Publications by authors named "Zhi Guang Zhou"

Objective: A shared decision-making (SDM) model-based intervention programme was implemented for a population at high risk for diabetes to explore its effectiveness in intervening with blood glucose levels in this population.

Methods: One hundred residents were selected according to the principle of voluntary participation and divided into the intervention group (n = 50) and the control group (n = 50) by using multistage cluster sampling. The control group received only brief diabetes knowledge education through a disease brochure issued by the hospital; the intervention group implemented a SDM model based on large classroom and individualised education for 4 months.

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  • * Misunderstandings around diagnosis and management of statin-related issues, including a lack of unified definitions, contribute to insufficient statin use and poor patient adherence.
  • * This consensus aims to clarify gene polymorphisms related to statins and propose standardized diagnostic criteria and management strategies to improve their clinical application and treatment of cardiovascular disease in China.
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Low-density lipoprotein cholesterol (LDL-C) has been considered as the primary target for the prevention and treatment of atherosclerotic cardiovascular disease (ASCVD). However, there are still residual cardiovascular risks in some patients even if LDL-C achieves the target level. Emerging evidence suggestes that elevated triglyceride (TG) level or triglyceride-rich lipoprotein (TRL) cholesterol (TRL-C) is one of the important components of the residual cardiovascular risks.

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Recruitment of immune cells to the site of inflammation by the chemokine CCL1 is important in the pathology of inflammatory diseases. Here, we examined the role of CCL1 in pulmonary fibrosis (PF). Bronchoalveolar lavage fluid from PF mouse models contained high amounts of CCL1, as did lung biopsies from PF patients.

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Purpose: 17q12 Deletion Syndrome is heterogeneous and the reasons remain unclear. We clarified the clinical characteristics of adulthood diabetes onset 17q12 deletion syndrome and investigated the unclear phenotype-genotype correlation.

Methods: We collected the clinical history and laboratory results of a family with autosomal dominant inheritance diabetes and renopathy.

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Background: Atypical clinical symptoms of juvenile hereditary hemochromatosis (JHH) often leads to misdiagnosis and underdiagnosis bringing ominous outcomes, even death.

Methods: The whole exome was sequenced and interpreted. A literature review assisted to analyze and verify the phenotype-genotype relationships.

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Aim: This systematic review aimed at investigating the effectiveness of structured education (SE) in improving glycemic control and psychological outcomes in adolescent and adult patients with type 1 diabetes.

Methods: Electronic databases (EMBASE, Medline, PubMed, and the Cochrane Library) and the reference lists of included studies were searched from the beginning of the database through April 2019. Randomized controlled trials comparing SE with a control condition and reporting a change in glycosylated hemoglobin (HbA1c) level were included.

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Type 2 diabetic patients are becoming younger and having a tendency to family aggregation, they are easily suspected as maturity-onset diabetes of young (MODY) in the outpatient clinic and send to genetic testing. 9 diabetic families were compared in our outpatient clinic who met the primary diagnosis criteria of MODY. Detailed clinical features and laboratory data including gene sequence were collected and analyzed.

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Background: Glucose fluctuation confers additional risks on diabetes-related vascular diseases, but the underlying mechanisms are unknown. Macrophage activation mediated by TLR4-JNK signaling plays an important role during the progress of diabetes. In the present study, we hypothesize that glucose fluctuation results in macrophage inflammation through TLR4-JNK signaling pathways.

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  • High levels of circulating free fatty acids (FFAs), particularly palmitate (PA), trigger macrophage apoptosis, which plays a significant role in the progression of atherosclerosis.
  • PA induces oxidative stress and mitochondrial dysfunction in human macrophage Thp-1 cells, characterized by decreased ATP levels, mitochondrial damage, and altered apoptosis-related proteins.
  • Inhibition of adipocyte fatty acid-binding protein (A-FABP) can reverse these effects, suggesting that targeting A-FABP may offer a potential therapy to prevent macrophage apoptosis and slow down atherosclerosis.
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In the nervous system, excessive activation of NMDA receptors causes neuronal injury. Although activation of NMDARs has been proposed to contribute to the progress of diabetes, little is known about the effect of excessive long-term activation of NMDARs on β-cells, especially under the challenge of hyperglycemia. Here we thoroughly investigated whether endogenous glutamate aggravated β-cell dysfunction under chronic exposure to high-glucose via activation of NMDARs.

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  • * They detected a specific mutation (c.779 C>T) in the HNF1A gene, which contributed to varying symptoms among family members.
  • * Treatment included the medication Gliclazide for blood glucose control and regular genetic counseling, which improved the mental health of affected individuals.
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Objective To investigate the changes of regulatory T cells (Tregs) and whether Tregs can modulate the distribution of macrophage subtypes in visceral adipose tissue in the early stage of obesity.Methods After C57BL/6 mice obesity models were successfully established,metabolic parameters and numbers of Tregs and M1/M2 macrophage were measured at 4,10,and 20 weeks.The changes of metabolic parameters and adipose tissue inflammation in obesity mice after rapamycin intervention were evaluated.

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  • The study aimed to investigate changes in serum cortisol levels in adolescents with type 1 diabetes (T1DM) who also show elevated depressive symptoms.
  • 28 adolescents with T1DM and 31 healthy peers were assessed for depressive symptoms, leading to four distinct groups for comparison of fasting cortisol levels.
  • Results showed that fasting cortisol was significantly higher in adolescents with T1DM and depression than in other groups, indicating a potential link between depression and poor glucose control in these patients.
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  • Asia is seeing an increase in diabetes cases, necessitating effective management options for type 2 diabetes.
  • Linagliptin, a DPP-4 inhibitor, has unique pharmacokinetics which include rapid steady state achievement and prolonged half-life, with consistent effectiveness across Asian and non-Asian populations.
  • Clinical studies show that linagliptin is effective and well-tolerated in Asian patients, including those with renal or liver issues, making it a viable treatment option amidst the complexities of diabetes management.
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  • The study evaluates the role of zinc transporter-8 (ZnT8) in improving the diagnosis and prediction of type 1 diabetes mellitus (T1DM), while also exploring its potential as a therapeutic target.
  • A literature review from 2001 to 2015 identified relevant articles discussing ZnT8's association with diabetes, focusing on its biomarkers and immune response.
  • Findings suggest that ZnT8 autoantibodies and specific T cells are reliable for identifying T1DM, and that ZnT8 could be a candidate for immunotherapy, although challenges remain before widespread clinical use.
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Objective: To investigate the effect of high-fat or high-glucose diet on obesity and visceral adipose tissue in C57BL/6 mice.

Methods: Four-week-old C57BL/6 mice were allocated into normal diet group,high-fat diet group,and high-glucose diet group according to the random number table until 20 weeks old. Body weight,epididymal adipose tissue weight,blood leptin,fat infiltration in liver,M1/M2 macrophage subtypes,and monocyte chemoattractant protein-1 mRNA in epididymal adipose tissues were measured.

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Aims And Objectives: To describe the patterns of diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life over time in a cohort of Chinese youth with type 1 diabetes and to determine the relationships between these variables over time.

Background: Nurses have an important role in facilitating optimal self-management and health outcomes in youth with type 1 diabetes. Only a few studies have focused on patterns of diabetes adaptation over time in youth with type 1 diabetes, especially in China.

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Objective: To study the effectiveness of waist circumference cut-off values in predicting the prevalence of metabolic syndrome (MetS) and risk factors in adults in China.

Methods: A cross-sectional survey was condcuted in 14 provinces (autonomous region, municipality) in China. A total of 47,325 adults aged⋝20 years were selected by multistage stratified sampling, and questionnaire survey and physical and clinical examination were conducted among them.

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Objective: To explore the relationship between body fat distribution, insulin resistance, islet β cell function and metabolic disorders in adult population.

Methods: From February to November 2012, a total of 174 subjects aged 20-68 years were recruited. Their anthropometric parameters, blood biochemical indices and the results of oral glucose tolerance test (OGTT) and insulin releasing test (IRT) were collected.

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