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[葡萄糖耐量异常患者长期服用降糖磺胺类药物时胰腺β细胞的功能状态]

[Functional status of beta-cells of the pancreas in long-term administration of hypoglycemic sulfanilamides in patients with glucose tolerance disorder].

作者信息

Zhurova M V, Sergeeva S L

出版信息

Probl Endokrinol (Mosk). 1987 Jul-Aug;33(4):5-8.

PMID:3116535
Abstract

The levels of immunoreactive insulin and C-peptide were determined against a background of the GTT and GTT + prednisolone in patients with glucose intolerance before and 3-6 mos. after sulfanilamide therapy to study the effect of a prolonged use of glibenclamide (manilil) on compensatory-reserve function of beta-cells. The hypoglycemic effect of these drugs was determined by their extrahepatic action. The normalization of the body sensitivity to insulin was established. A prolonged use of sugar lowering sulfanilamides did not make a depleting effect on beta-cell function. The results obtained were in favor of the administration of glibenclamide to patients with disturbed glucose tolerance.

摘要

在葡萄糖耐量试验(GTT)及GTT加泼尼松龙的背景下,测定了磺胺类药物治疗前及治疗后3 - 6个月葡萄糖耐量异常患者的免疫反应性胰岛素和C肽水平,以研究长期使用格列本脲(甲磺丁脲)对β细胞代偿储备功能的影响。这些药物的降糖作用通过其肝外作用来确定。确定了机体对胰岛素敏感性的正常化。长期使用降糖磺胺类药物对β细胞功能没有耗竭作用。所得结果支持对葡萄糖耐量紊乱患者使用格列本脲。

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