The aim of this study was to determine whether insulin sensitivity measured by the euglycaemic insulin clamp technique is lower in patients with primary hypertension than in matched healthy control subjects, and whether this sensitivity was affected after 12 weeks of antihypertensive treatment with
Attenuation of experimental hypertension with agents that increase insulin sensitivity
โ Scribed by Theodore A. Kotchen
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 363 KB
- Volume
- 32
- Category
- Article
- ISSN
- 0272-4391
No coin nor oath required. For personal study only.
โฆ Synopsis
Both in the human and in several experimental models, hypertension is associated with insulin resistance. Thiazolidinedione derivatives are a novel group of oral hypoglycemic agents that increase insulin sensitivity without stimulating endogenous insulin secretion. These agents have been shown to attenuate the development of hypertension in the following experimental rat models: the Dahl salt-sensitive rat, the one-kidney, one-clip hypertensive rat, the obese Zucker rat, and blood pressure increases in rats fed high carbohydrate or high fat diets. Clofibrate, a lipid lowering agent that also increases insulin sensitivity, also prevents the development of hypertension in Dahl salt sensitive rats. Additional studies will be required to determine if attenuation of hypertension by these agents i s specifically related to their capacity to increase insulin sensitivity.
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