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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Clinical and experimental pharmacology and physiology 1 (1974), S. 0 
    ISSN: 1440-1681
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: SUMMARY 1. Sodium salicylate has been used as a hypoglycaemic agent in the treatment of diabetic patients and severe hypoglycaemia has been reported in children treated with aspirin. The mechanism of this hypoglycaemic action has never been elucidated.2. In the isolated perfused rat liver, salicylate inhibits gluconeogenesis from lactate, alanine and propionate. The degree of inhibition is related to salicylate concentration and occurs with 2 mM (30 mg/100 ml).3. The inhibitory action probably results from the effect of salicylate on oxidative phosphorylation in that there was little or no inhibition of gluconeogenesis from precursors which do not have a high requirement for ATP in their metabolism to glucose.4. In man, lactate and alanine are the main precursors of glucose, and the liver is the main site of gluconeogenesis. These results demonstrate a mechanism for salicylate induced hypoglycaemia in man, and in addition suggest that accumulation of lactate may account for the acidosis sometimes produced by overdosage with salicylate.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Chlorpropamide-alcohol flush ; retinopathy ; glucose tolerance test ; serum insulin ; serum triglycerides ; blood metabolites ; Type 2 diabetes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Serum insulin and blood metabolite responses to oral glucose with and without intravenous naloxone were measured in 24 chlorpropamide-alcohol flush positive and negative Type 2 (non-insulin dependent) diabetic patients with and without retinopathy. In the chlorpropamide-alcohol flush positive patients with retinopathy, fasting blood glucose was increased 〉40% and the serum triglycerides were increased over twofold compared with each of the other three groups. Following oral glucose (50 g), the chlorpropamide-alcohol flush positive diabetic patients with complications had a lower serum insulin and higher blood glycerol than the other three groups. Thus, chlorpropamide-alcohol flush positive subjects with retinopathy showed distinct metabolic differences from the other three groups. There was no evidence that opiate-receptors influenced the metabolic response to oral glucose in the Type 2 diabetic patients since the infusion of intravenous naloxone produced no effect on the serum insulin or blood metabolites.
    Type of Medium: Electronic Resource
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