Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1-2
pubmed:dateCreated
2010-2-26
pubmed:abstractText
Our objectives were to analyse carbohydrate metabolism in a series of ALS patients and to examine potential association with parameters of lipid metabolism and clinical features. Glucose tolerance was assessed by the oral glucose tolerance test in 21 non-diabetic ALS patients and compared with 21 age- and sex-matched normal subjects. Lipids and lactate/pyruvate ratio, levels of pro-inflammatory cytokines (tumour necrosis factor-alpha and interleukin-6) and adipocytokines (leptin and adiponectin) were also measured in ALS patients. Mann-Whitney U-tests analysed continuous data and Fisher's exact tests assessed categorical data. Blood glucose determined 120 min after the glucose bolus was significantly higher in patients with ALS (7.41 mmol/l+/-1.68) compared to controls (6.05+/-1.44, p=0.006). ALS patients with impaired glucose tolerance (IGT) according to WHO criteria (n=7, 33%) were more likely to have elevated free fatty acids (FFA) levels compared to patients with normal glucose tolerance (0.77 nmol/l+/-0.30 vs. 0.57+/-0.19, p=0.04). IGT was not associated with disease duration or severity. In conclusion, patients with ALS show abnormal glucose tolerance that could be associated with increased FFA levels, a key determinant of insulin resistance. The origin of glucose homeostasis abnormalities in ALS may be multifactorial and deserves further investigation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1471-180X
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
166-71
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:20184518-Adiponectin, pubmed-meshheading:20184518-Adolescent, pubmed-meshheading:20184518-Adult, pubmed-meshheading:20184518-Aged, pubmed-meshheading:20184518-Amyotrophic Lateral Sclerosis, pubmed-meshheading:20184518-Blood Glucose, pubmed-meshheading:20184518-Fatty Acids, Nonesterified, pubmed-meshheading:20184518-Female, pubmed-meshheading:20184518-Glucose Intolerance, pubmed-meshheading:20184518-Glucose Tolerance Test, pubmed-meshheading:20184518-Humans, pubmed-meshheading:20184518-Insulin, pubmed-meshheading:20184518-Interleukin-6, pubmed-meshheading:20184518-Lactic Acid, pubmed-meshheading:20184518-Leptin, pubmed-meshheading:20184518-Male, pubmed-meshheading:20184518-Middle Aged, pubmed-meshheading:20184518-Pyruvic Acid, pubmed-meshheading:20184518-Tumor Necrosis Factor-alpha, pubmed-meshheading:20184518-Young Adult
pubmed:year
2010
pubmed:articleTitle
Impaired glucose tolerance in patients with amyotrophic lateral sclerosis.
pubmed:affiliation
APHP, Hôpital de la Pitié-Salpêtrière, Fédération des Maladies du Système Nerveux, Paris, France. pierre-francois.pradat@psl.aphp.fr <pierre-francois.pradat@psl.aphp.fr>
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't