Passa P, Luyckx A S, Carpentier J L, Lefebvre P J, Canivet J
Diabetologia. 1977 Sep;13(5):509-13. doi: 10.1007/BF01234505.
The aim of the present investigation was to determine in patients with idiopathic haemochromatosis whether diabetes is of the primary type or secondary to pancreatic injury due to iron deposition. For this purpose, plasma glucagon concentrations were determined following arginine infusion or an oral glucose load in eight patients with diabetes and idiopathic haemochromatosis. The enhanced glucagon response to arginine and the nonsuppressibility of glucagon secretion by oral glucose found in these patients were similar to the results found in the same tests performed in our previous series of patients with "idiopathic" diabetes and at variance with those reported by others in patients with chronic pancreatitis.
本研究的目的是确定特发性血色素沉着症患者的糖尿病是原发性的还是继发于铁沉积所致的胰腺损伤。为此,对8例患有糖尿病和特发性血色素沉着症的患者在输注精氨酸或口服葡萄糖负荷后测定血浆胰高血糖素浓度。这些患者中发现的对精氨酸的胰高血糖素反应增强以及口服葡萄糖后胰高血糖素分泌不可抑制的情况,与我们之前一系列“特发性”糖尿病患者进行相同测试的结果相似,且与其他报道的慢性胰腺炎患者的结果不同。