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Volume 38(3); June 2014
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Reviews
Interrelationships between the Retinal Neuroglia and Vasculature in Diabetes
Timothy S. Kern
Diabetes Metab J. 2014;38(3):163-170.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.163
  • 3,829 View
  • 38 Download
  • 33 Web of Science
  • 32 Crossref
AbstractAbstract PDFPubReader   

For years, diabetic retinopathy has been defined based on vascular lesions, and neural abnormalities were not regarded as important. This review summarizes evidence that the neural retina has important effects on the retinal vasculature under normal conditions, and the interaction between the retinal neuroglial cells and vascular function is altered in diabetes. Importantly, new evidence raises a possibility that abnormalities within retinal neuroglial cells (notably photoreceptors) might actually be causing or initiating the vascular disease in diabetic retinopathy.

Citations

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  • Pharmacological Inhibition of Spermine Oxidase Reduces Neurodegeneration and Improves Retinal Function in Diabetic Mice
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    Toke Bek
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  • Association Between Vessel Density and Visual Acuity in Patients With Diabetic Retinopathy and Poorly Controlled Type 1 Diabetes
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  • Diabetic macular oedema: clinical risk factors and emerging genetic influences
    Ebony Liu, Jamie E Craig, Kathryn Burdon
    Clinical and Experimental Optometry.2017; 100(6): 569.     CrossRef
  • Comparison of spectral-domain optical coherence tomography for intra-retinal layers thickness measurements between healthy and diabetic eyes among Chinese adults
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  • RORα modulates semaphorin 3E transcription and neurovascular interaction in pathological retinal angiogenesis
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  • Do photoreceptor cells cause the development of retinal vascular disease?
    Timothy S. Kern
    Vision Research.2017; 139: 65.     CrossRef
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  • Primary Retinal Cultures as a Tool for Modeling Diabetic Retinopathy: An Overview
    Andrea Matteucci, Monica Varano, Cinzia Mallozzi, Lucia Gaddini, Marika Villa, Sara Gabrielli, Giuseppe Formisano, Flavia Pricci, Fiorella Malchiodi-Albedi
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  • Oxidative stress and epigenetic modifications in the pathogenesis of diabetic retinopathy
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  • Enriched Environment Protects the Optic Nerve from Early Diabetes-Induced Damage in Adult Rats
    Damián Dorfman, Marcos L. Aranda, Ruth E. Rosenstein, Rafael Linden
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Ubiquitin Ligases in Cholesterol Metabolism
Wei Jiang, Bao-Liang Song
Diabetes Metab J. 2014;38(3):171-180.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.171
  • 5,363 View
  • 70 Download
  • 17 Web of Science
  • 15 Crossref
AbstractAbstract PDFPubReader   

To maintain cholesterol homeostasis, the processes of cholesterol metabolism are regulated at multiple levels including transcription, translation, and enzymatic activity. Recently, the regulation of protein stability of some key players in cholesterol metabolism has been characterized. More and more ubiquitin ligases have been identified including gp78, Hrd1, TRC8, TEB4, Fbw7, and inducible degrader of low density lipoprotein receptor. Their working mechanisms and physiological functions are becoming revealed. Here, we summarize the structure, substrates and function of these ubiquitin ligases. Their potential application in drug discovery is also discussed.

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Sulwon Lecture 2013
The Role of Pyruvate Dehydrogenase Kinase in Diabetes and Obesity
In-Kyu Lee
Diabetes Metab J. 2014;38(3):181-186.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.181
  • 8,825 View
  • 153 Download
  • 68 Web of Science
  • 66 Crossref
AbstractAbstract PDFPubReader   

The pyruvate dehydrogenase complex (PDC) is an emerging target for the treatment of metabolic syndrome. To maintain a steady-state concentration of adenosine triphosphate during the feed-fast cycle, cells require efficient utilization of fatty acid and glucose, which is controlled by the PDC. The PDC converts pyruvate, coenzyme A (CoA), and oxidized nicotinamide adenine dinucleotide (NAD+) into acetyl-CoA, reduced form of nicotinamide adenine dinucleotide (NADH), and carbon dioxide. The activity of the PDC is up- and down-regulated by pyruvate dehydrogenase kinase and pyruvate dehydrogenase phosphatase, respectively. In addition, pyruvate is a key intermediate of glucose oxidation and an important precursor for the synthesis of glucose, glycerol, fatty acids, and nonessential amino acids.

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Perspective
Journal Metrics-Based Position of Diabetes & Metabolism Journal after the Change of Its Text Language to English
Sun Huh
Diabetes Metab J. 2014;38(3):187-193.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.187
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AbstractAbstract PDFPubReader   

After changing its language from Korean or English to English only in 2010, the journal metrics of Diabetes & Metabolism Journal (DMJ) were analyzed to assess whether this change in the journal policy was successful. The journal metric items that were analyzed were the following: impact factor; total citations; countries of authors; proportion of the articles funded out of the total number of original articles; and Hirsch-index (H-index). A retrospective, descriptive analysis was carried out using various databases, such as KoreaMed, Korean Medical Citation Index (KoMCI), KoreaMed Synapse, Web of Science, and Journal Citation Ranking. The journal's impact factor was 2.054, which corresponds to 83/122 (68.0%) out of the 2012 JCR endocrinology and metabolism category. The number of the journal's total citations was 330 in 2013. In addition to Korean authors, authors from 13 other countries published papers in the journal from 2010 to 2013. The number of funded papers from 2010 to 2013 was 65 out of 148 original articles (43.9%). The journal's H-index from KoreaMed Synapse was 7, and that from Web of Science was 9. It can be concluded that changing the journal's language to English was successful based on journal metrics. DMJ is currently positioned as an international journal based on the international diversity of authors and editors, its sufficiently high proportion of funded articles, its relatively high impact factor, and the number of total citations.

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Editorial
It's Still Not Too Late to Make a Change: Current Status of Glycemic Control in Korea
Sang Yong Kim
Diabetes Metab J. 2014;38(3):194-196.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.194
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PDFPubReader   

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Original Articles
Current Status of Glycemic Control of Patients with Diabetes in Korea: The Fifth Korea National Health and Nutrition Examination Survey
Ja Young Jeon, Dae Jung Kim, Seung-Hyun Ko, Hyuk-Sang Kwon, Soo Lim, Sung Hee Choi, Chul Sik Kim, Jee Hyun An, Nan Hee Kim, Jong Chul Won, Jae Hyeon Kim, Bong-Yun Cha, Kee-Ho Song
Diabetes Metab J. 2014;38(3):197-203.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.197
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AbstractAbstract PDFPubReader   
Background

The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012).

Methods

Subjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis.

Results

The prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%.

Conclusion

The level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment.

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Efficacy of the Smartphone-Based Glucose Management Application Stratified by User Satisfaction
Hun-Sung Kim, Wona Choi, Eun Kyoung Baek, Yun A Kim, So Jung Yang, In Young Choi, Kun-Ho Yoon, Jae-Hyoung Cho
Diabetes Metab J. 2014;38(3):204-210.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.204
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AbstractAbstract PDFPubReader   
Background

We aimed to assess the efficacy of the smartphone-based health application for glucose control and patient satisfaction with the mobile network system used for glucose self-monitoring.

Methods

Thirty-five patients were provided with a smartphone device, and self-measured blood glucose data were automatically transferred to the medical staff through the smartphone application over the course of 12 weeks. The smartphone user group was divided into two subgroups (more satisfied group vs. less satisfied group) based on the results of questionnaire surveys regarding satisfaction, comfort, convenience, and functionality, as well as their willingness to use the smartphone application in the future. The control group was set up via a review of electronic medical records by group matching in terms of age, sex, doctor in charge, and glycated hemoglobin (HbA1c).

Results

Both the smartphone group and the control group showed a tendency towards a decrease in the HbA1c level after 3 months (7.7%±0.7% to 7.5%±0.7%, P=0.077). In the more satisfied group (n=27), the HbA1c level decreased from 7.7%±0.8% to 7.3%±0.6% (P=0.001), whereas in the less satisfied group (n=8), the HbA1c result increased from 7.7%±0.4% to 8.1%±0.5% (P=0.062), showing values much worse than that of the no-smartphone control group (from 7.7%±0.5% to 7.7%±0.7%, P=0.093).

Conclusion

In addition to medical feedback, device and network-related patient satisfaction play a crucial role in blood glucose management. Therefore, for the smartphone app-based blood glucose monitoring to be effective, it is essential to provide the patient with a well-functioning high quality tool capable of increasing patient satisfaction and willingness to use.

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The Effect of DPP-4 Inhibitors on Metabolic Parameters in Patients with Type 2 Diabetes
Eun Yeong Choe, Yongin Cho, Younjeong Choi, Yujung Yun, Hye Jin Wang, Obin Kwon, Byung-Wan Lee, Chul Woo Ahn, Bong Soo Cha, Hyun Chul Lee, Eun Seok Kang
Diabetes Metab J. 2014;38(3):211-219.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.211
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AbstractAbstract PDFSupplementary MaterialPubReader   
Background

We evaluated the effects of two dipeptidyl peptidase-4 (DPP-4) inhibitors, sitagliptin and vildagliptin, on metabolic parameters in patients with type 2 diabetes mellitus.

Methods

A total of 170 type 2 diabetes patients treated with sitagliptin or vildagliptin for more than 24 weeks were selected. The patients were separated into two groups, sitagliptin (100 mg once daily, n=93) and vildagliptin (50 mg twice daily, n=77). We compared the effect of each DPP-4 inhibitor on metabolic parameters, including the fasting plasma glucose (FPG), postprandial glucose (PPG), glycated hemoglobin (HbA1c), and glycated albumin (GA) levels, and lipid parameters at baseline and after 24 weeks of treatment.

Results

The HbA1c, FPG, and GA levels were similar between the two groups at baseline, but the sitagliptin group displayed a higher PPG level (P=0.03). After 24 weeks of treatment, all of the glucose-related parameters were significantly decreased in both groups (P=0.001). The levels of total cholesterol and triglycerides were only reduced in the vildagliptin group (P=0.001), although the sitagliptin group received a larger quantity of statins than the vildagliptin group (P=0.002).The mean change in the glucose- and lipid-related parameters after 24 weeks of treatment were not significantly different between the two groups (P=not significant). Neither sitagliptin nor vildagliptin treatment was associated with a reduction in the high sensitive C-reactive protein level (P=0.714).

Conclusion

Vildagliptin and sitagliptin exert a similar effect on metabolic parameters, but vildagliptin exerts a more potent beneficial effect on lipid parameters.

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Factors Associated with Health-Related Quality of Life among Saudi Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Survey
Ayman A. Al Hayek, Asirvatham A. Robert, Abdulghani Al Saeed, Aus A. Alzaid, Fahad S. Al Sabaan
Diabetes Metab J. 2014;38(3):220-229.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.220
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AbstractAbstract PDFPubReader   
Background

Diabetes mellitus (DM) is associated with high mortality, morbidity, poor general health, and loss of health-related quality of life (HRQOL). The objective of the study was to assess the factors associated with HRQOL among patients with type 2 diabetes mellitus (T2DM).

Methods

This was a cross sectional study conducted among 283 T2DM patients during June 2011 and September 2012 at a major tertiary hospital in Riyadh, Saudi Arabia. The respondents were purposively and conveniently selected according to their availability during their routine visit to the outpatient clinics and they were interviewed using the Arabic version of the Short-Form 36-item survey (SF-36) to assess the HRQOL.

Results

The mean age of the participants was 56.4±13.2 years. Around 63% (178) were males and 37% (105) were females. Glycosylated hemoglobin level was found to be significantly higher among female and HRQOL was higher among male. Respondents who were more than 50 years old had poor HRQOL than less than 50 years age group. Poor economic status, reported diabetic complications and longer duration of diabetes were significantly associated with poor HRQOL. The respondents treated with combination of therapies (oral medication plus insulin) indicated better HRQOL than patients with insulin therapy alone. Multivariate analysis indicated that gender, economic status (except subscale energy), and complications of DM (except subscale energy) as independent risk factor for HRQOL.

Conclusion

Gender, economic status, and complication of DM were independent risk factors for majority of the subscales of HRQOL.

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Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan
Ji Hye Suk, Chang Won Lee, Sung Pyo Son, Min Cheol Kim, Jun Hyeob Ahn, Kwang Jae Lee, Ja Young Park, Sun Hye Shin, Min Jeong Kwon, Sang Soo Kim, Bo Hyun Kim, Soon Hee Lee, Jeong Hyun Park, In Joo Kim
Diabetes Metab J. 2014;38(3):230-239.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.230
  • 7,053 View
  • 38 Download
  • 9 Web of Science
  • 9 Crossref
AbstractAbstract PDFPubReader   
Background

Data regarding the prescription status of individuals with diabetes are limited. This study was an analysis of participants from the relationship between cardiovascular disease and brachial-ankle pulse wave velocity in patients with type 2 diabetes (REBOUND) Study, which was a prospective multicenter cohort study recruited from eight general hospitals in Busan, Korea. We performed this study to investigate the current status of prescription in Korean type 2 diabetic patients.

Methods

Type 2 diabetic patients aged 30 years or more were recruited and data were collected for demographics, medical history, medications, blood pressure, and laboratory tests.

Results

Three thousands and fifty-eight type 2 diabetic patients were recruited. Mean age, duration of diabetes, and HbA1c were 59 years, 7.6 years, and 7.2%, respectively. Prevalence of hypertension was 66%. Overall, 7.3% of patients were treated with diet and exercise only, 68.2% with oral hypoglycemic agents (OHAs) only, 5.3% with insulin only, and 19.2% with both insulin and OHA. The percentage of patients using antihypertensive, antidyslipidemic, antiplatelet agents was similar as about 60%. The prevalence of statins and aspirin users was 52% and 32%, respectively.

Conclusion

In our study, two thirds of type 2 diabetic patients were treated with OHA only, and one fifth with insulin plus OHA, and 5% with insulin only. More than half of the patients were using each of antihypertensive, antidyslipidemic, or antiplatelet agents. About a half of the patients were treated with statins and one third were treated with aspirin.

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Letter
Letter: Association of Vaspin with Metabolic Syndrome: The Pivotal Role of Insulin Resistance (Diabetes Metab J 2014;38:143-9)
Sung Hee Choi
Diabetes Metab J. 2014;38(3):240-241.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.240
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Citations

Citations to this article as recorded by  
  • Low vaspin levels are related to endothelial dysfunction in patients with ankylosing spondylitis
    H.H. Wang, Q.F. Wang
    Brazilian Journal of Medical and Biological Research.2016;[Epub]     CrossRef
Response
Response: Association of Vaspin with Metabolic Syndrome: The Pivotal Role of Insulin Resistance (Diabetes Metab J 2014;38:143-9)
Alireza Esteghamati, Sina Noshad, Mostafa Mousavizadeh, Ali Zandieh, Manouchehr Nakhjavani
Diabetes Metab J. 2014;38(3):242-243.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.242
  • 3,029 View
  • 26 Download
  • 5 Web of Science
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Citations

Citations to this article as recorded by  
  • Chemerin: a new biomarker to predict postendoscopic retrograde cholangiopancreatography pancreatitis
    Ali R. Koksal, Salih Boga, Huseyin Alkim, Ilker Sen, Sebnem T. Neijmann, Canan Alkim
    European Journal of Gastroenterology & Hepatology.2016; 28(6): 714.     CrossRef
  • Serum vaspin levels and vaspin mRNA expression in subcutaneous adipose tissue in women with gestational diabetes mellitus
    Wei Qian Mm, Jianxia Fan, Shuzin Khor, Mengfan Song, Wei Hong, Xiaobei Dai
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2014; 182: 98.     CrossRef
Erratum
Erratum: Corrected Sentence. The Appropriateness of the Length of Insulin Needles Based on Determination of Skin and Subcutaneous Fat Thickness in the Abdomen and Upper Arm in Patients with Type 2 Diabetes
Kang Hee Sim, Moon Sook Hwang, Sun Young Kim, Hye Mi Lee, Ji Yeun Chang, Moon Kyu Lee
Diabetes Metab J. 2014;38(3):244-244.   Published online June 17, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.3.244
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