title: Impact of serum 1,5-anhydro-d-glucitol level on prediction of major adverse cardiac and cerebrovascular events in non-diabetic patients without coronary artery disease.
abstract: Increasing evidence has demonstrated that postprandial hyperglycemia and fluctuation of glucose level affect cardiovascular events. The serum 1,5-anhydro-d-glucitol (1,5-AG) level rapidly decreases concomitantly with urinary glucose excretion in hyperglycemia and is a useful clinical marker of short-term glycemic status. However, there is few established evidence regarding the predictive value of 1,5-AG for cardiovascular events in individuals without diabetes mellitus (DM). The aim of this study is 1) to prove predictive value of 1,5-AG for cardiovascular events in high risk population, and 2) the predictive value is true of even in non-diabetic population.
  
  
  
  Serum 1,5-AG values and coronary angiograms of 889 patients were evaluated. The study patients were divided into two groups (1,5-AG<10.0 μg/ml-group and 1,5-AG≥10.0 μg/ml-group) by their measured 1,5-AG values. They were followed-up and information regarding major adverse cardiac and cerebrovascular events (MACCE) was collected. MACCE consists of all causes of death, stroke, non-fatal myocardial infarction and cardiovascular hospitalization.
  
  
  
  During the follow-up period (757 ± 357days), 216 patients presented with MACCE. In all patients, the 1,5-AG <10.0 μg/ml -group demonstrated significantly higher risk of MACCE (adjusted hazard ratio 1.63). Even in non-DM patients without coronary artery disease, the 1,5-AG <10.0 μg/m-group showed significantly higher risk of MACCE (adjusted hazard ratio 2.34). Similar results were found even if the events were limited to: all cause death, non-fatal myocardial infarction and stroke (adjusted hazard ratio 4.07) or all cause death (adjusted hazard ratio 3.54).
  
  
  
  Serum 1,5-AG value predicts MACCE even in non-DM patients without coronary artery disease.
authors: Division of Cardiovascular Medicine, National Center for Global Health and Medicine, Japan; Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan. Electronic address: ikedanobutaka@yahoo.co.jp.
authors: Nobutaka
authors: N
authors: Ikeda
authors: Division of Cardiovascular Medicine, National Center for Global Health and Medicine, Japan.
authors: Hisao
authors: H
authors: Hara
authors: Division of Cardiovascular Medicine, National Center for Global Health and Medicine, Japan.
authors: Yukio
authors: Y
authors: Hiroi
authors: Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan.
authors: Masato
authors: M
authors: Nakamura
mesh_terms: D000368:Aged; D019540:Area Under Curve; D001786:Blood Glucose / Q000032:analysis; D002561:Cerebrovascular Disorders / Q000097:blood*; D003124:Colorimetry; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000097:blood*; D003847:Deoxyglucose / Q000097:blood*; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000097:blood*; D006801:Humans; D006943:Hyperglycemia; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D016016:Proportional Hazards Models
chemical_list: D001786:Blood Glucose; C006584:1,5-anhydroglucitol; D003847:Deoxyglucose
keywords: 1,5-Anhydro-d-glucitol; Cardiovascular events; Non-diabetic population