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[正常人和肥胖者胰岛素敏感性的双重检测]

[Double test of insulin sensitivity in normal and obese subjects].

作者信息

Odetti P, Maiello M, Cordera R, Corsi L, De Micheli A, Viviani G, De Pascale A, Prando R

出版信息

Boll Soc Ital Biol Sper. 1979 Jun 30;55(11):1117-22.

PMID:398702
Abstract

13 normal and 16 obese subjects have been chosen for a double insulin tolerance test: 0,02 U/Kg of insulin were administered i.v. with an interval of 60'. The glycemic curve of the normal subjects show an identical lay out after both pulses; on the contrary the obese subjects could be divided into two subgroups. In the first one the lowering glucose action can be compared after both pulses, while in the second one the first stimulus causes a weather lowering glucose action, than in the first group, which is furtherly reduced during the subsequent pulse. An insulin resistance in these subjects is thus stressed. In the obese subjects the NEFA have a higher concentration in both groups than in the normal ones, show a normal decrease, but a certain delay is observed in the rebound phase.

摘要

13名正常人和16名肥胖受试者被选来进行双胰岛素耐量试验:静脉注射0.02 U/Kg胰岛素,间隔60分钟。正常受试者的血糖曲线在两次脉冲后显示出相同的走势;相反,肥胖受试者可分为两个亚组。在第一个亚组中,两次脉冲后降低血糖的作用可进行比较,而在第二个亚组中,第一次刺激引起的血糖降低作用比第一组更大,且在随后的脉冲期间进一步降低。因此强调了这些受试者存在胰岛素抵抗。在肥胖受试者中,两组游离脂肪酸(NEFA)的浓度均高于正常受试者,游离脂肪酸浓度呈现正常下降,但在反跳期观察到一定延迟。

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