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Diabetes, Vol 40, Issue 7 796-799, Copyright © 1991 by American Diabetes Association
Risk factors for NIDDM in white population. Paris prospective study
MA Charles, A Fontbonne, N Thibult, JM Warnet, GE Rosselin and E Eschwege
Institut National de la Sante et de la Recherche Medicale (INSERM) U, Villejuif, France.
Risk factors for non-insulin-dependent diabetes mellitus (NIDDM) were
assessed in a population of 5042 middle-aged white men, initially
nondiabetic, who were followed 3 yr. The subjects were participants in the
Paris Prospective Study I. Sixty-three subjects developed diabetes during
the follow-up. Plasma glucose concentration in the years before the
occurrence of the disease was a major risk factor. Subjects with normal
glucose tolerance but elevated fasting plasma glucose exhibited a similar
risk of developing NIDDM as did subjects classified as having impaired
glucose tolerance on the basis of 2-h postload glucose. In a multiple
logistic regression, a high fasting plasma insulin concentration and a low
2-h plasma insulin concentration after a glucose load in association with a
high body mass index were independent predictors of conversion to NIDDM
from impaired glucose tolerance. Previously, this result had been found
only in Nauruans, Pima Indians, and Japanese. This demonstrates for the
first time in a white population that a high fasting and low 2-h insulin
concentration is predictive of conversion to NIDDM from impaired glucose
tolerance.

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Copyright © 1991 by the American Diabetes Association.
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