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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8633
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pubmed:dateCreated |
1989-3-16
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pubmed:abstractText |
A highly specific two-site immunoradiometric assay for insulin was used to measure the plasma insulin response to 75 g glucose administered orally to 49 patients with non-insulin-dependent diabetes (NIDDM). The plasma insulin concentration 30 min after glucose ingestion was lower in the diabetic patients than in matched controls for both non-obese (11-83 pmol/l vs 136-297 pmol/l, p less than 0.01) and obese subjects (23-119 pmol/l vs 137-378 pmol/l, p less than 0.01). By means of another two-site immunoradiometric assay, the basal intact proinsulin level was found to be higher in the NIDDM patients than in the controls for both non-obese (7.1 [SEM 1.2] pmol/l vs 2.4 [0.4] pmol/l, p less than 0.01) and obese subjects (14.4 [2.2] pmol/l vs 5.9 [1.9] pmol/l, p less than 0.01). The basal level of 32-33 split proinsulin was also raised in NIDDM. Previous failure to show clear separation between normal and NIDDM insulin responses was probably due to the high concentrations of proinsulin-like molecules in the plasma of NIDDM patients. These substances cross-react as insulin in most, if not all, insulin radioimmunoassays but have very little biological insulin-like activity. It is therefore now possible and necessary to designate most NIDDM patients as insulin deficient.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
11
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pubmed:volume |
1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
293-5
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:2563455-Diabetes Mellitus, Type 2,
pubmed-meshheading:2563455-Evaluation Studies as Topic,
pubmed-meshheading:2563455-Glucose Tolerance Test,
pubmed-meshheading:2563455-Humans,
pubmed-meshheading:2563455-Insulin,
pubmed-meshheading:2563455-Insulin Resistance,
pubmed-meshheading:2563455-Middle Aged,
pubmed-meshheading:2563455-Obesity,
pubmed-meshheading:2563455-Proinsulin,
pubmed-meshheading:2563455-Radioimmunoassay,
pubmed-meshheading:2563455-Time Factors
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pubmed:year |
1989
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pubmed:articleTitle |
Insulin deficiency in non-insulin-dependent diabetes.
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pubmed:affiliation |
Department of Clinical Biochemistry, Addenbrooke's Hospital, Cambridge.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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