Type 2 & other diabetes

Plasma Ceramides and Other Sphingolipids in Relation to Incident Prediabetes in a Longitudinal Biracial Cohort

J Clin Endocrinol MetabPublished Nested case-control study

Authors' conclusion

We conclude that the saturated-to-monounsaturated ratios of long-chain ceramide C18:0/C18:1 and very-long-chain sphingomyelin C26:0/C26:1 are potential biomarkers of prediabetes risk among individuals with parental history of type 2 diabetes.

Study context

Population
Normoglycemic adults in the Pathobiology of Prediabetes in a Biracial Cohort study; 50% Black, 50% female; mean age 48.1 ± 8.69 years, BMI 30.1 ± 5.78 kg/m²58 sphingolipid species assayed
Participants
140 adults
Comparison
Baseline plasma sphingolipid ratios vs progression to prediabetes
Outcome
Progression from normoglycemia to prediabetes (impaired fasting glucose or impaired glucose tolerance)
Follow-up
5-year follow-up
Methodological detailsnested in the Pathobiology of Prediabetes in a Biracial Cohort study, 5-year follow-up, matched on age, sex and ethnicity, single academic health center
  • Nested in the Pathobiology of Prediabetes in a Biracial Cohort study
  • 5-year follow-up
  • Matched on age, sex and ethnicity
  • Single academic health center

Main finding

As reported in the abstract

Progression to prediabetes by baseline sphingolipid ratios
Odds ratio (95% CI)P value
Higher sphingomyelin C26:0/C26:1 ratio
2.73(1.172–4.408)
P = 0.015
Higher ceramide C18:0/C18:1 ratio
1.236(1.042–1.466)
P = 0.015

Observational data: associations, not effects.

Original publication

Plasma Ceramides and Other Sphingolipids in Relation to Incident Prediabetes in a Longitudinal Biracial Cohort. J Clin Endocrinol Metab. Published 19 March 2024. doi:10.1210/clinem/dgae179

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