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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1996-10-10
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pubmed:abstractText |
The effects of insulin on renal haemodynamics and renal sodium handling were studied in eight insulin-dependent (type 1) diabetic patients (aged 30 +/- 3 years). Seven healthy men (aged 38 +/- 4 years) served as controls. The type 1 diabetic patients were resistant to insulin-stimulated glucose disposal as estimated by a 45% lower metabolic (P < 0.01) clearance of glucose as compared with controls. However, type 1 diabetic patients were still sensitive to the distal tubular antinatriuretic effect of insulin, as indicated by an increase in distal sodium reabsorption (95.5 +/- 0.5% to 96.9% +/- 0.4%; P < 0.05) during insulin infusion compared with controls (95.5% +/- 0.6% to 97.4% +/- 0.3%; P < 0.05). In control subjects insulin infusion was associated with 9% increases (P < 0.05) in lithium clearance and in renal plasma flow, whereas no significant increases in lithium clearance and in renal plasma flow were observed in the type 1 diabetic patients. In both groups, the changes in renal plasma flow in response to insulin infusion were positively correlated with that in lithium clearance (r = 0.80 and r = 0.90, respectively; P < 0.05-0.01). In conclusion, the present result demonstrates an intact distal tubular sodium retaining effect in conjunction with a blunted decrease in proximal tubular sodium reabsorption following insulin infusion, which could be the result of an impaired renal vasodilation in type 1 diabetes mellitus.
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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 |
0940-5429
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
32
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
230-4
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:8750761-Adult,
pubmed-meshheading:8750761-Blood Pressure,
pubmed-meshheading:8750761-Diabetes Mellitus, Type 1,
pubmed-meshheading:8750761-Glomerular Filtration Rate,
pubmed-meshheading:8750761-Hemodynamics,
pubmed-meshheading:8750761-Humans,
pubmed-meshheading:8750761-Insulin,
pubmed-meshheading:8750761-Kidney,
pubmed-meshheading:8750761-Kidney Tubules, Proximal,
pubmed-meshheading:8750761-Lithium,
pubmed-meshheading:8750761-Male,
pubmed-meshheading:8750761-Middle Aged,
pubmed-meshheading:8750761-Recombinant Proteins,
pubmed-meshheading:8750761-Reference Values,
pubmed-meshheading:8750761-Regional Blood Flow,
pubmed-meshheading:8750761-Renal Circulation,
pubmed-meshheading:8750761-Sodium
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pubmed:year |
1995
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pubmed:articleTitle |
Effect of insulin on renal sodium handling and renal haemodynamics in insulin-dependent (type 1) diabetes mellitus patients.
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pubmed:affiliation |
Department of Renal Medicine Huddinge University Hospital, Stockholm, Sweden.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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