Title: Glucosamine in the blood serum of young people with diabetes mellitus type 1
- Alicja Nowak, Witold Stankiewicz, Łucja Szczęśniak, Eugeniusz Korman
- Review articles
- Pediatric Endocrinology, Diabetes and Metabolism
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- glucosamine, diabetes mellitus type 1
The observations of some authors have shown that prolonged hyperglycemia may increase the process of hexosamin biosynthesis. The purpose of our study was to determine glucosamine levels in young patients with poorly controlled diabetes mellitus type 1. The study group consisted of 31 girls and boys whose ages ranged from 7 to 17 and who were newly diagnosed with type 1 diabetes mellitus. The diagnosis of diabetesmellitus was based on increased anti-insulin antibody levels, raised glycated hemoglobin and glucose concentrationsand decreased insulin and C-peptide levels. In the studied group impairments in acid-base homeostasis as well as a correlation between the degree of blood acidification and free fatty acids, total cholesterol, and triglyceride levels were found. Despite evident hyperglycemia observed in all patients, glucosaminelevels were within the normal range. Based on the present and previous investigations, where we observed increased hexosamine levels only in patients with hyperinsulinemia, we can draw the conclusion that increased enzymatic glycation of proteins requires not only increased glucose but also insulinaccess.