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. 2023 Nov 3;11(11):2968.
doi: 10.3390/biomedicines11112968.

Analysis of Methylglyoxal Concentration in a Group of Patients with Newly Diagnosed Prediabetes

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Analysis of Methylglyoxal Concentration in a Group of Patients with Newly Diagnosed Prediabetes

Edyta Sutkowska et al. Biomedicines. .

Abstract

Background: The abnormal serum concentration of methylglyoxal (MGO) has been presented as an indicator of chronic complications in diabetes (DM). Because such complications are also found in pre-DM, we decided to assess the concentration of this compound in individuals with pre-DM, without cardio-vascular diseases.

Methods: Frozen samples from individuals newly diagnosed with pre-DM (N = 31) and healthy subjects (N = 11) were prepared and MGO concentration was determined using UHPLC-ESI-QqTOF-MS.

Results: Statistical significance was established when the groups were compared for body weight, BMI, fasting glucose level, fatty liver and use of statins but not for the other descriptive parameters. The positive linear correlation showed that the higher HbA1c, the higher MGO concentration (p = 0.01). The values of MGO were within the normal range in both groups (mean value for pre-DM: 135.44 nM (±SD = 32.67) and for the control group: 143.25 nM (±SD = 17.93); p = 0.46 (±95% CI)), with no statistical significance between the groups.

Conclusions: We did not confirm the elevated MGO levels in the group of patients with pre-DM. The available data suggests a possible effect of statin intake on MGO levels. This thesis requires confirmation on a larger number of patients with an assessment of MGO levels before and after the introduction of statins.

Keywords: advanced glycation end-products; diabetic chronic complications; methylglyoxal; prediabetes.

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Conflict of interest statement

The principal researcher, E.S., was a lecturer for the following companies: AstraZeneca, Sanofi, NovoNordisk, Merck, Boehringer Ingelheim, and Mundipharma. For other authors, there are no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. The other authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Linear correlation for HbA1c (glycated haemoglobin).
Figure 2
Figure 2
Linear correlation for TG (triglycerides).
Figure 3
Figure 3
Linear correlation for FPGl (fasting plasma glucose level).

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