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Erythrocyte insulin binding abnormalities in fibro calculous pancreatic diabetes.

AbstractInsulin binding to erythrocyte insulin receptors was studied in 17 patients (13 men and 4 women) with fibrocalculous pancreatic diabetes mellitus (FCPD) and compared with that of 14 newly diagnosed NIDDM patients matched for age, sex and severity of hyperglycemia, and 14 age and sex-matched non-diabetic control subjects. In the uncompensated diabetic state, mean (+/- S.D.) specific binding of insulin was lower in both FCPD and NIDDM patients, compared with non-diabetic controls (P less than 0.001). Control of diabetes with short term therapy (2-6 weeks) resulted in a significant improvement in the mean specific insulin binding in both FCPD and NIDDM patients (P less than 0.001) due to increased binding affinity in the former, and increased affinity and the number of binding sites in the latter. As compared to short term therapy, chronic therapy (5-8 months) in FCPD patients resulted in a marginal decrease in specific insulin binding. However, this was still significantly higher than the basal value (P less than 0.05). FCPD patients had an initial low mean basal plasma IRI and a much lower mean stimulated IRI response as compared to NIDDM and non-diabetic controls.
AuthorsA Ramachandran, L Susheela, V Mohan, D A Kuzali, M Viswanathan (Affiliation: Diabetes Research Centre, Madras, India.)
JournalHormone and metabolic research. Hormon- und Stoffwechselforschung. Hormones et métabolisme (Horm Metab Res) Vol. 20 Issue 11 Pg. 693-7 (Nov 1988) ISSN: 0018-5043 GERMANY, WEST
PMID3063650 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Insulin
  • Receptor, Insulin
Topics
  • Adult
  • Calculi (blood)
  • Diabetes Mellitus (blood, drug therapy)
  • Diabetes Mellitus, Type 2 (blood)
  • Erythrocytes (metabolism)
  • Female
  • Follow-Up Studies
  • Humans
  • Insulin (blood, therapeutic use)
  • Male
  • Middle Aged
  • Pancreatic Diseases (blood)
  • Receptor, Insulin (metabolism)