Skip to main content
Log in

Oral therapy in «early chemical diabetes». I. Serial glucose, cholesterol and uric acid responses to phenformin

  • Original Contributions
  • Published:
Acta diabetologia latina Aims and scope Submit manuscript

Riassunto

Gli AA. hanno studiato i livelli plasmatici di glucosio, colesterolo e acido urico in 38 pazienti diabetici, in differenti stati di compenso, durante untest pomeridiano al glucosio prima e dopo la somministrazione di fenformina. Vengono descritte le variazioni nella risposta al carico di glucosio. Queste osservazioni, che verranno discusse in lavoro successivo, possono fornire importanti spunti sull'uso razionale, le limitazioni e gli inconvenienti della fenformina nel trattamento e nella profilassi del diabete chimico precoce.

Resume

Les AA. ont étudié les niveaux plasmatiques de glucose, cholestérol et acide urique chez 38 patients diabétiques, dans différents états de compensation, au cours d'untest de l'après-midi au glucose avant et après l'administration de phenformine. On décrit les variations de la réaction à la charge de glucose. Ces observations, qui seront discutées dans un travail suivant, peuvent fournir d'importantes idées sur l'usage rationnel, les limitations et les inconvénients de la phenformine dans le traitement et la prophylaxie du diabète chimique précoce.

Resumen

Los AA. han estudiado los niveles plasmáticos de glucosa, colesterol y ácido úrico en 38 pacientes diabéticos, en estadios de compensación differentes, durante untest postmeridiano a la glucosa antes y después de la suministración de fenformina. Se describen las variaciones de la respuesta a la carga de glucosa. Estas observaciones, que serán discutidas en un trabajo sucesivo, pueden dar detalles importantes sobre el uso racional, las limitaciones y los inconvenientes de la fenformina para el tratamiento y la profilaxis de la diábetes química precoz.

Zusammenfassung

Die AA. untersuchten die Plasmaspiegel der Gluose, des Cholesterols sowie der Harnsaeure bei 38 Diabetikern in verschiedenen Kompensationsstadien waehrend eines Nachmittags-Tests mit Glukose vor und nach der Verabreichung von Phenformin. Es werden die Veraenderungen in der Antwort auf die Glukosebelastung beschrieben. Diese Beobachtungen, die in einer kommenden Arbeit disktiert werden, koennen wichtige Anhaltspunkte betr. den rationalen Einsatz, die Grenzen sowie die Unbelstaende des Phenformins in der Behandlung und Prophylaxe des fruehzeitigen chemischen Diabetes liefern.

Summary

The AA. studied the plasma levels of glucose, cholesterol and uric acid in 38 diabetic patients, in various states of decompensation, during a glucose afternoon test before and after phenformin administration. The changes in the response to glucose load are described. These observations, which will be discussed in a further paper, may afford important hints on the rational employ, the limits and the inconveniences of phenformin in treatment and prophylaxis of early chemical diabetes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Bibliografia

  1. Berkowitz D.: Gout, Hyperlipidemia, and Diabetes Inter-Relationships - J. Amer. med. Ass.197 77, 1966.

    Article  CAS  Google Scholar 

  2. Brown D. F., Kinch S. H., Doyle J. G.: Serum Triglycerides in Health and in Ischemic Heart Disease - Circulation32 (Suppl. 2), 59, 1965.

    Google Scholar 

  3. Dalderup L. M.: Effects of Posture and Exertion on Levels of Serum Cholesterol and Lactic Acid - Amer. Heart J.73 160, 1967.

    Article  CAS  PubMed  Google Scholar 

  4. Hollister L. E.: Diurnal Variation of Serum Lipids - J. Atheroscler. Res.5 445, 1965.

    Article  CAS  PubMed  Google Scholar 

  5. Ishmael W. K., Owens J. N. Jr.,Payne R. W., Henick M. D.: Diabetes Mellitus in Patients with Gouty Arthritis - J. Amer. med. Ass.190 396, 1964.

    Article  CAS  Google Scholar 

  6. Lewis T.: A Lecture on Evidences of Auricular Fibrillation, Treated Historically - Brit. med. J.1 57, 1912.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Mattingly T. W., Parmley L. F. Jr.,Durrum E. L., Smith E. R. B., Hyatt M. R.: Lipid Studies in Health and Disease - J. Amer. med. Ass.170 536, 1959.

    Article  CAS  Google Scholar 

  8. Navarette V. N., Torres I. H., Ayala I. C., Alger C. R., Flores H. V.: Modification of Response to the Triamcinolone Glucose Tolerance Test by Treatment with Oral Hypoglycemic Agents - Diabetes15 726, 1966.

    Article  Google Scholar 

  9. Peterson J. E., Keith R. A., Wilcox A. A.: Hourly Changes in Serum Cholesterol Concentration: Effects of the Anticipation of Stress - Circulation25 798, 1962.

    Article  CAS  PubMed  Google Scholar 

  10. Pozofsky T., Colker J. L., Langs H. M., Andres R.: The Cortisone-Glucose Tolerance Test: the Influence of Age on Performance - Ann. intern. Med.63 988, 1965.

    Article  Google Scholar 

  11. Roberts H. J.: Serial Cholesterol and Uric Acid Responses to Afternoon Glucose Tolerance Testing in «Early Chemical Diabetes» - To be published.

  12. Roberts H. J.: Afternoon Glucose Tolerance Testing: A Key to the Pathogenesis of Early Diagnosis and Prognosis of Diabetogenic Hyperinsulinism - J. Amer. Geriat. Soc.12 423, 1964.

    Article  CAS  PubMed  Google Scholar 

  13. Roberts H. J.: The Syndrome of Narcolepsy and Diabetogenic («Functional») Hyperinsulinism, with Special Reference to Obesity, Diabetes, Idiopathic Edema, Cerebral Dysrhythmias and Multiple Sclerosis (200 Patients) - J. Amer. Geriat. Soc.12 926, 1964.

    Article  CAS  PubMed  Google Scholar 

  14. Roberts H. J.: Intravenous Betamethasone-Glucose Tolerance Testing - Clin. Res.14 67, 1966.

    Google Scholar 

  15. Roberts H. J.: Serial Glucose, Cholesterol and Uric Acid Responses in «Early Chemical Diabetes» before and after Phenformin - Clin. Res.14 286, 1966.

    Google Scholar 

  16. Roberts H. J.: An Inquiry into the Pathogenesis, Rational Treatment and Prevention of Multiple Sclerosis, with Emphasis upon the Combined Role of Diabetogenic Hyperinsulinism and Recurrent Edema - J. Amer. Geriat. Soc.14 586, 1966.

    Article  CAS  PubMed  Google Scholar 

  17. Roberts H. J.: The Value of Afternoon Glucose Tolerance Testing in the Diagnosis, Prognosis and Rational Treatment of «Early Chemical Diabetes». A Five-Year Experience - Acta diabet. lat.5 532, 1968.

    Article  CAS  Google Scholar 

  18. Schwartz M. J., Mirsky S., Schaefer L. E.: The Effect of Phenformin Hydrochloride (DBI) on Serum Lipids in Diabetes Mellitus - Clin. Res.13 550, 1965.

    Google Scholar 

  19. Schwartz M. J., Mirsky S., Schaefer L. E.: The Effect of Phenformin Hydrochloride on Serum Cholesterol and Triglyceride Levels of the Stable Adult Diabetic - Metabolism15 808, 1966.

    Article  CAS  PubMed  Google Scholar 

  20. Shipp J. C., Wood F. C. Jr.,Marble A.: Hyperlipemia Following Sulfonylurea Therapy in Young Diabetics - J. Amer. med. Ass.188 468, 1964.

    Article  CAS  Google Scholar 

  21. Thomas H. E. Jr.,Kannel W. B., Dawber T. R., McNamara P. M.: Cholesterol-Phospholipid Ratio in the Prediction of Coronary Heart Disease: the Framingham Study - New Engl. J. Med.274 701, 1966.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Roberts, H.J. Oral therapy in «early chemical diabetes». I. Serial glucose, cholesterol and uric acid responses to phenformin. Acta diabet. lat 6, 728–758 (1969). https://doi.org/10.1007/BF01548084

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01548084

Key-words

Navigation