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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study

Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
DOI: 10.1136/jim-2015-000025 Published 28 January 2016
Amani Beshara
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
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Eytan Cohen
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Elad Goldberg
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Pearl Lilos
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Moshe Garty
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
3Recanati Center for Preventive Medicine, Rabin Medical Center, Petach Tikva, Israel
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Ilan Krause
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Abstract

The relationship between triglyceridemia and diabetes mellitus remains unclear. This study evaluated the risk of diabetes and impaired fasting glucose associated with a wide range of triglyceride levels. A longitudinal retrospective study was carried out employing data from a screening center between the years 2000 and 2012. Inclusion criteria were absence of diabetes at baseline and attendance at the center at least twice over a 5-year period. Participants were divided by fasting blood glucose level (normal/impaired) at the first visit. A total of 5085 participants were eligible for the study. Of the 4164 normoglycemic participants at baseline, 40 (0.96%) had diabetes and 998 (24%) had impaired fasting glucose by the end of the study. On stepwise logistic regression analysis, every 10 mg/dL increase in triglyceride level significantly increased the risk of diabetes by 4% and of impaired fasting glucose by 2% (p<0.001). This association held true even when rising triglyceride levels remained within the accepted normal range (<150 mg/dL, p<0.001). Sustained increments in serum triglyceride level, even within the accepted normal range, are an independent risk factor for diabetes mellitus and impaired fasting glucose in normoglycemic participants.

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Vol 64 Issue 2 Table of Contents
Journal of Investigative Medicine: 64 (2)
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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study
Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
Journal of Investigative Medicine Feb 2016, 64 (2) 383-387; DOI: 10.1136/jim-2015-000025

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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study
Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
Journal of Investigative Medicine Feb 2016, 64 (2) 383-387; DOI: 10.1136/jim-2015-000025
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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study
Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
Journal of Investigative Medicine Feb 2016, 64 (2) 383-387; DOI: 10.1136/jim-2015-000025
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