Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India

Background Type 1 diabetes T1D presents as a severe chronic disorder affecting 5-10 of diabetes cases typically emerging earlier in life compared to type 2 diabetes T2D. Despite advancements the global incidence of T1D continues to rise posing significant short-term and long-ter...

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Main Authors: Sujata M Jali, Mallikarjun V Jali, Sridhar Gagagane, Jyoti Wasedar, Prachi Patil
Format: Article
Language:English
Published: Rajiv Gandhi University of Health Sciences 2024-01-01
Series:RGUHS Journal of Medical Sciences
Online Access:https://journalgrid.com/view/article/rjms/12434259
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author Sujata M Jali
Mallikarjun V Jali
Sridhar Gagagane
Jyoti Wasedar
Prachi Patil
author_facet Sujata M Jali
Mallikarjun V Jali
Sridhar Gagagane
Jyoti Wasedar
Prachi Patil
author_sort Sujata M Jali
collection DOAJ
description Background Type 1 diabetes T1D presents as a severe chronic disorder affecting 5-10 of diabetes cases typically emerging earlier in life compared to type 2 diabetes T2D. Despite advancements the global incidence of T1D continues to rise posing significant short-term and long-term implications. Characterised by the destruction of pancreatic beta cells T1D results in absolute insulin deficiency with most cases attributed to autoimmune-mediated loss of beta cells type 1a and a minority stemming from idiopathic beta cell destruction or failure type 1b. Although traditionally perceived as predominant in children and adolescents T2D diagnoses in youth are increasingly prevalent.Methods This prospective study was conducted on thirty-one individuals diagnosed with T1D and seeking treatment at the KLES Diabetes Centre Belagavi Karnataka India. A single fasting blood sample approximately 10 mL was collected from each participant via peripheral venipuncture. According to the manufacturers instructions serum C-peptide levels were measured in all samples using a validated Chemiluminescent Immuno-Assay CLIA kit.Results The mean C-peptide levels were significantly higher 1.12 ngmL in participants with disease onset between 11 and 15 years than in those with onset between 0 and 5 years 0.57 ngmL. The participants had a mean disease duration of 6.93 years ranging from 3 to 15 years with 14 45.1 having a disease duration of 0-5 years 7 22.8 with 6ndash10 years and 10 32.2 with 11ndash15 years of type 1 diabetes.Conclusion This study investigated the relationship between C-peptide levels disease duration and age at onset in individuals with Type 1 Diabetes T1D. Our findings suggest a potential link between later diseaseonset 10-15 years and higher C-peptide levels which might indicate a slower disease progression in older individuals diagnosed with T1D.nbsp However a longer disease duration was positively correlated with a gradual decline in C-peptide levels.
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spelling doaj-art-551664eb2bcc4bd89f5d884b586e2dc52025-08-20T02:18:43ZengRajiv Gandhi University of Health SciencesRGUHS Journal of Medical Sciences2231-19472581-72482024-01-0114410.26463/rjms.14_4_7Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South IndiaSujata M JaliMallikarjun V JaliSridhar GagaganeJyoti WasedarPrachi Patil Background Type 1 diabetes T1D presents as a severe chronic disorder affecting 5-10 of diabetes cases typically emerging earlier in life compared to type 2 diabetes T2D. Despite advancements the global incidence of T1D continues to rise posing significant short-term and long-term implications. Characterised by the destruction of pancreatic beta cells T1D results in absolute insulin deficiency with most cases attributed to autoimmune-mediated loss of beta cells type 1a and a minority stemming from idiopathic beta cell destruction or failure type 1b. Although traditionally perceived as predominant in children and adolescents T2D diagnoses in youth are increasingly prevalent.Methods This prospective study was conducted on thirty-one individuals diagnosed with T1D and seeking treatment at the KLES Diabetes Centre Belagavi Karnataka India. A single fasting blood sample approximately 10 mL was collected from each participant via peripheral venipuncture. According to the manufacturers instructions serum C-peptide levels were measured in all samples using a validated Chemiluminescent Immuno-Assay CLIA kit.Results The mean C-peptide levels were significantly higher 1.12 ngmL in participants with disease onset between 11 and 15 years than in those with onset between 0 and 5 years 0.57 ngmL. The participants had a mean disease duration of 6.93 years ranging from 3 to 15 years with 14 45.1 having a disease duration of 0-5 years 7 22.8 with 6ndash10 years and 10 32.2 with 11ndash15 years of type 1 diabetes.Conclusion This study investigated the relationship between C-peptide levels disease duration and age at onset in individuals with Type 1 Diabetes T1D. Our findings suggest a potential link between later diseaseonset 10-15 years and higher C-peptide levels which might indicate a slower disease progression in older individuals diagnosed with T1D.nbsp However a longer disease duration was positively correlated with a gradual decline in C-peptide levels.https://journalgrid.com/view/article/rjms/12434259
spellingShingle Sujata M Jali
Mallikarjun V Jali
Sridhar Gagagane
Jyoti Wasedar
Prachi Patil
Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India
RGUHS Journal of Medical Sciences
title Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India
title_full Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India
title_fullStr Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India
title_full_unstemmed Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India
title_short Association of C- peptide Levels and Type 1 Diabetes in Urban and Rural areas of South India
title_sort association of c peptide levels and type 1 diabetes in urban and rural areas of south india
url https://journalgrid.com/view/article/rjms/12434259
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