2014
DOI: 10.1210/jc.2013-3596
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1,5-Anhydroglucitol in Saliva Is a Noninvasive Marker of Short-Term Glycemic Control

Abstract: Clinical studies have already established 1,5-AG in blood as a reliable marker of short-term glycemic control. Our study suggests that 1,5-AG in saliva can be used in national screening programs for undiagnosed diabetes, which are of particular interest for Middle Eastern countries with young populations and exceptionally high diabetes rates.

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Cited by 90 publications
(128 citation statements)
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“…A number of studies have previously compared metabolite features measured across matrices sampled from the same persons (30, 32, 33, 5156). To our knowledge, however, the results from this pilot study are among the first to examine matrix comparability between plasma (relatively invasive) and saliva or EBC (non-invasive) using this measurement method.…”
Section: Discussionmentioning
confidence: 99%
“…A number of studies have previously compared metabolite features measured across matrices sampled from the same persons (30, 32, 33, 5156). To our knowledge, however, the results from this pilot study are among the first to examine matrix comparability between plasma (relatively invasive) and saliva or EBC (non-invasive) using this measurement method.…”
Section: Discussionmentioning
confidence: 99%
“…A major strength of the current study was that all participants were naïve to drug treatment [6]. In most cross-sectional metabolomics studies on type 2 diabetes the participants were using glucose-or lipid-lowering drugs, which could influence the results [5,10,26]. We did not perform any matching in our study and instead adjusted for covariates, while some metabolomics studies have been performed in matched case-control designs on age, sex and BMI [4,8].…”
Section: Discussionmentioning
confidence: 99%
“…It has been hypothesized that these branched-chain amino acids interfere with mitochondrial metabolism of fatty acids [12]. However, many other amino acids have also been shown to be involved, including phenylalanine [4e7, 9,11], tyrosine [4,6,7,9,11], glutamine [6], glycine [8,9,11], arginine [5], histidine [8], ornithine [5], proline [5,6,10] and tryptophan [9].…”
Section: Introductionmentioning
confidence: 99%
“…The level of 1,5-AG in blood is inversely related to the concentration of glucose and glycosylated hemoglobin levels in humans [41]. In the brain, 1,5-AG levels are elevated significantly compared with control animals.…”
Section: Discussionmentioning
confidence: 99%
“…This could relate to decreasing arginine availability. 1,5-AG (p=0.0059) is inversely-associated with glucose levels in biological fluids such as saliva and serum [41,57], thus, an increase in 1,5-AG levels could suggest subtle decreases in glucose availability. Trends toward decreases in lysolipids could reflect changes in signaling or demand for fatty acids to support beta-oxidation.…”
Section: Discussionmentioning
confidence: 99%