Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration

Little information exists on the trajectory and determinants of adiponectin, a possible insulin sensitizer and marker for inflammation and endothelial function, across the duration of type 1 diabetes. The Wisconsin Diabetes Registry Study followed an incident cohort ≤30 years of age when diagnosed w...

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Main Authors: Tamara J. LeCaire, Mari Palta
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/730407
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author Tamara J. LeCaire
Mari Palta
author_facet Tamara J. LeCaire
Mari Palta
author_sort Tamara J. LeCaire
collection DOAJ
description Little information exists on the trajectory and determinants of adiponectin, a possible insulin sensitizer and marker for inflammation and endothelial function, across the duration of type 1 diabetes. The Wisconsin Diabetes Registry Study followed an incident cohort ≤30 years of age when diagnosed with type 1 diabetes during 1987–1992 up to 20-year duration. Adiponectin was concurrently and retrospectively (from samples frozen at −80°C) measured for those participating in a 20-year exam (n=304), during 2007–2011. Adiponectin levels were higher in females, declined through adolescence, and increased with age thereafter. Lower levels were associated with greater body weight and waist circumference and with higher insulin dose, especially at longer diabetes durations. Higher levels were associated with higher HbA1c and, at longer durations, with higher albumin-creatinine ratio. Adiponectin levels showed consistency within individuals that was not explained by these factors. We conclude that markers for insulin resistance are associated with lower adiponectin, and markers for potential microvascular complications are associated with higher adiponectin. The previously reported relationship with HbA1c remains largely unexplained. Additional individual specific factors likely also influence adiponectin level. The relationship between adiponectin and urinary protein excretion may enable identification of those predisposed to kidney disease earlier in type 1 diabetes.
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spelling doaj-art-7301bd7ec2fd41c8bce62a0f98715b192025-02-03T01:21:21ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/730407730407Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes DurationTamara J. LeCaire0Mari Palta1Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USADepartment of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USALittle information exists on the trajectory and determinants of adiponectin, a possible insulin sensitizer and marker for inflammation and endothelial function, across the duration of type 1 diabetes. The Wisconsin Diabetes Registry Study followed an incident cohort ≤30 years of age when diagnosed with type 1 diabetes during 1987–1992 up to 20-year duration. Adiponectin was concurrently and retrospectively (from samples frozen at −80°C) measured for those participating in a 20-year exam (n=304), during 2007–2011. Adiponectin levels were higher in females, declined through adolescence, and increased with age thereafter. Lower levels were associated with greater body weight and waist circumference and with higher insulin dose, especially at longer diabetes durations. Higher levels were associated with higher HbA1c and, at longer durations, with higher albumin-creatinine ratio. Adiponectin levels showed consistency within individuals that was not explained by these factors. We conclude that markers for insulin resistance are associated with lower adiponectin, and markers for potential microvascular complications are associated with higher adiponectin. The previously reported relationship with HbA1c remains largely unexplained. Additional individual specific factors likely also influence adiponectin level. The relationship between adiponectin and urinary protein excretion may enable identification of those predisposed to kidney disease earlier in type 1 diabetes.http://dx.doi.org/10.1155/2015/730407
spellingShingle Tamara J. LeCaire
Mari Palta
Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration
Journal of Diabetes Research
title Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration
title_full Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration
title_fullStr Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration
title_full_unstemmed Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration
title_short Longitudinal Analysis of Adiponectin through 20-Year Type 1 Diabetes Duration
title_sort longitudinal analysis of adiponectin through 20 year type 1 diabetes duration
url http://dx.doi.org/10.1155/2015/730407
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