Longitudinal studies on the development of diabetes in individualMacaca nigra
β Scribed by Charles F. Howard
- Book ID
- 104779237
- Publisher
- Springer
- Year
- 1986
- Tongue
- English
- Weight
- 657 KB
- Volume
- 29
- Category
- Article
- ISSN
- 0012-186X
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β¦ Synopsis
Development of spontaneous diabetes has been monitored in individual Macaca nigra. In this study, pancreatic biopsies were taken, islets were assessed morphologically, and results were related to the metabolic/clinical status. A biopsy or autopsy sample was obtained 4 to 10 years later, and the islet morphological state was again related to the metabolic/clinical status. Metabolic deterioration was correlated to the islet lesion, in which there was gradual loss of islet secretory cells and concurrent amyloid deposition. As nondiabetic monkeys with 0 to 3% islet amyloid progressed up to 20 to 40% amyloid, the insulin secretion and glucose clearance were both decreased (p< 0.01), and the glucose and glucagon levels increased (p= 0.05). Impaired monkeys progressed to overt diabetes when islet amyloid exceeded 50 to 60%. Diabetic monkeys developed hyperglycaemia, along with impaired insulin secretion and glucose clearance (p<0.01). Loss of islet cells results in metabolic deterioration. The lesion precedes development of overt diabetes in Macaea nigra.
π SIMILAR VOLUMES
Relationships between glycaemic control, hypertension, and development of microangiopathy have been well documented in Type 1 (insulin-dependent) but not in Type 2 (noninsulin-dependent) diabetes mellitus. Therefore, we have investigated these relationships in a cohort of 64 Type 2 patients free of