch s nh y insulin, ch c bào bêta v i h i ch ng chuy n hóa (Theo ATPIII) 77 46 Ascaso J.F., Pardo S., Real J.T., et al (2003), Diagnosing Insulin Resistance by Simple Quantitative Methods in Subjects With Normal Glucose Metabolism, Diabetes Care, (26), pp.3320 25 47 Astrup A., Carraro R., Finer N., et al (2012), Safety, tolerability and sustained weight loss over years with the once-daily human GLP-1 analog, liraglutide, International journal of obesity, 36(6), pp.843-54 48 Bassuk S.S., Manson J.E (2005), Epidemiological evidence for the role of physical activity in reducing risk of type diabetes and cardiovascular disease, Journal of applied physiology, 99(3), pp.1193204 49 Basu A., Pedersen M.G., Cobelli C (2012), Prediabetes: Evaluation of Beta Cell Function, Diabetes Journal, 61(2), pp.270-71 50 Bock G., Dalla Man C., Campioni M., et al (2006), Pathogenesis of Pre-Diabetes: Mechanisms of Fasting and Postprandial Hyperglycemia in People With Impaired Fasting Glucose and/or Impaired Glucose Tolerance, 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Q J Med, (97), pp.451-55 cho Quy trình Phê ) n ... ti ng sau can thi p 86 3.34 S in trung bình ch s ch bào nh y insulin, kháng insulin sau can thi p 86 3.35 So sánh s i ch s insulin, ch bào bêta, nh y insulin, kháng insulin gi... 1.2.1 bào Bêta, nh y insulin nh y insulin, kháng insulin L ch s khái ni m - [146] [122] [82] , glucose máu bào insulin máu Các i ti ng 16 THA béo -C ( [146] Sinh b nh h c c a gi m nh y insulin, ... Trang m nghiên c u 36 [104] Theo , % [92] ( , ó, - glucose có g glucose máu , [5],[62],[92] phát [153] [92] Tuy nhiên (CT) insulin có [62] tài bêta, insulin , insulin kháng insulin Bình tháng

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