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Diabetes is a metabolic disease with an extremely high incidence in China. In parallel with an increased incidence yearly, the population of diabetes is showing a trend towards younger age. Therefore, it is urgent to carry out research on diabetes in order to develop strategy for prevention. In recent years, metabolomics has made significant progress in the study of biomarkers, pathogenesis, early diagnosis and prognosis, and evalua tion of drug efficacy in diabetes. However, limited by metabolomics technology and the complexity of diabetes research, metabolomics in the diabetes research remains challenging. We summarize the progress and prospect the future development of metabolomics in the diabetes research.
, correspAuthors=Yu-feng LIU, authorNote=null, correspAuthorsNote=null, copyrightStatement=Copyright ©2019 Acta Pharmaceutica Sinica. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, authorCompany=null, fund=null, authors=null, authorsList=Xin LI, Hai-yan MA, Lu-pan LI, Shan-shan SUN, Li-jun ZHU, Yu-feng LIU), CN=ArticleExt(id=1222467030935135004, articleId=1222467029798478552, tenantId=1146029695717560320, journalId=1189982191388893191, language=CN, title=糖尿病的代谢组学研究进展, columnId=1190335349655180086, journalTitle=药学学报, columnName=综述, runingTitle=null, highlight=null, articleAbstract=
糖尿病是一种发病率极高的代谢紊乱性疾病。随着糖尿病发病人数的逐年增加,其发病人群也呈现出年轻化趋势。因此,深入开展糖尿病研究工作迫在眉睫。近年来,代谢组学在糖尿病的生物标记物发现、发病机制探索、早期诊断及预后、药物疗效评价等方面的研究中取得了可喜的进展。但限于代谢组学技术的发展局限及糖尿病研究的复杂性,糖尿病的代谢组学研究仍然面临诸多的挑战。本文主要针对代谢组学在糖尿病中的研究进展及其发展方向进行合理的总结和展望。
, correspAuthors=刘玉峰, authorNote=null, correspAuthorsNote=
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General structures and representative substances of typical diabetic biomarkers , figureFileSmall=YftHJXvTRf2XZeDNiMEkTA==, figureFileBig=vSkaBaH+kBwDx532MaKH+Q==, tableContent=null), ArticleFig(id=1222467034605150264, tenantId=1146029695717560320, journalId=1189982191388893191, articleId=1222467029798478552, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| Metabolites type | Biomarker | Regulation | Technique | Specimen | Reference | Diabetes type |
| Amino acids | Alanine | ↑ | NMR; GC-MS | Blood | [27, 28] | T2DM; T1DM |
| Valine | − | LC-MS | Urine | [29] | T2DM |
| Valine | ↑ | NMR | Blood | [30] | T2DM |
| Lysine | ↑ | NMR | Blood | [30] | T2DM |
| Lysine | − | GC-MS | Faeces | [31] | T2DM |
| Tyrosine | ↑ | NMR | Blood | [32] | T2DM |
| Tyrosine | ↓ | LC-MS | Urine | [33] | T2DM |
| Isoleucine | ↑ | NMR; GC-MS | Blood | [28, 32] | T2DM; T1DM |
| Methionine | ↑ | NMR; LC-MS; GC-MS | Blood; Faeces | [31, 32, 34] | T2DM; T1DM |
| Tryptophan | ↓ | GC-MS | Blood | [35] | T2DM |
| Tryptophan | ↓ | LC-MS | Urine | [33] | T2DM |
| Phenylalanine | ↑ | NMR | Blood | [27] | T2DM |
| Phenylalanine | − | GC-MS | Faeces | [31] | T2DM |
| L-Aspartic acid | − | GC-MS | Faeces | [31] | T2DM |
| Aspartic acid | ↑ | LC-MS | Urine | [33] | T2DM |
| Leucine | ↑ | NMR | Blood | [30] | T2DM |
| Glycine | ↓ | LC-MS | Blood | [36] | T2DM |
| Proline | ↑ | NMR | Blood | [30] | T2DM |
| Threonine | ↑ | NMR | Blood | [30] | T2DM |
| Histidine | ↑ | NMR | Blood | [30] | T2DM |
| Organic acids | Dimethyl glycine | ↑ | NMR | Blood | [27] | T2DM |
| Butane dioic acid | − | GC-MS | Faeces | [31] | T2DM |
| Glutaric acid | ↑ | LC-MS | Urine | [33] | T2DM |
| Nicotinyl glycine | ↑ | LC-MS | Urine | [33] | T2DM |
| N-beta-Alanyl-histidine | ↓ | LC-MS | Urine | [33] | T2DM |
| Ornithine | − | LC-MS | Urine | [37] | T2DM |
| Bradykinin hydroxyproline | − | GC-MS | Blood | [38] | T2DM |
| N-Acetyl threonine | − | LC-MS; GC-MS | Blood | [39] | T2DM |
| C-Glycosyl tryptophan | − | LC-MS; GC-MS | Blood | [39] | T2DM |
| Maleic acid | ↓ | GC-MS | Urine | [40] | T2DM |
| Oxylacetic acid | ↓ | GC-MS | Urine | [40] | T2DM |
| Tartaric acid | − | GC-MS | Urine | [41] | T2DM |
| Cholic acid | − | LC-MS | Urine | [42] | T2DM |
| Chenodeoxycholic acid | − | LC-MS | Urine | [42] | T2DM |
| Deoxycholic acid | − | LC-MS | Urine | [42] | T2DM |
| Deoxycholic acid | ↑ | LC-MS | Blood | [43] | T2DM |
| Hippuric acid | − | LC-MS | Urine | [37] | T2DM |
| Hippuric acid | ↑ | GC-MS | Urine | [44] | T2DM |
| Kynurenic acid | ↓ | LC-MS | Urine | [45] | T2DM |
| Kynurenine | ↓ | GC-MS | Blood | [35] | T2DM |
| Lactic acid | ↑ | NMR | Blood | [30] | T2DM |
| Corosolic acid | − | LC-MS | Blood | [46] | T2DM |
| 3, 7-Dimethyluric acid | ↑ | NMR | Blood | [30] | T2DM |
| 4-Aminobenzoic acid | ↑ | GC-MS | Urine | [40] | T2DM |
| 2, 5-Bisoxy-benzeneacetic acid | ↓ | GC-MS | Urine | [40] | T2DM |
| 2-Oxoglutaric acid | ↑ | NMR | Blood | [32] | T2DM |
| 2-Aminoadipic acid | ↓ | LC-MS | Faeces | [47] | T2DM |
| Pantothenic acid | ↑ | NMR | Blood | [30] | T2DM |
| α-Amino-adipic acid | − | GC-MS | Blood | [28] | T1DM |
| β-Muricholic acid | ↑ | LC-MS | Blood | [48] | GDM |
| Glycine-hyodeoxycholic acid | ↓ | LC-MS | Blood | [48] | GDM |
| Mono-4s bile acid | ↑ | LC-MS | Blood | [48] | GDM |
| Mono-5s bile acid | ↑ | LC-MS | Blood | [48] | GDM |
| Dehydro-s bile acid | ↑ | LC-MS | Blood | [48] | GDM |
| Taurine-hydrocholic acid | ↑ | LC-MS | Blood | [48] | GDM |
| Lipids | Lyso PI | ↑ | LC-MS | Blood | [34] | T1DM |
| Lyso PC | ↓ | LC-MS | Blood | [34] | T1DM |
| Lyso PC 17:0 | ↓ | LC-MS | Blood | [49] | T2DM |
| Lyso PC 18:1 | ↓ | LC-MS | Blood | [49] | T2DM |
| Lyso PC 18:2 | ↓ | LC-MS | Blood | [49, 50] | T2DM |
| PG | ↓ | LC-MS | Blood | [34] | T1DM |
| PC(O-34:2) | ↓ | LC-MS | Blood | [32] | T2DM |
| PC aa C32:1 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C34:3 | − | LC-MS | Blood | [50, 51] | T2DM |
| PC ae C36:0 | ↑ | LC-MS | Blood | [36] | T2DM |
| PC aa C36:1 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C36:3 | − | LC-MS | Blood | [51] | T2DM |
| PC aa C38:3 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C40:6 | ↓ | LC-MS | Blood | [50] | T2DM |
| PC aa C40:5 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C42:5 | ↓ | LC-MS | Blood | [50] | T2DM |
| PC ae C44:4 | ↓ | LC-MS | Blood | [50] | T2DM |
| PC ae C44:5 | ↓ | LC-MS | Blood | [50] | T2DM |
| MG 18:2 | ↑ | LC-MS | Blood | [43] | T2DM |
| SM 16:1 | ↓ | LC-MS | Blood | [50] | T2DM |
| SM(OH) 26:0 | − | LC-MS | Blood | [52] | T2DM |
| SM(OH) 28:0 | − | LC-MS | Blood | [52] | T2DM |
| TG (48:0) | ↑ | LC-MS | Blood | [32] | T2DM |
| TG (48:1) | ↑ | LC-MS | Blood | [32] | T2DM |
| TG (50:5) | ↑ | LC-MS | Blood | [32] | T2DM |
| Glycerol | ↑ | NMR | Blood | [32] | T2DM |
| Stearic acid | ↑ | GC-MS | Blood | [53] | GDM |
| Palmitic acid | − | GC-MS | Blood | [54] | T2DM |
| Linoleic acid | − | GC-MS | Blood | [54] | T2DM |
| 7-Methyluric acid | − | LC-MS | Urine | [29] | T2DM |
| D-Gluconic acid | ↑ | GC-MS | Urine | [44] | T2DM |
| 2-Aminobutyric acid | − | GC-MS | Urine | [55] | GDM |
| 2-Hydroxybutyric acid | − | GC-MS | Blood | [54] | T2DM |
| 3-Hydroxybutyric acid | ↑ | NMR | Blood | [30] | T2DM |
| 3-Hydroxybutyric acid | ↑ | LC-MS | Blood | [56] | T1DM |
| 5, 8, 11, 14, 17-Eicosapentaenoic acid | − | GC-MS | Blood | [57] | T2DM |
| Carbohydrate | D-Tagatose | − | GC-MS | Faeces | [31] | T2DM |
| D-Lyxose | − | GC-MS | Faeces | [31] | T2DM |
| D-Erythrose | − | GC-MS | Faeces | [31] | T2DM |
| Xylo-hexos-5-ulose | − | GC-MS | Faeces | [31] | T2DM |
| 2-Deoxy-galactose | − | GC-MS | Faeces | [31] | T2DM |
| D-Glucose | ↑ | GC-MS | Urine | [44] | T2DM |
| D-Glucose | − | GC-MS | Urine | [41] | T2DM |
| D-Galactose | − | GC-MS | Urine | [41] | T2DM |
| Maltose | ↑ | LC-MS | Blood | [56] | T1DM |
| Lactate | ↑ | NMR | Blood | [32] | T2DM |
| Nucleotides | N1-Methylguanosine | − | LC-MS | Urine | [29] | T2DM |
| Xanthosine | − | LC-MS | Urine | [29] | T2DM |
| 7H-Purine | − | GC-MS | Faeces | [31] | T2DM |
| 2'-Deoxyinosine | − | GC-MS | Faeces | [31] | T2DM |
| Pseudo uridine | − | LC-MS; GC-MS | Blood | [39] | T2DM |
| Carnitine | L-Carnitine | − | LC-MS | Urine | [37] | T2DM |
| C16 | ↑ | LC-MS | Blood | [36] | T2DM |
| Others | Cortisol | ↓ | LC-MS | Blood | [43] | T2DM |
| p-Cresol | ↑ | NMR | Blood | [27] | T2DM |
| Acetoacetate | ↑ | NMR | Blood | [27] | T2DM |
| Methyl succinate | ↑ | NMR | Blood | [27] | T2DM |
| Methyl guanidine | ↓ | NMR | Blood | [27] | T2DM |
| 3-Hydroxymandelate | ↓ | NMR | Blood | [27] | T2DM |
| Phenylacetylglutamine | ↑ | NMR | Blood | [27] | T2DM |
| Choline | ↑ | NMR | Blood | [30] | T2DM |
| Sorbitol | ↑ | NMR | Blood | [30] | T2DM |
| Myoinositol | ↑ | NMR | Blood | [30] | T2DM |
| Inositol | ↑ | GC-MS | Urine | [44] | T2DM |
| Hex decanoate | − | GC-MS | Blood | [57] | T2DM |
| Glycine betaine | ↑ | NMR | Blood | [32] | T2DM |
| α-Tocopherol | − | GC-MS | Blood | [38] | T2DM |
| 2-Hydroxybutyrate | ↑ | GC-MS | Blood | [53] | GDM |
| 2-Hydroxybutyrate | ↑ | NMR | Blood | [32] | T2DM |
| 3-Hydroxybutyrate | ↑ | GC-MS | Blood | [53] | GDM |
| Pyruvate | ↑ | NMR | Blood | [32] | T2DM |
| Pantothenate | − | LC-MS | Urine | [37] | T2DM |
| Guanidoacetate | ↑ | NMR | Blood | [27] | T2DM |
| 8, 11, 14-Eicosatrienoate | − | GC-MS | Blood | [57] | T2DM |
| Ceramides | ↑ | LC-MS | Blood | [34] | T1DM |
| Isopropanol | − | GC-MS | Exhaled breath | [58] | T2DM |
| 2, 3, 4-Trimethylhexane | − | GC-MS | Exhaled breath | [58] | T2DM |
| 2, 6, 8-Trimethyldecane | − | GC-MS | Exhaled breath | [58] | T2DM |
| Tridecane | − | GC-MS | Exhaled breath | [58] | T2DM |
| Undecane | − | GC-MS | Exhaled breath | [58] | T2DM |
| 1, 5-Anhydroglucitol (1, 5-AG) | − | GC-MS | Urine | [41] | T2DM |
| 1, 5-Anhydroglucitol (1, 5-AG) | ↓ | LC-MS; NMR | Blood | [32, 56] | T1DM; T2DM |
), ArticleFig(id=1222467034735173701, tenantId=1146029695717560320, journalId=1189982191388893191, articleId=1222467029798478552, language=CN, label=Table 1, caption=
Metabolic biomarkers of diabetes (2005-2018). "-" No relevant information was reported in literatures. PC ae: Phosphatidylcholines-acyl-alkyl; PC aa: Diacyl-phosphatidylcholines; Lyso PC: Lyso-phosphatidylcholine; Lyso PI: Lyso-phosphatidylinositol; SM: Sphingomyelin; MG: Mono acyl glyceride; PG: Phosphatidylglycerol; TG: Triglyceride; T1DM: Type 1 diabetes mellitus; T2DM: Type 2 diabetes mellitus; GDM: Gestational diabetes mellitus
, figureFileSmall=null, figureFileBig=null, tableContent=
| Metabolites type | Biomarker | Regulation | Technique | Specimen | Reference | Diabetes type |
| Amino acids | Alanine | ↑ | NMR; GC-MS | Blood | [27, 28] | T2DM; T1DM |
| Valine | − | LC-MS | Urine | [29] | T2DM |
| Valine | ↑ | NMR | Blood | [30] | T2DM |
| Lysine | ↑ | NMR | Blood | [30] | T2DM |
| Lysine | − | GC-MS | Faeces | [31] | T2DM |
| Tyrosine | ↑ | NMR | Blood | [32] | T2DM |
| Tyrosine | ↓ | LC-MS | Urine | [33] | T2DM |
| Isoleucine | ↑ | NMR; GC-MS | Blood | [28, 32] | T2DM; T1DM |
| Methionine | ↑ | NMR; LC-MS; GC-MS | Blood; Faeces | [31, 32, 34] | T2DM; T1DM |
| Tryptophan | ↓ | GC-MS | Blood | [35] | T2DM |
| Tryptophan | ↓ | LC-MS | Urine | [33] | T2DM |
| Phenylalanine | ↑ | NMR | Blood | [27] | T2DM |
| Phenylalanine | − | GC-MS | Faeces | [31] | T2DM |
| L-Aspartic acid | − | GC-MS | Faeces | [31] | T2DM |
| Aspartic acid | ↑ | LC-MS | Urine | [33] | T2DM |
| Leucine | ↑ | NMR | Blood | [30] | T2DM |
| Glycine | ↓ | LC-MS | Blood | [36] | T2DM |
| Proline | ↑ | NMR | Blood | [30] | T2DM |
| Threonine | ↑ | NMR | Blood | [30] | T2DM |
| Histidine | ↑ | NMR | Blood | [30] | T2DM |
| Organic acids | Dimethyl glycine | ↑ | NMR | Blood | [27] | T2DM |
| Butane dioic acid | − | GC-MS | Faeces | [31] | T2DM |
| Glutaric acid | ↑ | LC-MS | Urine | [33] | T2DM |
| Nicotinyl glycine | ↑ | LC-MS | Urine | [33] | T2DM |
| N-beta-Alanyl-histidine | ↓ | LC-MS | Urine | [33] | T2DM |
| Ornithine | − | LC-MS | Urine | [37] | T2DM |
| Bradykinin hydroxyproline | − | GC-MS | Blood | [38] | T2DM |
| N-Acetyl threonine | − | LC-MS; GC-MS | Blood | [39] | T2DM |
| C-Glycosyl tryptophan | − | LC-MS; GC-MS | Blood | [39] | T2DM |
| Maleic acid | ↓ | GC-MS | Urine | [40] | T2DM |
| Oxylacetic acid | ↓ | GC-MS | Urine | [40] | T2DM |
| Tartaric acid | − | GC-MS | Urine | [41] | T2DM |
| Cholic acid | − | LC-MS | Urine | [42] | T2DM |
| Chenodeoxycholic acid | − | LC-MS | Urine | [42] | T2DM |
| Deoxycholic acid | − | LC-MS | Urine | [42] | T2DM |
| Deoxycholic acid | ↑ | LC-MS | Blood | [43] | T2DM |
| Hippuric acid | − | LC-MS | Urine | [37] | T2DM |
| Hippuric acid | ↑ | GC-MS | Urine | [44] | T2DM |
| Kynurenic acid | ↓ | LC-MS | Urine | [45] | T2DM |
| Kynurenine | ↓ | GC-MS | Blood | [35] | T2DM |
| Lactic acid | ↑ | NMR | Blood | [30] | T2DM |
| Corosolic acid | − | LC-MS | Blood | [46] | T2DM |
| 3, 7-Dimethyluric acid | ↑ | NMR | Blood | [30] | T2DM |
| 4-Aminobenzoic acid | ↑ | GC-MS | Urine | [40] | T2DM |
| 2, 5-Bisoxy-benzeneacetic acid | ↓ | GC-MS | Urine | [40] | T2DM |
| 2-Oxoglutaric acid | ↑ | NMR | Blood | [32] | T2DM |
| 2-Aminoadipic acid | ↓ | LC-MS | Faeces | [47] | T2DM |
| Pantothenic acid | ↑ | NMR | Blood | [30] | T2DM |
| α-Amino-adipic acid | − | GC-MS | Blood | [28] | T1DM |
| β-Muricholic acid | ↑ | LC-MS | Blood | [48] | GDM |
| Glycine-hyodeoxycholic acid | ↓ | LC-MS | Blood | [48] | GDM |
| Mono-4s bile acid | ↑ | LC-MS | Blood | [48] | GDM |
| Mono-5s bile acid | ↑ | LC-MS | Blood | [48] | GDM |
| Dehydro-s bile acid | ↑ | LC-MS | Blood | [48] | GDM |
| Taurine-hydrocholic acid | ↑ | LC-MS | Blood | [48] | GDM |
| Lipids | Lyso PI | ↑ | LC-MS | Blood | [34] | T1DM |
| Lyso PC | ↓ | LC-MS | Blood | [34] | T1DM |
| Lyso PC 17:0 | ↓ | LC-MS | Blood | [49] | T2DM |
| Lyso PC 18:1 | ↓ | LC-MS | Blood | [49] | T2DM |
| Lyso PC 18:2 | ↓ | LC-MS | Blood | [49, 50] | T2DM |
| PG | ↓ | LC-MS | Blood | [34] | T1DM |
| PC(O-34:2) | ↓ | LC-MS | Blood | [32] | T2DM |
| PC aa C32:1 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C34:3 | − | LC-MS | Blood | [50, 51] | T2DM |
| PC ae C36:0 | ↑ | LC-MS | Blood | [36] | T2DM |
| PC aa C36:1 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C36:3 | − | LC-MS | Blood | [51] | T2DM |
| PC aa C38:3 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C40:6 | ↓ | LC-MS | Blood | [50] | T2DM |
| PC aa C40:5 | ↑ | LC-MS | Blood | [50] | T2DM |
| PC ae C42:5 | ↓ | LC-MS | Blood | [50] | T2DM |
| PC ae C44:4 | ↓ | LC-MS | Blood | [50] | T2DM |
| PC ae C44:5 | ↓ | LC-MS | Blood | [50] | T2DM |
| MG 18:2 | ↑ | LC-MS | Blood | [43] | T2DM |
| SM 16:1 | ↓ | LC-MS | Blood | [50] | T2DM |
| SM(OH) 26:0 | − | LC-MS | Blood | [52] | T2DM |
| SM(OH) 28:0 | − | LC-MS | Blood | [52] | T2DM |
| TG (48:0) | ↑ | LC-MS | Blood | [32] | T2DM |
| TG (48:1) | ↑ | LC-MS | Blood | [32] | T2DM |
| TG (50:5) | ↑ | LC-MS | Blood | [32] | T2DM |
| Glycerol | ↑ | NMR | Blood | [32] | T2DM |
| Stearic acid | ↑ | GC-MS | Blood | [53] | GDM |
| Palmitic acid | − | GC-MS | Blood | [54] | T2DM |
| Linoleic acid | − | GC-MS | Blood | [54] | T2DM |
| 7-Methyluric acid | − | LC-MS | Urine | [29] | T2DM |
| D-Gluconic acid | ↑ | GC-MS | Urine | [44] | T2DM |
| 2-Aminobutyric acid | − | GC-MS | Urine | [55] | GDM |
| 2-Hydroxybutyric acid | − | GC-MS | Blood | [54] | T2DM |
| 3-Hydroxybutyric acid | ↑ | NMR | Blood | [30] | T2DM |
| 3-Hydroxybutyric acid | ↑ | LC-MS | Blood | [56] | T1DM |
| 5, 8, 11, 14, 17-Eicosapentaenoic acid | − | GC-MS | Blood | [57] | T2DM |
| Carbohydrate | D-Tagatose | − | GC-MS | Faeces | [31] | T2DM |
| D-Lyxose | − | GC-MS | Faeces | [31] | T2DM |
| D-Erythrose | − | GC-MS | Faeces | [31] | T2DM |
| Xylo-hexos-5-ulose | − | GC-MS | Faeces | [31] | T2DM |
| 2-Deoxy-galactose | − | GC-MS | Faeces | [31] | T2DM |
| D-Glucose | ↑ | GC-MS | Urine | [44] | T2DM |
| D-Glucose | − | GC-MS | Urine | [41] | T2DM |
| D-Galactose | − | GC-MS | Urine | [41] | T2DM |
| Maltose | ↑ | LC-MS | Blood | [56] | T1DM |
| Lactate | ↑ | NMR | Blood | [32] | T2DM |
| Nucleotides | N1-Methylguanosine | − | LC-MS | Urine | [29] | T2DM |
| Xanthosine | − | LC-MS | Urine | [29] | T2DM |
| 7H-Purine | − | GC-MS | Faeces | [31] | T2DM |
| 2'-Deoxyinosine | − | GC-MS | Faeces | [31] | T2DM |
| Pseudo uridine | − | LC-MS; GC-MS | Blood | [39] | T2DM |
| Carnitine | L-Carnitine | − | LC-MS | Urine | [37] | T2DM |
| C16 | ↑ | LC-MS | Blood | [36] | T2DM |
| Others | Cortisol | ↓ | LC-MS | Blood | [43] | T2DM |
| p-Cresol | ↑ | NMR | Blood | [27] | T2DM |
| Acetoacetate | ↑ | NMR | Blood | [27] | T2DM |
| Methyl succinate | ↑ | NMR | Blood | [27] | T2DM |
| Methyl guanidine | ↓ | NMR | Blood | [27] | T2DM |
| 3-Hydroxymandelate | ↓ | NMR | Blood | [27] | T2DM |
| Phenylacetylglutamine | ↑ | NMR | Blood | [27] | T2DM |
| Choline | ↑ | NMR | Blood | [30] | T2DM |
| Sorbitol | ↑ | NMR | Blood | [30] | T2DM |
| Myoinositol | ↑ | NMR | Blood | [30] | T2DM |
| Inositol | ↑ | GC-MS | Urine | [44] | T2DM |
| Hex decanoate | − | GC-MS | Blood | [57] | T2DM |
| Glycine betaine | ↑ | NMR | Blood | [32] | T2DM |
| α-Tocopherol | − | GC-MS | Blood | [38] | T2DM |
| 2-Hydroxybutyrate | ↑ | GC-MS | Blood | [53] | GDM |
| 2-Hydroxybutyrate | ↑ | NMR | Blood | [32] | T2DM |
| 3-Hydroxybutyrate | ↑ | GC-MS | Blood | [53] | GDM |
| Pyruvate | ↑ | NMR | Blood | [32] | T2DM |
| Pantothenate | − | LC-MS | Urine | [37] | T2DM |
| Guanidoacetate | ↑ | NMR | Blood | [27] | T2DM |
| 8, 11, 14-Eicosatrienoate | − | GC-MS | Blood | [57] | T2DM |
| Ceramides | ↑ | LC-MS | Blood | [34] | T1DM |
| Isopropanol | − | GC-MS | Exhaled breath | [58] | T2DM |
| 2, 3, 4-Trimethylhexane | − | GC-MS | Exhaled breath | [58] | T2DM |
| 2, 6, 8-Trimethyldecane | − | GC-MS | Exhaled breath | [58] | T2DM |
| Tridecane | − | GC-MS | Exhaled breath | [58] | T2DM |
| Undecane | − | GC-MS | Exhaled breath | [58] | T2DM |
| 1, 5-Anhydroglucitol (1, 5-AG) | − | GC-MS | Urine | [41] | T2DM |
| 1, 5-Anhydroglucitol (1, 5-AG) | ↓ | LC-MS; NMR | Blood | [32, 56] | T1DM; T2DM |
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