Table 2.
Metabolites of cortisol and cortisone of the T1DM and control groups.
| Metabolite | Group | Group effect | Group effect adjusted for STAI score |
|---|---|---|---|
| F/cr (µg/mmol) | Control | 4.5 [3.8;5.3] | 4.7 [3.8;5.7] |
| T1DM | 5.2 [4.6;5.8] | 5.3 [4.6;6.1] | |
| E/cr (µg/mmol) | Control | 11.1 [9.5;12.6] | 11.0 [9.1;12.8] |
| T1DM | 11.2 [10.0;12.3] | 11.3 [9.9;12.7] | |
| β-THF/cr (µg/mmol) | Control | 111 [98;127] | 107 [89;125] |
| T1DM | 95 [84;107] | 91 [78;105] | |
| α-THF/cr (µg/mmol) | Control | 30.4 [25.9;34.8] | 30.3 [25.2;35.4] |
| T1DM | 25.3 [22.0;28.7] | 24.2 [20.3;28.1] | |
| THE/cr (µg/mmol) | Control | 355 [317;392]*** | 338 [293;383]*** |
| T1DM | 256 [227;284] | 261 [227;296] | |
| α-cortol/cr (µg/mmol) | Control | 9.22 [7.41;11.03] | 9.26 [7.76;10.76]* |
| T1DM | 11.3 [9.98;12.71] | 10.8 [9.71;11.99] | |
| β-cortol/cr (µg/mmol) | Control | 24.6 [20.7:28.5]** | 23.0 [18.7:27.4]** |
| T1DM | 25.6 [22.6;28.5] | 25.7 [22.4;29.0] | |
| α-cortolone/cr (µg/mmol) | Control | 79.7 [70.1;89.4] | 75.9 [65.2;86.5] |
| T1DM | 78.8 [71.5;86.1] | 81.2 [73.1;89.3] | |
| β-cortolone/cr (µg/mmol) | Control | 58.8 [52.1;65.5] | 54.5 [47.0;62.0] |
| T1DM | 45.9 [40.8;50.9] | 47.9 [42.2;53.6] | |
| Total cortisol metabolites/cr (µg/mmol) | Control | 173 [146;200] | 175 [152;198] |
| T1DM | 146 [127;166] | 157 [140;175] | |
| Total glucocorticoid metabolites/cr (µg/mmol) | Control | 676 [606;745]* | 655 [576;734]* |
| T1DM | 564 [513;616] | 560 [500;620] | |
|
(α+β)-THF/THE
Reflecting 11β-HSD1 activity |
Control | 0.42 [0.38;0.46]* | 0.42 [0.37;0.47]* |
| T1DM | 0.48 [0.45;0.51] | 0.47 [0.43;0.50] | |
|
E/F
Reflecting 11β-HSD2 activity |
Control | 2.53 [2.26;2.89]* | 2.38 [2.08;2.77]* |
| T1DM | 2.17 [2.01;2.35] | 2.07 [1.89;2.28] | |
|
(α+β)-THF/F
Reflecting 5(α+β) reductase activity |
Control | 37.4 [32.7;42.1]** | 34.5 [29.4;39.7]** |
| T1DM | 28.2 [24.7;31.8] | 26.3 [22.4;30.2] | |
|
α-THF/F
Reflecting 5α reductase activity |
Control | 8.11 [6.95;9.27]*** | 7.62 [6.43;8.81]** |
| T1DM | 5.62 [4.76;6.47] | 5.32 [4.42;6.22] | |
| sF T0 (nmol/l) | Control | 3.65 [3.02;4.28] | 3.61 [3.02;4.37] |
| T1DM | 3.51 [3.03;3.98] | 3.59 [2.81;4.21] | |
| sF T30 (nmol/l) | Control | 4.16 [3.38;4.94] | 4.36 [3.43;5.28] |
| T1DM | 4.49 [3.92;5.05] | 4.58 [3.88;5.28] | |
| sF Delta T30-T0 (nmol/l) | Control | 0.30 [-0.54;1.13] | 0.71 [0.34;1.66] |
| T1DM | 1.14 [0.52;1.76] | 1.00 [-0.15;1.57] | |
| sE T0 (nmol/l) | Control | 15.3 [13.5;17.0] | 15.0 [14.7;15.3] |
| T1DM | 13.9 [12.5;16.0] | 13.9 [13.7;14.2] | |
| sE T30 (nmol/l) | Control | 16.0 [14.4;19.1] | 16.7 [16.4;17.1] |
| T1DM | 17.8 [16.0;19.5] | 17.4 [17.1;17.7] | |
| sE Delta T30-T0 (nmol/l) | Control | 1.42 [-0.66;3.50]* | 1.63 [1.30;1.96]* |
| T1DM | 4.42 [2.82;6.07] | 4.21 [3.93;4.48] | |
| sE/sF T0 ratio | Control | 5.23 [4.34;6.13] | 5.05 [4.91;5.18] |
| T1DM | 4.68 [4.17;5.19] | 4.73 [4.64;4.82] | |
| sE/sF T30 ratio | Control | 4.99 [4.19;5.79] | 4.88 [4.76;5.00] |
| T1DM | 4.50 [4.03;4.96] | 4.58 [4.50;4.67] |
Group differences in metabolic data were evaluated with a logistic regression model, adjusted for the STAI trait scale score. Data are expressed as mean [95% confidential interval].
T1DM, type 1 diabetes mellitus; F, cortisol; E, cortisone; THF, tetrahydrocortisol; THE, tetrahydrocortisone; sF, salivary cortisol; sE, salivary cortisone;/cr, to creatinine; STAI, State-Trait Anxiety Inventory (trait scale only). *p < 0.05; **p < 0.01; ***p < 0.001.