Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study

Introduction. Previous observational studies have shown conflicting results between plasma K+ concentrations and risk of type 2 diabetes. To help clarify the evidence we aimed to determine whether an association existed between serum K+ and glucose regulation within a UK multiethnic population. Meth...

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Main Authors: Patrice Carter, Danielle H. Bodicoat, Lauren M. Quinn, Francesco Zaccardi, David R. Webb, Kamlesh Khunti, Melanie J. Davies
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/923749
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author Patrice Carter
Danielle H. Bodicoat
Lauren M. Quinn
Francesco Zaccardi
David R. Webb
Kamlesh Khunti
Melanie J. Davies
author_facet Patrice Carter
Danielle H. Bodicoat
Lauren M. Quinn
Francesco Zaccardi
David R. Webb
Kamlesh Khunti
Melanie J. Davies
author_sort Patrice Carter
collection DOAJ
description Introduction. Previous observational studies have shown conflicting results between plasma K+ concentrations and risk of type 2 diabetes. To help clarify the evidence we aimed to determine whether an association existed between serum K+ and glucose regulation within a UK multiethnic population. Methods. Participants were recruited as part of the ADDITION Leicester study, a population based screening study. Individuals from primary care between the age of 40 and 75 years if White European or 25 and 75 years if South Asian or Afro Caribbean were recruited. Tests for associations between baseline characteristics and K+ quartiles were conducted using linear regression models. Results. Data showed individuals in the lowest K+ quartile had significantly greater 2-hour glucose levels (0.53 mmol/L, 95% CI: 0.36 to 0.70, P≤0.001) than those in the highest K+ quartile. This estimation did not change with adjustment for potential confounders. Conversely, participants in the lowest K+ quartile had a 0.14% lower HbA1c (95% CI −0.19 to −0.10: P≤0.001) compared to those in the highest K+ quartile. Conclusion. This cross-sectional analysis demonstrated that lower K+ was associated with greater 2 hr glucose. The data supports the possibility that K+ may influence glucose regulation and further research is warranted.
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spelling doaj-art-b52ad4cffb92431783d31e78338d05642025-02-03T06:01:21ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/923749923749Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening StudyPatrice Carter0Danielle H. Bodicoat1Lauren M. Quinn2Francesco Zaccardi3David R. Webb4Kamlesh Khunti5Melanie J. Davies6University of Leicester, Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UKUniversity of Leicester, Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UKNuffield Science Bursary, University of Birmingham, Birmingham B15 2TT, UKUniversity of Leicester, Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UKUniversity of Leicester, Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UKUniversity of Leicester, Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UKUniversity of Leicester, Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UKIntroduction. Previous observational studies have shown conflicting results between plasma K+ concentrations and risk of type 2 diabetes. To help clarify the evidence we aimed to determine whether an association existed between serum K+ and glucose regulation within a UK multiethnic population. Methods. Participants were recruited as part of the ADDITION Leicester study, a population based screening study. Individuals from primary care between the age of 40 and 75 years if White European or 25 and 75 years if South Asian or Afro Caribbean were recruited. Tests for associations between baseline characteristics and K+ quartiles were conducted using linear regression models. Results. Data showed individuals in the lowest K+ quartile had significantly greater 2-hour glucose levels (0.53 mmol/L, 95% CI: 0.36 to 0.70, P≤0.001) than those in the highest K+ quartile. This estimation did not change with adjustment for potential confounders. Conversely, participants in the lowest K+ quartile had a 0.14% lower HbA1c (95% CI −0.19 to −0.10: P≤0.001) compared to those in the highest K+ quartile. Conclusion. This cross-sectional analysis demonstrated that lower K+ was associated with greater 2 hr glucose. The data supports the possibility that K+ may influence glucose regulation and further research is warranted.http://dx.doi.org/10.1155/2015/923749
spellingShingle Patrice Carter
Danielle H. Bodicoat
Lauren M. Quinn
Francesco Zaccardi
David R. Webb
Kamlesh Khunti
Melanie J. Davies
Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study
Journal of Diabetes Research
title Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study
title_full Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study
title_fullStr Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study
title_full_unstemmed Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study
title_short Serum Potassium and Glucose Regulation in the ADDITION-Leicester Screening Study
title_sort serum potassium and glucose regulation in the addition leicester screening study
url http://dx.doi.org/10.1155/2015/923749
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