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High-Density Lipoprotein and Glycosylated Hemoglobin in Nondiabetic Individuals
Jay M. Sosenko, MD;
Denise B. Kubrusly, MD;
Ronald B. Goldberg, MD;
Arthur M. Fournier, MD;
Sung L. Hsia, PhD;
Maria T. Gadia, MD;
Jay S. Skyler, MD
Arch Intern Med. 1986;146(8):1521-1524.
Abstract
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• We investigated associations of high-density-lipoprotein (HDL) cholesterol, apolipoprotein A-I, and triglyceride levels with hemoglobin A1 (HbA1) and insulin levels in nondiabetic subjects (137 women and 111 men). In women, HDL cholesterol, apolipoprotein A-I, and log-triglyceride values were significantly correlated with those of HbA, and log-fasting insulin. These univariate associations persisted when age and Quetelet's index were included as covariates in multiple regression analyses. Conversely, univariate associations of HDL cholesterol and log-triglyceride levels with Quetelet's index were diminished by the addition of insulin values to multivariate models. Insulin levels and Quetelet's index were highly correlated. Although there were weaker associations in men, apolipoprotein A-I and HbA, values were inversely related. These data suggest that HDL cholesterol and apolipoprotein A-I levels are closely linked to glucose metabolism in nondiabetic individuals.
(Arch Intern Med 1986;146:1521-1524)
Author Affiliations
From the Divisions of General Medicine (Drs Sosenko, Kubrusly, Fournier, and Gadia) and Endocrinology (Drs Goldberg, Hsia, and Skyler), Department of Medicine, University of Miami School of Medicine.
Footnotes
Accepted for publication Jan 2, 1986.
Read before the American Federation for Clinical Research, Washington, DC, May 5, 1984.
Reprint requests to Department of Medicine (R-103), University of Miami School of Medicine, PO Box 016960, Miami, FL 33101 (Dr Sosenko).
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