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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003253naa a2200373 4500
001oai:prod.swepub.kib.ki.se:1929045
003SwePub
008240701s2003 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:19290452 URI
024a https://doi.org/10.2337/diabetes.52.2.2832 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Virtanen, KA4 aut
2451 0a Differential effects of rosiglitazone and metformin on adipose tissue distribution and glucose uptake in type 2 diabetic subjects
264 1b American Diabetes Association,c 2003
520 a We evaluated the effects of rosiglitazone (4 mg b.i.d.) and metformin (1 g b.i.d.) monotherapy for 26 weeks on adipose tissue insulin-stimulated glucose uptake in patients (n = 41) with type 2 diabetes. Before and after the treatment, glucose uptake was measured using 2-[18F]fluoro-2-deoxyglucose and positron emission tomography and adipose tissue masses were quantified using magnetic resonance imaging. Rosiglitazone improved insulin-stimulated whole-body glucose uptake by 44% (P < 0.01 vs. placebo). Mean body weight was unchanged in the rosiglitazone group, while it decreased by 2.0 kg in the metformin group (P < 0.05 vs. placebo). In visceral adipose tissue, glucose uptake increased by 29% (from 17.8 ± 2.0 to 23.0 ± 2.6 μmol · kg−1 · min−1, P < 0.05 vs. placebo) in the rosiglitazone group but to a lesser extent (17%) in the metformin group (from 16.2 ± 1.5 to 18.9 ± 1.7 μmol · kg−1 · min−1, P < 0.05 vs. baseline). Because the visceral adipose tissue mass simultaneously decreased with both treatments (P < 0.05), no change was observed in total visceral glucose uptake per depot. Rosiglitazone significantly enhanced glucose uptake in the femoral subcutaneous area, either when expressed per tissue mass (from 10.8 ± 1.2 to 17.1 ± 1.7 μmol · kg−1 · min−1, P < 0.01 vs. placebo) or per whole-fat depot (P < 0.05 vs. placebo). In conclusion, metformin treatment resulted in improvement of glycemic control without enhancement of peripheral insulin sensitivity. The improved insulin sensitivity of the nonabdominal subcutaneous adipose tissue during treatment with rosiglitazone partly explains the enhanced whole-body insulin sensitivity and underlies the central role of adipose tissue for action of peroxisome proliferator-activated receptor γ agonist in vivo.
700a Hallsten, K4 aut
700a Parkkola, R4 aut
700a Janatuinen, T4 aut
700a Lonnqvist, Fu Karolinska Institutet4 aut
700a Viljanen, T4 aut
700a Ronnemaa, T4 aut
700a Knuuti, J4 aut
700a Huupponen, R4 aut
700a Lonnroth, P4 aut
700a Nuutila, P4 aut
710a Karolinska Institutet4 org
773t Diabetesd : American Diabetes Associationg 52:2, s. 283-290q 52:2<283-290x 0012-1797x 1939-327X
856u http://diabetes.diabetesjournals.org/content/52/2/283.full.pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:1929045
8564 8u https://doi.org/10.2337/diabetes.52.2.283

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