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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1985-2-11
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pubmed:abstractText |
Receptor and post-receptor abnormalities of insulin action and their possible role in the insulin resistance of cirrhosis were examined in eight biopsy-proven cirrhotic subjects and eight age-weight matched healthy volunteers. To this end, oral glucose tolerance tests (OGTT), insulin dose response curves and insulin binding to circulating monocytes were determined for each subject. The dose-response curves for the cirrhotic subjects were significantly shifted to the right compared to the control subjects, indicating the presence of insulin insensitivity (ED50 223 +/- 30 versus 64 +/- 8 mU/l respectively; P less than 0.001). The magnitude of the right shift of the insulin-dose response curves correlated significantly (P less than 0.001) with the OGTT 2 h insulin levels (r = 0.74) and the insulin areas under the OGTT curves (r = 0.86). In contrast, insulin responsiveness was marginally elevated in the cirrhotic group (maximal glucose disposal 680 +/- 47 versus 574 +/- 21 ml/m2/min; P less than 0.05). Insulin binding to circulating monocytes was normal in the cirrhotic subjects. It is concluded that the insulin resistance of cirrhosis is due to a post-receptor defect in insulin action which reduces insulin sensitivity but not insulin responsiveness.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0300-0664
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
677-88
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:6391747-Blood Glucose,
pubmed-meshheading:6391747-Dose-Response Relationship, Drug,
pubmed-meshheading:6391747-Female,
pubmed-meshheading:6391747-Glucose Tolerance Test,
pubmed-meshheading:6391747-Humans,
pubmed-meshheading:6391747-Insulin,
pubmed-meshheading:6391747-Insulin Resistance,
pubmed-meshheading:6391747-Liver Cirrhosis,
pubmed-meshheading:6391747-Male,
pubmed-meshheading:6391747-Middle Aged,
pubmed-meshheading:6391747-Monocytes,
pubmed-meshheading:6391747-Receptor, Insulin
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pubmed:year |
1984
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pubmed:articleTitle |
Insulin resistance in cirrhosis: evidence for a post-receptor defect.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|