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Relationships between blood glucose fluctuation and depression in patients with type 2 diabetes mellitus |
WU Jinxiao, GE fei, CAO Yi, XU Xiuping, LV Xiaofeng |
Department of Endocrinology , PLA Army General Hospital, Beijing 100700,China |
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Abstract Objective To explore the correlations between blood glucose fluctuation and depression in patients with type 2 diabetes mellitus.Methods A total of 42 patients with type 2 diabetes mellitus were monitored for 72 h with the continuous glucose monitoring system (CGMS) between August 2015 and September 2016.Another 28 volunteers who matched the subjects in age and gender were chosen as the control. The Montgomery-Asberg depression rating scale (MADRS) was used to assess the score. MADRS scores and blood glucose fluctuation parameters were compared between the two groups, and the correlations between blood glucose fluctuation parameters and MADRS in the T2DM group were analyzed.Results The MADRS score was (15.67±7.43) in the T2DM group, but was (8.29±3.76) points in the control group, so the difference was statistically significant (t=4.818,P<0.01). Compared with the control group, MAGE, SDBG, LAGE, MODD and MPPGE in the T2DM group were significantly increased, and the difference was also statistically significant (P<0.01). MADRS scores were positively correlated with blood fluctuation (MAGE) (r=0.330,P<0.05)in the T2DM group.Conclusions Blood glucose fluctuations (MAGE) are associated with depression in patients with type 2 mellitus.
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Received: 20 August 2017
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[1] |
彭 永, 吕肖锋. 血糖波动与糖尿病慢性血管并发症关系的研究进展[J]. 中国医药导报, 2014, 11(10):156-159.
|
[2] |
Vagelatos N, Eslick G. Type 2 diabetes as a risk factor for Alzheimer’s disease: the confounders, interactions, and neuropathology associated with this relationship [J]. Epidemiol Rev,2013,35(1): 152-160.
|
[3] |
钟宝亮,王 瑛,陈红辉,等. 蒙哥马利-艾森贝格抑郁量表在重性抑郁障碍患者中应用的信效度和敏感性研究[J]. 中华行为医学与脑科学杂志, 2011, 20(1): 85-87.
|
[4] |
任桂英, 方耀奇, 金 星, 等. 老年糖尿病患者的心理健康状况研究[J].中国心理卫生杂志, 1999, 2(5): 304.
|
[5] |
Cheng X, Gao W, Dang Y, et al . Both ERK/MAPK and TGF-Beta/Smad signaling pathways play a role in the kidney fibrosis of diabetic mice accelerated by blood glucose fluctuation [J]. J Diab Res, 2012, 2013(5):463740.
|
[6] |
Saito S, Thuc L C, Teshima Y, et al . Glucose fluctuations aggravate cardiac susceptibility to ischemia/reperfusion injury by modulating microRNAs expression [J]. Circul J,2016,80(1): 186-195.
|
[7] |
王 辉, 蔡月琴, 李守业,等. 糖尿病血糖波动模型致大鼠海马体的炎性损伤[J]. 中国比较医学杂志, 2013, 23(4):37-43.
|
[8] |
Okouchi M, Okayama N, Aw T Y. Hyperglycemia potentiates carbonyl stress-induced apoptosis in na?ve PC-12 cells: relationship to cellular redox and activator protease factor-1 expression [J]. Curr Neurovasc Res,2005,2(5):375-386.
|
[9] |
Kasznicki J, Kosmalski M, Sliwinska A, et al . Evaluation of oxidative stress markers in pathogenesis of diabetic neuropathy [J]. Mol Biol Rep, 2012, 39(9):8669-8678.
|
[10] |
郑红英. 2型糖尿病患者生活质量及抑郁状况的调查与分析[J]. 临床护理杂志, 2010, 9(5):10-12.
|
[11] |
Li W, Maloney R E, Aw T Y. High glucose, glucose fluctuation and carbonyl stress enhance brain microvascular endothelial barrier dysfunction: Implications for diabetic cerebral microvasculature [J]. Redox Biol, 2015, 5(8): 80-90.
|
[12] |
Shusta E V. Blood-brain barrier//Aird W C, editor.Endothelial cells in health and disease[M].New York: Taylor and Francis,2005: 33-63.
|
[13] |
Romero I A, Radewicz K, Jubin E, et al . Changes in cytoskeletal and tight junctional proteins correlate with decreased ermeability induced by dexamethasone in cultured rat brain endothelial cells[J]. Neurosci Lett, 2003, 344(2):112-116.
|
|
|
|