Abstract
Fasting insulin, lipids and lipoproteins were measured in 22 middle aged female non-insulin dependent diabetics with gall stone disease (cases) and in 22 non-insulin dependent diabetics without gall stone disease (controls). The groups were matched for sex, age, obesity, and fasting glucose concentrations. No differences were observed between the cases and controls in duration of diabetes, glycated haemoglobin A1, alcohol intake, smoking, use of cardiovascular drugs or a history of myocardial infarction. Diabetics with gall stone disease had higher fasting insulin concentrations (p less than 0.5), lower total (p less than 0.01) and low density lipoprotein cholesterol (p less than 0.01) and high density lipoprotein cholesterol (not statistically significant) concentrations than diabetics without gall stone disease. These changes in insulin, lipids and lipoproteins are similar to reported changes in non-diabetic subjects with gall stone disease. Therefore, they are characteristic for gall stone disease and not as such explanatory to an increased risk of gall stones in patients with non-insulin dependent diabetes.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ahlberg J. Serum lipid levels and hyperlipoproteinaemia in gallstone patients. Acta Chir Scand. 1979;145(6):373–377. [PubMed] [Google Scholar]
- Bennion L. J., Grundy S. M. Risk factors for the development of cholelithiasis in man (second of two parts). N Engl J Med. 1978 Nov 30;299(22):1221–1227. doi: 10.1056/NEJM197811302992205. [DOI] [PubMed] [Google Scholar]
- Cavallini A., Messa C., Mangini V., Argese V., Misciagna G., Giorgio I. Serum and bile lipids in young women with radiolucent gallstones. Am J Gastroenterol. 1987 Dec;82(12):1279–1282. [PubMed] [Google Scholar]
- Chait A., Bierman E. L., Albers J. J. Low-density lipoprotein receptor activity in cultured human skin fibroblasts. Mechanism of insulin-induced stimulation. J Clin Invest. 1979 Nov;64(5):1309–1319. doi: 10.1172/JCI109587. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Friedman G. D., Kannel W. B., Dawber T. R. The epidemiology of gallbladder disease: observations in the Framingham Study. J Chronic Dis. 1966 Mar;19(3):273–292. doi: 10.1016/0021-9681(66)90132-9. [DOI] [PubMed] [Google Scholar]
- Garnick M. B., Bennett P. H., Langer T. Low density lipoprotein metabolism and lipoprotein cholesterol content in southwestern American Indians. J Lipid Res. 1979 Jan;20(1):31–31. [PubMed] [Google Scholar]
- Grundy S. M., Metzger A. L., Adler R. D. Mechanisms of lithogenic bile formation in American Indian women with cholesterol gallstones. J Clin Invest. 1972 Dec;51(12):3026–3043. doi: 10.1172/JCI107130. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HAVEL R. J., EDER H. A., BRAGDON J. H. The distribution and chemical composition of ultracentrifugally separated lipoproteins in human serum. J Clin Invest. 1955 Sep;34(9):1345–1353. doi: 10.1172/JCI103182. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kissebah A. H., Alfarsi S., Evans D. J., Adams P. W. Plasma low density lipoprotein transport kinetics in noninsulin-dependent diabetes mellitus. J Clin Invest. 1983 Mar;71(3):655–667. doi: 10.1172/JCI110812. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laakso M., Pyörälä K., Voutilainen E., Marniemi J. Plasma insulin and serum lipids and lipoproteins in middle-aged non-insulin-dependent diabetic and non-diabetic subjects. Am J Epidemiol. 1987 Apr;125(4):611–621. doi: 10.1093/oxfordjournals.aje.a114574. [DOI] [PubMed] [Google Scholar]
- Laakso M., Rönnemaa T., Pyörälä K., Kallio V., Puukka P., Penttilä I. Atherosclerotic vascular disease and its risk factors in non-insulin-dependent diabetic and nondiabetic subjects in Finland. Diabetes Care. 1988 Jun;11(6):449–463. doi: 10.2337/diacare.11.6.449. [DOI] [PubMed] [Google Scholar]
- Mabee T. M., Meyer P., DenBesten L., Mason E. E. The mechanism of increased gallstone formation in obese human subjects. Surgery. 1976 Apr;79(4):460–468. [PubMed] [Google Scholar]
- Norton J. J., Smith L. R., Hamper E. Diabetes mellitus and gallstones with special reference to insulin assay. Am J Gastroenterol. 1968 Sep;50(3):214–220. [PubMed] [Google Scholar]
- Penttilä I. M., Voutilainen E., Laitinen P., Juutilainen P. Comparison of different analytical and precipitation methods for direct estimation of serum high-density lipoprotein cholesterol. Scand J Clin Lab Invest. 1981 Jun;41(4):353–360. doi: 10.3109/00365518109092057. [DOI] [PubMed] [Google Scholar]
- Petitti D. B., Friedman G. D., Klatsky A. L. Association of a history of gallbladder disease with a reduced concentration of high-density-lipoprotein cholesterol. N Engl J Med. 1981 Jun 4;304(23):1396–1398. doi: 10.1056/NEJM198106043042305. [DOI] [PubMed] [Google Scholar]
- Sampliner R. E., Bennett P. H., Comess L. J., Rose F. A., Burch T. A. Gallbladder disease in pima indians. Demonstration of high prevalence and early onset by cholecystography. N Engl J Med. 1970 Dec 17;283(25):1358–1364. doi: 10.1056/NEJM197012172832502. [DOI] [PubMed] [Google Scholar]
- Scragg R. K., Calvert G. D., Oliver J. R. Plasma lipids and insulin in gall stone disease: a case-control study. Br Med J (Clin Res Ed) 1984 Sep 1;289(6444):521–525. doi: 10.1136/bmj.289.6444.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stout R. W., Balmer J. P., Henry R. W., Buchanan K. D. Plasma lipids and gastro-intestinal hormones in subjects with gallstones. Horm Metab Res. 1978 Jul;10(4):357–357. doi: 10.1055/s-0028-1095833. [DOI] [PubMed] [Google Scholar]
- Yang R., Arem R., Chan L. Gastrointestinal tract complications of diabetes mellitus. Pathophysiology and management. Arch Intern Med. 1984 Jun;144(6):1251–1256. [PubMed] [Google Scholar]
- van der LINDEN Some biological traits in female gallstone-disease patients. A study of body build, parity and serum cholesterol level with a discussion of some problems of selection in observational hospital data. Acta Chir Scand Suppl. 1961;Suppl 269:1–94. [PubMed] [Google Scholar]