Comparison of the antioxidant and vascular effects of gliclazide and glibenclamide in Type 2 diabetic patients: a randomized crossover study

The aim of the present study is to compare the short-term effects of gliclazide and glibenclamide on the oxidative state and vascular endothelium function of Type 2 diabetic patients in an observer-blinded, randomized crossover study. Thirteen Type 2 diabetic patients were enrolled: one group of sev...

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Veröffentlicht in:Journal of diabetes and its complications 2006-05, Vol.20 (3), p.179-183
Hauptverfasser: Shimabukuro, Michio, Higa, Namio, Takasu, Nobuyuki
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Higa, Namio
Takasu, Nobuyuki
description The aim of the present study is to compare the short-term effects of gliclazide and glibenclamide on the oxidative state and vascular endothelium function of Type 2 diabetic patients in an observer-blinded, randomized crossover study. Thirteen Type 2 diabetic patients were enrolled: one group of seven patients took daily 160 mg of gliclazide for the first 4 weeks and then daily 5 mg of glibenclamide for the next 4 weeks; another group of six patients took daily 5 mg of glibenclamide for the first 4 weeks and 160 mg of gliclazide for the next 4 weeks. Forearm blood flow (FBF) measurement for endothelial function and biochemical analyses were conducted before and after each crossover treatment. Four weeks of treatment with either sulfonylurea showed the similar antihyperglycemic effects and enhancement of the peak FBF and total reactive hyperemic flow (flow debt repayment: FDR) during reactive hyperemia. Treatment with gliclazide resulted in the significant reduction to about 60% of baseline in urinary 8-iso-prostaglandin F2alpha (8iPGF2alpha) excretion while no such change was detected in the glibenclamide period. The increases in peak FBF and FDR were in parallel with its anti-hyperglycemic effect, but not with antioxidant state. Results suggest that gliclazide and glibenclamide can protect vascular endothelium from hyperglycemia-induced injury in Type 2 diabetic patients.
doi_str_mv 10.1016/j.jdiacomp.2005.06.012
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subjects Aged
Antioxidants
Antioxidants - therapeutic use
Blood Flow Velocity - drug effects
Blood Pressure - drug effects
Body Mass Index
Cross-Over Studies
Diabetes Mellitus, Type 2 - drug therapy
Dinoprost - analogs & derivatives
Dinoprost - urine
Double-Blind Method
Female
Forearm - blood supply
Free radicals
Gliclazide - therapeutic use
Glucose
Glyburide - therapeutic use
Glycated Hemoglobin A - analysis
Humans
Hyperemia - diagnosis
Male
Middle Aged
Oxidative stress
Regional Blood Flow - drug effects
Rodents
Vascular Resistance - drug effects
title Comparison of the antioxidant and vascular effects of gliclazide and glibenclamide in Type 2 diabetic patients: a randomized crossover study
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