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  • 1
    ISSN: 1432-0428
    Keywords: Glucose clamp ; insulin ; magnesium ; oral glucose tolerance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Plasma and erythrocyte magnesium levels were measured by atomic absorption spectrophotometry in 10 healthy volunteers during an oral glucose tolerance test and during an euglycaemic hyperinsulinaemic glucose clamp. At min 180 and 210 of the oral glucose tolerance test, a significant decline in plasma magnesium levels (p 〈 0.01 andp 〈 0.05 respectively) and a significant increase in erythrocyte magnesium levels (p 〈 0.01 andp 〈 0.05 respectively) were observed. Similar changes were seen during the second hour of the glucose clamp, during which euglycaemia (4.1 ± 0.4 mmol/1) was maintained despite hyperinsulinaemia (110–130 mU/1). During in vitro incubations, glucose (5 mmol/1) did not modify erythrocyte magnesium levels. In contrast, erythrocyte magnesium levels were significantly increased (p 〈 0.01) by insulin (100 mU/1), an effect entirely abolished by ouabain (5 .10−4 mol/1). These results suggest that insulin induces a shift of magnesium from the plasma to the erythrocytes both in vivo and in vitro. These data may help to interprete the abnormalities in magnesium circulating levels frequently reported in diabetic patients.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1041
    Keywords: sparteine sulphate ; insulin ; glucagon/insulin secretion ; glucose tolerance test ; food interaction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Infusion of a therapeutic dose of sparteine sulphate, increased the basal plasma insulin level and lowered plasma glucose. When an intravenous glucose tolerance test was performed with the infusion, the total insulin AUC was significantly larger than in absence of sparteine (2025 vs 1464 µU/ml×min), plasma glucose levels were lower and improved glucose utilization was observed (kg:1.55 vs 1.39%). In the presence of arginine, sparteine sulphate stimulated both β and α cells, increasing both the total insulin (1907 vs 1516 µU/ml×minp〈0.02) and total glucagon AUCs (7616±654 vs 6789±707 pg/ml×minp〈0.01). Thus, sparteine sulphate increased both basal and nutrient-induced insulin and glucagon secretion in normal man.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1041
    Keywords: sparteine sulphate ; diabetes mellitus ; insulin secretion/-sensitivity ; non-insulin dependent diabetes mellitus ; arginine infusion ; blood sugar level ; glucose clamp technique
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Sparteine sulphate, given i.v. as a bolus of 15 mg/ml plus 90 mg in 0.9% NaCl 100 ml over 60 min, increases plasma insulin and decreases plasma glucose and adrenaline in non-insulin dependent (Type II) diabetic subjects. The hypoglycaemic effect was also evident in the presence of a high plasma glucose level produced by Biostator changing glucose infusion from 20.2±2.8 to 26.4±4.2 mg · kg−1 · min−1 (p〈0.01), and it was potentiated by simultaneous infusion of arginine. No additional effect of sparteine on the peripheral sensitivity to insulin were detected by the euglycaemic, hyperinsulinaemic glucose clamp technique, as the glucose infusion rate (3.1±0.8 vs 2.6±1.2 mg · kg−1 · min−1) was not statistically significant different in the last 60 min of the experiment. It is concluded that sparteine sulphate enhances β-cell secretion, causing a fall in the plasma glucose concentration.
    Type of Medium: Electronic Resource
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