Summary
The effects of low and high NaCl diets on plasma glucose and insulin responses to glucose ingestion were investigated in 15 patients with essential hypertension. Oral glucose (75 g) tolerance tests were carried out while patients were taking diets with low (2 g/day) and high (20 g/day) NaCl content. Fasting plasma glucose and insulin levels were both significantly lower during ingestion of the high NaCl diet (p<0.05). After glucose ingestion, the incremental areas under the two hour plasma glucose and insulin curves were significantly smaller during ingestion of the high NaCl diet (glucosep<0.005 and insulinp<0.025). These findings that low NaCl diets increase the glycemic response to glucose loads suggest that use of NaCl restriction for the treatment of essential hypertension may not always be desirable.
Similar content being viewed by others
Abbreviations
- Na+, K+-ATPase:
-
sodium, potassium adenosinetriphosphatase
- SEM:
-
standard error of the mean
References
Barrett-Corner E, Criqui MH, Klauber MR, Holdbrook M (1981) Diabetes and hypertension in a community of older adults. Am J Epidemiol 113:276–284
Costa FV, Ambrosioni E, Montebugnoli L, Paccaloni L, Vasconi L, Magnani B (1981) Effects of a low-salt diet and acute salt loading on blood pressure and intralymphocytic sodium concentration in young subjects with borderline hypertension. Clin Sci 61:21s-23s
Crane PK (1965) Na+-dependent transport in the intestine and other animal tissue. Fed Proc 24:1000–1006
de Wardener HE, MacGregor GA, Clarkson EM, Alaghband-Zadeh J, Bitensky L, Chayen J (1981) Effect of sodium intake on ability of human plasma to inhibit renal Na+-K+-adenosine triphosphatase in vitro. Lancet 1:411–412
de Wardener HE, MacGregor GA (1983) The role of a circulating inhibitor of Na+-K+-ATPase in essential hypertension. Am J Nephrol 3:88–91
Ferrannini E, Barrett E, Bevilacqua S, Dupre J, Defronzo RA (1982) Sodium elevates the plasma glucose response to glucose ingestion in man. J Clin Endocrinol Metab 54:455–458
Fujita T, Henry WL, Bartter CF, Lake CR, Delea CS (1980) Factors influencing blood pressure in salt-sensitive patients with hypertension. Am J Med 69:334–344
Gault MH, Vasdev SC, Longerich LL, Fernandez P, Prabhakaran V, Dave M, Maillet C (1983) Plasma digitalis-like factor(s) increase with salt loading. N Engl J Med 309:1459
Gray GM (1975) Carbohydrate digestion and absorption. Role of small intestine. N Engl J Med 292:1225–1230
Hamlyn JM, Ringel R, Schaeffer J, Levinson PD, Hamilton BP, Kowarski AA, Blaustein MP (1982) A circulating inhibitor of (Na++K+)ATPase associated with essential hypertension. Nature 300:650–652
Iwaoka T, Nugent CA, Umeda T, Sato T (1987) (Na++K+) ATPase inhibitors and intracellular electrolytes in essential hypertension. Jpn Heart J 28:695–705
Jarett RJ, Keen H, McCartney M, Fuller JH, Hamilton PJS, Reid DD, Rose G (1978) Glucose tolerance and hypertension. Int J Epidemiol 7:15–24
Kaplan NM (1985) Non-drug treatment of hypertension. Ann Intern Med 102:359–373
Kawasaki T, Delea CS, Bartter CF, Smith H (1978) The effect of high-sodium and low-sodium intakes on blood pressure and other related variables in human subjects with idiopathic hypertension. Am J Med 64:193–198
MacGregor GA, Markandu ND, Best FE, Elder DM, Cam JM, Sagnella GA (1982) Double-blind randomised cross-over trial of moderate sodium restriction in essential hypertension. Lancet 1:351–355
Poston L, Sewell RB, Wilkinson SP, Richardson PJ, Williams R, Clarkson EM, MacGregor GA, de Wardener H (1981) Evidence for a circulating sodium transport inhibitor in essential hypertension. Br Med J 282:847–849
Thorburn AW, Brand JC, Truswell AS (1986) Salt and the glycemic response. Br Med J 292:1697–1699
Umeda T, Hamasaki S, Naomi S, Inoue J, Miura F, Ohno M, Iwaoka T, Sato T (1986) Evidence for reduced central dopaminergic activity in salt-sensitive essential hypertension. In: Nakamura K (ed) Brain and blood pressure control. Elsevier Science Publishers, New York, pp 353–358
Watt GCM, Edwards C, Hart JT, Hart M, Walton P, Foy CJW (1983) Dietary sodium restriction for mild hypertension in general practice. Br Med J 286:432–436
Zimmet P (1982) Type 2 (non-insulin-dependent) diabetes: an epidemiological overview. Diabetologia 22:399–411
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Iwaoka, T., Umeda, T., Ohno, M. et al. The effect of low and high NaCl diets on oral glucose tolerance. Klin Wochenschr 66, 724–728 (1988). https://doi.org/10.1007/BF01726415
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01726415