Daily glucose variability is associated with intrahepatic fat content, β cell sensitivity, and biomarkers of glycolysis in youth with obesity

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

Daily glucose variability is associated with the degree of intrahepatic fat content, postprandial glucose, and plasma lactate concentrations.

Study context

Population
Youth with obesity (11 girls; BMI percentile median 99.0 [25th–75th percentiles 97.9–99.0]) wearing CGM for 10 days and undergoing a 3-h OGTT; β cell function by oral minimal model, liver proton density fat fraction by MRI
Participants
27 participants
Outcome
Associations of CGM glucose variability with liver fat, β cell function and glycolysis

Main finding

As reported in the abstract

Average sensor glucose associated with liver proton density fat fraction
p = 0.0130
Glucose SD associated with liver proton density fat fraction
p = 0.0005
Glucose coefficient of variation (CV) associated with liver proton density fat fraction
p = 0.0028
First-phase insulin secretion associated with SD / CV
p = 0.0344 / p = 0.0128
Basal insulin secretion associated with SD / CV
p = 0.0091 / p = 0.0012
Insulin sensitivity associated with SD / CV
p = 0.0031 / p = 0.0022
2-h glucose associated with SD / CV
p = 0.0067 / p = 0.0324
Plasma lactate associated with SD / CV
p = 0.0030 / p = 0.0123

Observational data: associations, not effects.

Original publication

Daily glucose variability is associated with intrahepatic fat content, β cell sensitivity, and biomarkers of glycolysis in youth with obesity. Obesity (Silver Spring). Published 10 December 2024. doi:10.1002/oby.24175

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