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Objective:To assess the association between blood pressure and the risks of diabetes mellitus.Methods:Screening and intervention were conducted from 2015 to 2019 for high-risk subjects of cardiovascular diseases in eight counties of Henan. Information on demographic characteristics, lifestyle behaviors, and anthropometric measurements were obtained via a questionnaire. Fasting blood samples were collected for blood glucose and serum lipids. The R 3.6.3 software was used to analyze the relationship between blood pressure and diabetes mellitus.Results:The detection rate of diabetes mellitus was 23.5% among 120 040 participants aged 35-75 years. The mean fasting blood glucose level was significantly different among normotensive, prehypertensive, and hypertensive patients. Compared to normotensive patients, prehypertension and hypertension had adjusted ORs of 34%( OR=1.34, 95 CI%: 1.30-1.37) and 85%( OR=1.85, 95 CI%: 1.81-1.89). The corresponding ORs were 1.81(1.77-1.85) in controlled and 2.17(2.06-2.28) in uncontrolled patients. A subgroup analysis showed the same trend, where the risk of diabetes increased with blood pressure ( P<0.05). Conclusions:People with elevated BP may increase their risk of diabetes, while the risk declines when BP is under control. Therefore, targeted measures should be taken to reduce the risk.
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OBJECTIVE： To study the chemical constituents of ethyl acetate fraction of Panax ginseng fungal substance obtained by biotransformation， in order to obtain compounds with better activity and lower toxicity， and to provide reference for new drug R&D and the second development and utilization of P. ginseng. METHODS： Fungus of Code Name C-1 seed solution was added into the culture medium containing P. ginseng， and P. ginseng fungal substance was obtained by biotransformation； the dried P. ginseng fungal substance were weighed， extracting with 70％ ethanol solvent and concentrating to obtain thick paste. The thick paste was added with water suspension and extracted with ethyl acetate to obtain ethyl acetate fraction. TLC， silica gel column chromatography， ODS column chromatography and semi-prepared liquid phase were used to isolate and purify above ethyl acetate fraction， and the compound structure was identified according to physicochemical properties， hydrogen spectrum （1H-NMR） and carbon spectrum （13C-NMR） data. RESULTS： Eight compounds were isolated and identified from the ethyl acetate fraction of P. ginseng fungal substance and identified as ginsenoside Rs7 （1）， ginsenoside Rk3 （2）， oleanolic acid-28-O-β-D-glucopyranoside （3）， ginsenoside Rs6 （4）， 20（R）-ginsenoside Rh1 （5）， ginsenoside F1 （6）， notoginsenoside R2 （7） and ginsenoside F4 （8）. CONCLUSIONS： All the above compounds were found in P. ginseng fungal substance， which compounds 3， 5， 6， 7 and 8 were obtained after biotransformation， proving that biotransformation technology can change the chemical composition of ginseng.