Type 2 & other diabetes

C‐peptide index at 2 h post‐meal is a useful predictor of endogenous insulin secretory capacity and withdrawal from insulin therapy in subjects with type 2 diabetes

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

The CPI at 2 h post-meal is a clinically useful measure of endogenous insulin secretory capacity under non-fasting conditions.

Study context

Population
Hospitalised patients with T2D on insulin therapy, single centre
Participants
72 vs 75
Exposure
Withdrawal vs non-withdrawal from insulin therapy at discharge
  • Withdrawaln = 72
  • Non-withdrawaln = 75reference
Outcome
C-peptide index (CPI) at 2 h post-meal
Follow-up
2 h post-meal
Methodological detailssingle-centre, machine learning prediction models
  • Single-centre
  • Machine learning prediction models

Main finding

As reported in the abstract

Withdrawal

2.97

± 2.07

Non-withdrawal

1.93

± 1.28

P < 0.001

Observational data: associations, not effects.

Further findings

HbA1c of study participants

HbA1c (mmol/mo)
87.8 ± 22.6

Accuracy of 2 machine-learning clinical models (age, diabetes duration, creatinine, ALT, insulin therapy until hospitalisation, C-peptide index (CPI) at 2 h post-meal) predicting insulin withdrawal

Accuracy range
78.3% to 82.6%

Original publication

C‐peptide index at 2 h post‐meal is a useful predictor of endogenous insulin secretory capacity and withdrawal from insulin therapy in subjects with type 2 diabetes. Diabetes Obes Metab. Published 22 April 2024. doi:10.1111/dom.15595

Composed by AI from the published abstract and checked against it. How Briefs are made →

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