Metabolic Derangements in Excessive Insulin and Sulfonylurea Therapy

Summary Mild streptozotocin diabetic rats, characterized by normal or slighty elevated fasting blood glucose levels and glucose intolerance, treated with excessive doses of monocomponent pork insulin (0.5 U/day) (I) or glybenclamide (0.6 mg/day) (S) were compared to controls (C) and streptozotocin-d...

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Veröffentlicht in:Hormone and metabolic research 1993-09, Vol.25 (9), p.457-461
Hauptverfasser: Ursich, Mileni J. M., Fukui, Rosa T., Rocha, Dalva M., Silva, Maria E. R., Wajchenberg, B. L.
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container_end_page 461
container_issue 9
container_start_page 457
container_title Hormone and metabolic research
container_volume 25
creator Ursich, Mileni J. M.
Fukui, Rosa T.
Rocha, Dalva M.
Silva, Maria E. R.
Wajchenberg, B. L.
description Summary Mild streptozotocin diabetic rats, characterized by normal or slighty elevated fasting blood glucose levels and glucose intolerance, treated with excessive doses of monocomponent pork insulin (0.5 U/day) (I) or glybenclamide (0.6 mg/day) (S) were compared to controls (C) and streptozotocin-diabetic rats without treatment (D). Intravenous glucose tolerance tests (0.75 g/kg) were performed in all animals and repeated after overtreatment. Insulin binding and insulin-induced D-(U- 14 C)-glucose transport and oxidation were also determined in isolated epididymal adipocytes. Diabetic rats showed a failure in the initial phase of insulin release and glucose intolerance as compared with (C). In overtreated rats glucose tolerance worsened (p
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M. ; Fukui, Rosa T. ; Rocha, Dalva M. ; Silva, Maria E. R. ; Wajchenberg, B. L.</creator><creatorcontrib>Ursich, Mileni J. M. ; Fukui, Rosa T. ; Rocha, Dalva M. ; Silva, Maria E. R. ; Wajchenberg, B. L.</creatorcontrib><description>Summary Mild streptozotocin diabetic rats, characterized by normal or slighty elevated fasting blood glucose levels and glucose intolerance, treated with excessive doses of monocomponent pork insulin (0.5 U/day) (I) or glybenclamide (0.6 mg/day) (S) were compared to controls (C) and streptozotocin-diabetic rats without treatment (D). Intravenous glucose tolerance tests (0.75 g/kg) were performed in all animals and repeated after overtreatment. Insulin binding and insulin-induced D-(U- 14 C)-glucose transport and oxidation were also determined in isolated epididymal adipocytes. Diabetic rats showed a failure in the initial phase of insulin release and glucose intolerance as compared with (C). In overtreated rats glucose tolerance worsened (p&lt;0.05) after therapy. Maximal insulin binding by isolated adipocytes at tracer insulin concentration was unchanged after excessive insulin or sulfonylurea therapy. Besides, glucose transport and oxidation in the cells of overtreated rats were greater than in D and even greater than in C. These apparently divergent results, i.e. deterioration of glucose tolerance with increased insulin action in adipocytes suggest that overtreatment induces a state of resistance to hormone action in other target tissue(s) than the adipose one, possibly muscle.</description><identifier>ISSN: 0018-5043</identifier><identifier>EISSN: 1439-4286</identifier><identifier>DOI: 10.1055/s-2007-1002148</identifier><identifier>PMID: 8225197</identifier><identifier>CODEN: HMMRA2</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adipocytes - drug effects ; Adipocytes - metabolism ; Animals ; Biological and medical sciences ; Blood Glucose - metabolism ; Body Weight - drug effects ; Diabetes Mellitus, Experimental - drug therapy ; Diabetes Mellitus, Experimental - metabolism ; Glucose Intolerance - blood ; Glucose Tolerance Test ; Hormones. Endocrine system ; Hypoglycemic Agents - adverse effects ; Hypoglycemic Agents - therapeutic use ; Insulin - adverse effects ; Insulin - blood ; Insulin - therapeutic use ; Iodine Radioisotopes ; Male ; Medical sciences ; Originals Basic ; Oxidation-Reduction ; Pharmacology. 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M.</creatorcontrib><creatorcontrib>Fukui, Rosa T.</creatorcontrib><creatorcontrib>Rocha, Dalva M.</creatorcontrib><creatorcontrib>Silva, Maria E. R.</creatorcontrib><creatorcontrib>Wajchenberg, B. L.</creatorcontrib><title>Metabolic Derangements in Excessive Insulin and Sulfonylurea Therapy</title><title>Hormone and metabolic research</title><addtitle>Horm Metab Res</addtitle><description>Summary Mild streptozotocin diabetic rats, characterized by normal or slighty elevated fasting blood glucose levels and glucose intolerance, treated with excessive doses of monocomponent pork insulin (0.5 U/day) (I) or glybenclamide (0.6 mg/day) (S) were compared to controls (C) and streptozotocin-diabetic rats without treatment (D). Intravenous glucose tolerance tests (0.75 g/kg) were performed in all animals and repeated after overtreatment. Insulin binding and insulin-induced D-(U- 14 C)-glucose transport and oxidation were also determined in isolated epididymal adipocytes. Diabetic rats showed a failure in the initial phase of insulin release and glucose intolerance as compared with (C). In overtreated rats glucose tolerance worsened (p&lt;0.05) after therapy. Maximal insulin binding by isolated adipocytes at tracer insulin concentration was unchanged after excessive insulin or sulfonylurea therapy. Besides, glucose transport and oxidation in the cells of overtreated rats were greater than in D and even greater than in C. These apparently divergent results, i.e. deterioration of glucose tolerance with increased insulin action in adipocytes suggest that overtreatment induces a state of resistance to hormone action in other target tissue(s) than the adipose one, possibly muscle.</description><subject>Adipocytes - drug effects</subject><subject>Adipocytes - metabolism</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Body Weight - drug effects</subject><subject>Diabetes Mellitus, Experimental - drug therapy</subject><subject>Diabetes Mellitus, Experimental - metabolism</subject><subject>Glucose Intolerance - blood</subject><subject>Glucose Tolerance Test</subject><subject>Hormones. Endocrine system</subject><subject>Hypoglycemic Agents - adverse effects</subject><subject>Hypoglycemic Agents - therapeutic use</subject><subject>Insulin - adverse effects</subject><subject>Insulin - blood</subject><subject>Insulin - therapeutic use</subject><subject>Iodine Radioisotopes</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Originals Basic</subject><subject>Oxidation-Reduction</subject><subject>Pharmacology. Drug treatments</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Sulfonylurea Compounds - adverse effects</subject><subject>Sulfonylurea Compounds - therapeutic use</subject><subject>Swine</subject><issn>0018-5043</issn><issn>1439-4286</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LAzEQhoMotVav3oQ9eE3NZ5M9Slu1UPFgPYdsNrFbttmS7Er7703t0pswMMzM-84wDwD3GI0x4vwpQoKQgBghgpm8AEPMaA4ZkZNLMEQIS8gRo9fgJsZNKlmO2QAMJCEc52IIZu-21UVTVyab2aD9t91a38as8tl8b2yM1Y_NFj52depoX2afXe0af6i7YHW2WifP7nALrpyuo73r8wh8vcxX0ze4_HhdTJ-X0FAuWuiQdSwvJDKGMopLKanmVjiepxCl5rKURohcOIRpwRgmxlLjJoYwbRhydATGp70mNDEG69QuVFsdDgojdaShojrSUD2NZHg4GXZdsbXlWd6_n-aP_VxHo2uXAJgqnmVM8gn5k8GTrF1XiY_aNF3w6dH_zv4Ci1V1Jw</recordid><startdate>19930901</startdate><enddate>19930901</enddate><creator>Ursich, Mileni J. 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Endocrine system</topic><topic>Hypoglycemic Agents - adverse effects</topic><topic>Hypoglycemic Agents - therapeutic use</topic><topic>Insulin - adverse effects</topic><topic>Insulin - blood</topic><topic>Insulin - therapeutic use</topic><topic>Iodine Radioisotopes</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Originals Basic</topic><topic>Oxidation-Reduction</topic><topic>Pharmacology. Drug treatments</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Sulfonylurea Compounds - adverse effects</topic><topic>Sulfonylurea Compounds - therapeutic use</topic><topic>Swine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ursich, Mileni J. M.</creatorcontrib><creatorcontrib>Fukui, Rosa T.</creatorcontrib><creatorcontrib>Rocha, Dalva M.</creatorcontrib><creatorcontrib>Silva, Maria E. R.</creatorcontrib><creatorcontrib>Wajchenberg, B. L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Hormone and metabolic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ursich, Mileni J. M.</au><au>Fukui, Rosa T.</au><au>Rocha, Dalva M.</au><au>Silva, Maria E. R.</au><au>Wajchenberg, B. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metabolic Derangements in Excessive Insulin and Sulfonylurea Therapy</atitle><jtitle>Hormone and metabolic research</jtitle><addtitle>Horm Metab Res</addtitle><date>1993-09-01</date><risdate>1993</risdate><volume>25</volume><issue>9</issue><spage>457</spage><epage>461</epage><pages>457-461</pages><issn>0018-5043</issn><eissn>1439-4286</eissn><coden>HMMRA2</coden><abstract>Summary Mild streptozotocin diabetic rats, characterized by normal or slighty elevated fasting blood glucose levels and glucose intolerance, treated with excessive doses of monocomponent pork insulin (0.5 U/day) (I) or glybenclamide (0.6 mg/day) (S) were compared to controls (C) and streptozotocin-diabetic rats without treatment (D). Intravenous glucose tolerance tests (0.75 g/kg) were performed in all animals and repeated after overtreatment. Insulin binding and insulin-induced D-(U- 14 C)-glucose transport and oxidation were also determined in isolated epididymal adipocytes. Diabetic rats showed a failure in the initial phase of insulin release and glucose intolerance as compared with (C). In overtreated rats glucose tolerance worsened (p&lt;0.05) after therapy. Maximal insulin binding by isolated adipocytes at tracer insulin concentration was unchanged after excessive insulin or sulfonylurea therapy. Besides, glucose transport and oxidation in the cells of overtreated rats were greater than in D and even greater than in C. These apparently divergent results, i.e. deterioration of glucose tolerance with increased insulin action in adipocytes suggest that overtreatment induces a state of resistance to hormone action in other target tissue(s) than the adipose one, possibly muscle.</abstract><cop>Stuttgart</cop><cop>New York, NY</cop><pub>Thieme</pub><pmid>8225197</pmid><doi>10.1055/s-2007-1002148</doi><tpages>5</tpages></addata></record>
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subjects Adipocytes - drug effects
Adipocytes - metabolism
Animals
Biological and medical sciences
Blood Glucose - metabolism
Body Weight - drug effects
Diabetes Mellitus, Experimental - drug therapy
Diabetes Mellitus, Experimental - metabolism
Glucose Intolerance - blood
Glucose Tolerance Test
Hormones. Endocrine system
Hypoglycemic Agents - adverse effects
Hypoglycemic Agents - therapeutic use
Insulin - adverse effects
Insulin - blood
Insulin - therapeutic use
Iodine Radioisotopes
Male
Medical sciences
Originals Basic
Oxidation-Reduction
Pharmacology. Drug treatments
Rats
Rats, Wistar
Sulfonylurea Compounds - adverse effects
Sulfonylurea Compounds - therapeutic use
Swine
title Metabolic Derangements in Excessive Insulin and Sulfonylurea Therapy
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