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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1995-3-16
pubmed:abstractText
To investigate whether a resistance to insulin-stimulated glucose uptake (IR) is associated with the risk factors (RF) for cardiovascular disease (CVD) in non-insulin-dependent diabetic (NIDDM) patients, we determined the degree of IR in 135 adult NIDDM patients who had no advanced diabetic complications. The euglycemic (80 mg/dl) hyperinsulinemic clamp (insulin infusion rate 1.12 mU/kg per min) was performed and the average glucose infusion rate (GIR) during a steady-state euglycemia was determined as a measure of IR. Hypertension was more common among NIDDM patients with an increased IR and was highest in the group of patients with CVD. CVD-RF such as hypertension, hypertriglyceridemia, low HDL-cholesterol and obesity tended to cluster in the NIDDM patients who had lower GIR values and higher fasting IRI levels. GIR values were compared between a set of groups extracted from the 135 NIDDM patients that were matched for age, sex, body mass index and HbA1c levels. The CVD-positive group had the significantly lower GIR value than the CVD-negative group (2.06 +/- 0.66 vs. 3.45 +/- 1.75, P < 0.005). The GIR value was also significantly lower in the hypertriglyceridemic group compared with the normotriglyceridemic group (2.50 +/- 1.36 vs. 4.03 +/- 1.82, P < 0.0005). However, there was no significant difference between the hypertensive and normotensive groups and between the high cholesterol or low HDL-cholesterol groups and their respective control groups. In conclusion, these results suggest that IR contributes to the clustering of CVD-RFs which may accelerate the development of CVD in the subgroup of Japanese NIDDM patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0168-8227
pubmed:author
pubmed:issnType
Print
pubmed:volume
25
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
191-8
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:7851274-Adult, pubmed-meshheading:7851274-Aged, pubmed-meshheading:7851274-Apolipoproteins, pubmed-meshheading:7851274-Cardiovascular Diseases, pubmed-meshheading:7851274-Cholesterol, pubmed-meshheading:7851274-Cholesterol, HDL, pubmed-meshheading:7851274-Cholesterol, LDL, pubmed-meshheading:7851274-Diabetes Mellitus, pubmed-meshheading:7851274-Diabetes Mellitus, Type 2, pubmed-meshheading:7851274-Diabetic Angiopathies, pubmed-meshheading:7851274-Female, pubmed-meshheading:7851274-Humans, pubmed-meshheading:7851274-Hypertension, pubmed-meshheading:7851274-Insulin, pubmed-meshheading:7851274-Insulin Resistance, pubmed-meshheading:7851274-Japan, pubmed-meshheading:7851274-Lipoproteins, VLDL, pubmed-meshheading:7851274-Male, pubmed-meshheading:7851274-Middle Aged, pubmed-meshheading:7851274-Obesity, pubmed-meshheading:7851274-Prevalence, pubmed-meshheading:7851274-Risk Factors, pubmed-meshheading:7851274-Triglycerides
pubmed:year
1994
pubmed:articleTitle
Relationship between insulin resistance and risk factors for cardiovascular disease in Japanese non-insulin-dependent diabetic patients.
pubmed:affiliation
Diabetes Center, Tokyo Women's Medical College, Japan.
pubmed:publicationType
Journal Article