Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2002-5-13
pubmed:abstractText
The effects of insulin-like growth factor I (IGF-I) and insulin on free fatty acid (FFA) and glucose metabolism were compared in eight control and eight type 2 diabetic subjects, who received a two-step euglycemic hyperinsulinemic (0.25 and 0.5 mU x kg(-1) x min(-1)) clamp and a two-step euglycemic IGF-I (26 and 52 pmol x kg(-1) x min(-1)) clamp with [3-(3)H]glucose, [1-(14)C]palmitate, and indirect calorimetry. The insulin and IGF-I infusion rates were chosen to augment glucose disposal (R(d)) to a similar extent in control subjects. In type 2 diabetic subjects, stimulation of R(d) (second clamp step) in response to both insulin and IGF-I was reduced by approximately 40-50% compared with control subjects. In control subjects, insulin was more effective than IGF-I in suppressing endogenous glucose production (EGP) during both clamp steps. In type 2 diabetic subjects, insulin-mediated suppression of EGP was impaired, whereas EGP suppression by IGF-I was similar to that of controls. In both control and diabetic subjects, IGF-I-mediated suppression of plasma FFA concentration and inhibition of FFA turnover were markedly impaired compared with insulin (P < 0.01-0.001). During the second IGF-I clamp step, suppression of plasma FFA concentration and FFA turnover was impaired in diabetic vs. control subjects (P < 0.05-0.01). CONCLUSIONS: 1) IGF-I is less effective than insulin in suppressing EGP and FFA turnover; 2) insulin-resistant type 2 diabetic subjects also exhibit IGF-I resistance in skeletal muscle. However, suppression of EGP by IGF-I is not impaired in diabetic individuals, indicating normal hepatic sensitivity to IGF-I.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0193-1849
pubmed:author
pubmed:issnType
Print
pubmed:volume
282
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
E1360-8
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:12006367-Adult, pubmed-meshheading:12006367-Biological Transport, pubmed-meshheading:12006367-Blood Glucose, pubmed-meshheading:12006367-Calorimetry, Indirect, pubmed-meshheading:12006367-Diabetes Mellitus, Type 2, pubmed-meshheading:12006367-Drug Resistance, pubmed-meshheading:12006367-Fatty Acids, Nonesterified, pubmed-meshheading:12006367-Female, pubmed-meshheading:12006367-Glucose, pubmed-meshheading:12006367-Glucose Clamp Technique, pubmed-meshheading:12006367-Humans, pubmed-meshheading:12006367-Insulin, pubmed-meshheading:12006367-Insulin Resistance, pubmed-meshheading:12006367-Insulin-Like Growth Factor Binding Protein 3, pubmed-meshheading:12006367-Insulin-Like Growth Factor I, pubmed-meshheading:12006367-Lipid Peroxidation, pubmed-meshheading:12006367-Male, pubmed-meshheading:12006367-Middle Aged, pubmed-meshheading:12006367-Oxidation-Reduction, pubmed-meshheading:12006367-Tritium
pubmed:year
2002
pubmed:articleTitle
Effect of IGF-I on FFA and glucose metabolism in control and type 2 diabetic subjects.
pubmed:affiliation
Diabetes Division, Department of Medicine, University of Texas Health Science Center, San Antonio, Texas 78229-3900, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't