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Metabolomics profiles of type 2 diabetes and insulin resistance and their associations with total mortality. T2D metabolites linked to mortality - PubMed

3 hours ago
  • #mortality
  • #type-2-diabetes
  • #metabolomics
  • The study aimed to identify metabolomic profiles linked to type 2 diabetes (T2D) and insulin resistance (HOMA-IR) and their association with total mortality.
  • A longitudinal study was conducted within the PREDIMED trial, analyzing plasma metabolites at baseline and 1-year follow-up using LC-MS/MS.
  • 31 metabolites were associated with T2D, and 105 with HOMA-IR. Both profiles were linked to higher total mortality risk (T2D HR = 1.52; HOMA-IR HR = 1.33).
  • Shared metabolites (e.g., glycine, SDMA, DMGV, phosphocreatine) were associated with mortality, validated in external cohorts (NHS/HPFS).
  • Metabolomic scores for T2D and insulin resistance may explain mechanisms behind increased mortality risk in individuals with glycemic dysregulation.