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口服丁双胍对正常人体口服葡萄糖耐量及肾脏葡萄糖重吸收的体内效应(作者译)

[The effect of oral butyl-biguanide on oral glucose tolerance and renal glucose reabsorption in normal human subjects in vivo (author's transl)].

作者信息

Berger E G, Brunner V, Meier H R, Moehr P

出版信息

Klin Wochenschr. 1978 Mar 15;53(16):275-8.

PMID:682523
Abstract
  1. Oral glucose tolerance in 11 normal subjects was significantly improved after peroral administration of 150 mg of butyl-biguanide. 2. On the other hand maxiumum capacity of renal glucose reabsorption (TmG) and lowest glomerular glucose filtration rate at which glucosuria was recorded (F min) remained uninfluenced after 150 mg of butyl-biguanide in 7 normal subjects. 3. These results are compatible with the hypothesis that the oral administration of therapeutic doses of biguanides yields concentrations at the luminal face of the intestine which inhibit glucose resorption. Plasma concentrations following oral intake of the same dose of biguanide are too low to exert any inhibiting action on renal glucose reabsorption as demonstrated by the present in vivo studies. 4. Urinary flow rate and inulin clearance remained unaltered after butyl-biguanide in these normal subjects.
摘要
  1. 11名正常受试者口服150毫克丁双胍后,口服葡萄糖耐量显著改善。2. 另一方面,7名正常受试者口服150毫克丁双胍后,肾脏葡萄糖重吸收的最大能力(TmG)以及记录到糖尿时的最低肾小球葡萄糖滤过率(F min)未受影响。3. 这些结果与以下假设相符:口服治疗剂量的双胍类药物会在肠腔表面产生抑制葡萄糖重吸收的浓度。正如目前的体内研究所示,口服相同剂量双胍类药物后的血浆浓度过低,无法对肾脏葡萄糖重吸收产生任何抑制作用。4. 在这些正常受试者中,丁双胍给药后尿流率和菊粉清除率保持不变。

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