Clinical application of the 24-H urinary C-peptide excretion rate and its relationship to metabolic control in diabetics

Acta Diabetol Lat. 1983 Apr-Jun;20(2):153-61. doi: 10.1007/BF02624916.

Abstract

In this study, we evaluated in normal subjects, insulin-dependent (IDD) and non-insulin-dependent (NIDD) diabetics, the diurnal urinary C-peptide excretion rate (CPR-U) and its relationship to serum C-peptide concentration and glucose:C-peptide molar ratio, and to the common parameters of metabolic control. The CPR-U (and CPR-U/g creatinine) were significantly lower in IDD and higher in NIDD compared to control subjects. Moreover, a good and significant correlation with serum C-peptide concentrations and the glucose:C-peptide ratio in diabetic subjects as well as in controls and diabetics considered together was found. A slight but significant correlation was present in diabetic subjects between CPR-U and body mass index (r = 0.45), 24-h glycosuria (r = 0.36), HbA1 levels (r = 0.31), post-prandial glucose concentrations (r = 0.26) and per cent glucose variation after each meal (r = 0.34). No differences were found in CPR-U and the degree of metabolic control between obese and non-obese NIDD. In conclusion, CPR-U may be a useful and simple method of defining the secretory activity of the B-cell. Metabolic control in diabetics is slightly correlated to the degree of B-cell function as evaluated by the diurnal excretion rate of C-peptide in urine.

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • C-Peptide / blood
  • C-Peptide / urine*
  • Creatinine / metabolism
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / metabolism
  • Diabetes Mellitus / urine*
  • Glycated Hemoglobin / analysis
  • Humans
  • Insulin / therapeutic use
  • Ketone Bodies / urine
  • Metabolic Clearance Rate
  • Middle Aged
  • Obesity
  • Peptides / urine*

Substances

  • Blood Glucose
  • C-Peptide
  • Glycated Hemoglobin A
  • Insulin
  • Ketone Bodies
  • Peptides
  • Creatinine