S. Okada et al., THE EFFECT OF AN ALPHA-GLUCOSIDASE INHIBITOR AND INSULIN ON GLUCOSE-METABOLISM AND LIPID PROFILES IN NON-INSULIN-DEPENDENT DIABETES-MELLITUS, Journal of international medical research, 24(5), 1996, pp. 438-447
Citations number
18
Categorie Soggetti
Pharmacology & Pharmacy","Medicine, Research & Experimental
Studies were carried out to assess various ways of improving glycaemic
control and lipid profiles of patients with noninsulin-dependent diab
etes mellitus (NIDDM) in whom glucose metabolism was poor. Part or all
of the dose of the sulphonylurea that had been used to treat patients
in Group 1 (n = 8) was replaced by an alpha-glucosidase inhibitor. Sy
mptoms related to hypoglycaemia disappeared and the postprandial blood
glucose level was significantly increased (P < 0.043) but serum lipid
levels were not significantly altered and the mean glycosylated haemo
globin level was unchanged. In Group 2 (n = 10) patients, a large part
of the insulin dose was replaced by an alpha-glucosidase inhibitor. H
ypoglycaemia-related symptoms disappeared but there were no significan
t changes in lipid profiles, postprandial blood glucose or glycosylate
d haemoglobin levels. The third group of patients (n = 9) had been tre
ated with insulin alone and were given additional alpha-glucosidase in
hibitor without changing their insulin dose. This did not significantl
y change their lipid profiles, postprandial blood glucose or glycosyla
ted haemoglobin levels. In Group 4 (n = 9) the addition of an alpha-gl
ucosidase inhibitor to the initial sulphonylurea did not produce any s
ignificant changes in mean postprandial blood glucose or glycosylated
haemoglobin levels. The results for individual patients indicated that
the glycosylated haemoglobin levels had improved after the change of
treatment only in those patients whose connective peptide immunoreacti
vity was greater than or equal to 6.0 ng/ml.