9-Alpha-fluorohydrocortisone in the treatment of postural hypotension in diabetic autonomic neuropathy.

Abstract:

:A double-blind crossover study of fludrocortisone, 0,1 mg. twice daily, and placebo is reported in six diabetics with troublesome symptoms of postural hypotension due to autonomic neuropathy. During treatment with the active preparation there was an increase in the lying and tilted systolic blood pressure, a decrease in orthostatic tachycardia, and in increase in the total plasma volume and body weight, but with no change in plasma or urine osmolality; The symptoms of postural hypotension improved in four patients, while two patients with a low serum albumin developed ankle edema during treatment with fludrocortisone. It is concluded that fludrocortisone is effective in diabetics with symptomatic postural hypotesnion, but should be used with caution in patients with a low serum albumin.

journal_name

Diabetes

journal_title

Diabetes

authors

Campbell IW,Ewing DJ,Clarke BF

doi

10.2337/diab.24.4.381

subject

Has Abstract

pub_date

1975-04-01 00:00:00

pages

381-4

issue

4

eissn

0012-1797

issn

1939-327X

journal_volume

24

pub_type

临床试验,杂志文章

相关文献

DIABETES文献大全
  • Effects of Topically Administered Neuroprotective Drugs in Early Stages of Diabetic Retinopathy: Results of the EUROCONDOR Clinical Trial.

    abstract::The primary objective of this study was to assess whether the topical administration of two neuroprotective drugs (brimonidine and somatostatin) could prevent or arrest retinal neurodysfunction in patients with type 2 diabetes. For this purpose, adults aged between 45 and 75 years with a diabetes duration ≥5 years and...

    journal_title:Diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/db18-0682

    authors: Simó R,Hernández C,Porta M,Bandello F,Grauslund J,Harding SP,Aldington SJ,Egan C,Frydkjaer-Olsen U,García-Arumí J,Gibson J,Lang GE,Lattanzio R,Massin P,Midena E,Ponsati B,Ribeiro L,Scanlon P,Lobo C,Costa MÂ,Cunha-

    更新日期:2019-02-01 00:00:00

  • β-cell function, incretin effect, and incretin hormones in obese youth along the span of glucose tolerance from normal to prediabetes to type 2 diabetes.

    abstract::Using the hyperglycemic and euglycemic clamp, we demonstrated impaired β-cell function in obese youth with increasing dysglycemia. Herein we describe oral glucose tolerance test (OGTT)-modeled β-cell function and incretin effect in obese adolescents spanning the range of glucose tolerance. β-Cell function parameters w...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db13-1951

    authors: Michaliszyn SF,Mari A,Lee S,Bacha F,Tfayli H,Farchoukh L,Ferrannini E,Arslanian S

    更新日期:2014-11-01 00:00:00

  • Effects of calcium antagonists on insulin-mediated glucose metabolism in skeletal muscle.

    abstract::The effect of three calcium antagonists (verapamil, diltiazem, and nifedipine) on insulin effects was investigated in isolated rat soleus muscles. Soleus muscles were incubated in the presence of insulin (100 microU/ml), a concentration that stimulates the rates of lactate formation and glycogen synthesis half-maximal...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.43.1.73

    authors: Foot EA,Leighton B

    更新日期:1994-01-01 00:00:00

  • Biosynthesis of proinsulin and other islet cell proteins in pancreatic beta cells of the rat: a radioautographic evaluation of glucose effects in vitro.

    abstract::Rat pancreatic islets were incubated in vitro with L-[4,5-3H]leucine or with L-[2,3-3H]tryptophan in Krebs-Ringer bicarbonate buffer, containing 0, 5, or 20 mM glucose. Incorporation of labeled amino acids in islet cells was evaluated quantitatively by a validated radioautographic procedure. Incorporation of labeled l...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diacare.20.10.795

    authors: Logothetopoulos J,Jain K

    更新日期:1980-10-01 00:00:00

  • Mitochondrial respiration is decreased in skeletal muscle of patients with type 2 diabetes.

    abstract::We tested the hypothesis of a lower respiratory capacity per mitochondrion in skeletal muscle of type 2 diabetic patients compared with obese subjects. Muscle biopsies obtained from 10 obese type 2 diabetic and 8 obese nondiabetic male subjects were used for assessment of 3-hydroxy-Acyl-CoA-dehydrogenase (HAD) and cit...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db06-0981

    authors: Mogensen M,Sahlin K,Fernström M,Glintborg D,Vind BF,Beck-Nielsen H,Højlund K

    更新日期:2007-06-01 00:00:00

  • Vascular endothelial growth factor activates nuclear factor-kappaB and induces monocyte chemoattractant protein-1 in bovine retinal endothelial cells.

    abstract::Vascular endothelial growth factor (VEGF) has been suggested to play a role in the pathogenesis of diabetic vascular complications. In the present study, we investigated whether expression of monocyte chemoattractant protein-1 (MCP-1), a chemokine that has been proposed to recruit leukocytes to sites of inflammation, ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.48.5.1131

    authors: Marumo T,Schini-Kerth VB,Busse R

    更新日期:1999-05-01 00:00:00

  • β-Lapachone Prevents Diet-Induced Obesity by Increasing Energy Expenditure and Stimulating the Browning of White Adipose Tissue via Downregulation of miR-382 Expression.

    abstract::There has been great interest in the browning of fat for the treatment of obesity. Although β-lapachone (BLC) has potential therapeutic effects on obesity, the fat-browning effect and thermogenic capacity of BLC on obesity have never been demonstrated. Here, we showed that BLC stimulated the browning of white adipose ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db15-1423

    authors: Choi WH,Ahn J,Jung CH,Jang YJ,Ha TY

    更新日期:2016-09-01 00:00:00

  • Delayed insulin transport across endothelium in insulin-resistant JCR:LA-cp rats.

    abstract::Capillary endothelial cells are thought to limit the transport of insulin across the endothelium, resulting in attenuated insulin action at target sites. Whether endothelial insulin transport is altered in dysglycemic insulin-resistant states is not clear and was therefore investigated in the JCR:LA-cp corpulent male ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.5.803

    authors: Wascher TC,Wölkart G,Russell JC,Brunner F

    更新日期:2000-05-01 00:00:00

  • Inhibition of VEGFR-2 reverses type 1 diabetes in NOD mice by abrogating insulitis and restoring islet function.

    abstract::The dysregulation of receptor tyrosine kinases (RTKs) in multiple cell types during chronic inflammation is indicative of their pathogenic role in autoimmune diseases. Among the many RTKs, vascular endothelial growth factor receptor (VEGFR) stands out for its multiple effects on immunity, vascularization, and cell mig...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db12-1619

    authors: Villalta SA,Lang J,Kubeck S,Kabre B,Szot GL,Calderon B,Wasserfall C,Atkinson MA,Brekken RA,Pullen N,Arch RH,Bluestone JA

    更新日期:2013-08-01 00:00:00

  • Relationship between renal function and metabolic alterations in early streptozocin-induced diabetes in rats.

    abstract::To investigate the temporal relationship of diabetes-induced renal growth and its associated metabolic alterations to the early development of renal hyperfunction, parallel functional and metabolic studies were performed shortly after the onset of diabetes in rats. Hyperglycemia and hypoinsulinemia were evident 18 h a...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.36.1.80

    authors: Cortes P,Dumler F,Goldman J,Levin NW

    更新日期:1987-01-01 00:00:00

  • Progression to type 2 diabetes characterized by moderate then rapid glucose increases.

    abstract:OBJECTIVE:The transition of an individual from normoglycemia to diabetes has generally been thought to involve either moderate or rapid changes in glucose over time, although few studies have analyzed these changes. We sought to determine whether a general pattern of glucose change exists in most individuals who become...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db07-0053

    authors: Mason CC,Hanson RL,Knowler WC

    更新日期:2007-08-01 00:00:00

  • Malonyl CoenzymeA decarboxylase regulates lipid and glucose metabolism in human skeletal muscle.

    abstract:OBJECTIVE:Malonyl coenzyme A (CoA) decarboxylase (MCD) is a key enzyme responsible for malonyl-CoA turnover and functions in the control of the balance between lipid and glucose metabolism. We utilized RNA interference (siRNA)-based gene silencing to determine the direct role of MCD on metabolic responses in primary hu...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db07-0583

    authors: Bouzakri K,Austin R,Rune A,Lassman ME,Garcia-Roves PM,Berger JP,Krook A,Chibalin AV,Zhang BB,Zierath JR

    更新日期:2008-06-01 00:00:00

  • Heterophile anti-mouse immunoglobulin antibodies may interfere with cytokine measurements in patients with HLA alleles protective for type 1A diabetes.

    abstract::Wilson and coworkers (Wilson SB, Kent SC, Patton KT, Orban T, Jackson RA, Exley M, Porcelli S, Schatz DA, Atkinson MA, Balk SP, Strominger JL, Hafler DA: Extreme Th1 bias of invariant V alpha24J alpha Q T-cells in type 1 diabetes. Nature 391:177-181, 1998) have recently reported raised serum levels of interleukin-4 (I...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.48.11.2166

    authors: Redondo MJ,Gottlieb PA,Motheral T,Mulgrew C,Rewers M,Babu S,Stephens E,Wegmann DR,Eisenbarth GS

    更新日期:1999-11-01 00:00:00

  • Altered nephrogenesis due to maternal diabetes is associated with increased expression of IGF-II/mannose-6-phosphate receptor in the fetal kidney.

    abstract::We have recently demonstrated that the exposure to hyperglycemia in utero impairs nephrogenesis in rat fetuses (Amri K et al., Diabetes 48:2240-2245, 1999). Diabetic pregnancy is commonly associated with alterations in the IGF system in fetal tissues. It has also been shown that both IGF-I and IGF-II are produced with...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.50.5.1069

    authors: Amri K,Freund N,Duong Van Huyen JP,Merlet-Bénichou C,Lelièvre-Pégorier M

    更新日期:2001-05-01 00:00:00

  • Prevention of diabetes with pioglitazone in ACT NOW: physiologic correlates.

    abstract::We examined the metabolic characteristics that attend the development of type 2 diabetes (T2DM) in 441 impaired glucose tolerance (IGT) subjects who participated in the ACT NOW Study and had complete end-of-study metabolic measurements. Subjects were randomized to receive pioglitazone (PGZ; 45 mg/day) or placebo and w...

    journal_title:Diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/db13-0265

    authors: Defronzo RA,Tripathy D,Schwenke DC,Banerji M,Bray GA,Buchanan TA,Clement SC,Gastaldelli A,Henry RR,Kitabchi AE,Mudaliar S,Ratner RE,Stentz FB,Musi N,Reaven PD,ACT NOW Study.

    更新日期:2013-11-01 00:00:00

  • The effect of aminoguanidine and tolrestat on glucose toxicity in bovine retinal capillary pericytes.

    abstract::Cultured bovine retinal capillary pericytes (BRP) were used to investigate the effect of an aldose reductase inhibitor, tolrestat, and an inhibitor of advanced glycation end products (AGE) formation, aminoguanidine, on glucose toxicity. Glucose at high concentration reduced the replicative activity of pericytes in a d...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.43.6.758

    authors: Chibber R,Molinatti PA,Wong JS,Mirlees D,Kohner EM

    更新日期:1994-06-01 00:00:00

  • Low mitochondrial glycerol phosphate dehydrogenase and pyruvate carboxylase in pancreatic islets of Zucker diabetic fatty rats.

    abstract::The enzyme activities of mitochondrial glycerol phosphate dehydrogenase (mGPD) (EC 1.1.99.5) and pyruvate carboxylase (PC) (EC 6.4.1.1) have been reported to be low in the pancreatic islet of several rodent models of NIDDM. The present study was undertaken to discern whether mGPD is abnormal in the Zucker diabetic fat...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.45.11.1626

    authors: MacDonald MJ,Tang J,Polonsky KS

    更新日期:1996-11-01 00:00:00

  • The metabolically obese, normal-weight individual revisited.

    abstract::Nearly 20 years ago, it was suggested that individuals exist who are not obese on the basis of height and weight, but who, like people with overt obesity, are hyperinsulinemic, insulin-resistant, and predisposed to type 2 diabetes, hypertriglyceridemia, and premature coronary heart disease. Since then it has become in...

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/diabetes.47.5.699

    authors: Ruderman N,Chisholm D,Pi-Sunyer X,Schneider S

    更新日期:1998-05-01 00:00:00

  • Preferential stiffening of central over peripheral arteries in type 2 diabetes.

    abstract::Arterial stiffness affects cardiac functions, peripheral circulation, and cardiovascular mortality. We examined whether arterial stiffness in different regions is equally affected by diabetes and other factors. The subjects were 161 patients with type 2 diabetes and 129 healthy subjects comparable in age and sex. Arte...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.52.2.448

    authors: Kimoto E,Shoji T,Shinohara K,Inaba M,Okuno Y,Miki T,Koyama H,Emoto M,Nishizawa Y

    更新日期:2003-02-01 00:00:00

  • Multiple metabolic functions of glucose in rat pancreatic islets.

    abstract::Metabolic interactions between glucose and amino acids were studied with isolated rat islets using glucose utilization and lactate formation as indicators. Certain amino acids (8-10 mM) are capable of greatly stimulating lactate formation from 5mM glucose. On a molar basis L-isoleucine is the most potent stimulator in...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.24.5.476

    authors: Pace CS,Ellerman J,Hover BA,Stillings SN,Matschinsky FM

    更新日期:1975-05-01 00:00:00

  • Maturity-onset diabetes of the young caused by a balanced translocation where the 20q12 break point results in disruption upstream of the coding region of hepatocyte nuclear factor-4alpha (HNF4A) gene.

    abstract::Monogenic human disorders have been used as paradigms for complex genetic disease and as tools for establishing important insights into mechanisms of gene regulation and transcriptional control. Maturity-onset diabetes of the young (MODY) is a monogenic dominantly inherited form of diabetes that is characterized by de...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.51.7.2329

    authors: Gloyn AL,Ellard S,Shepherd M,Howell RT,Parry EM,Jefferson A,Levy ER,Hattersley AT

    更新日期:2002-07-01 00:00:00

  • Cytosolic insulin-degrading activity in islet-derived tumor cell lines and in normal rat islets.

    abstract::RIN-m cells, cultured from a rat insulinoma, not only bind and secrete but also degrade insulin (Diabetes 1982; 31:521-31). The insulin-degrading activity resides in the cytosol and is similar to the insulin-specific proteases previously described in muscle and other tissues. It has an apparent Km of 0.15 microM for p...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.34.2.121

    authors: Bhathena SJ,Timmers KI,Oie HK,Voyles NR,Recant L

    更新日期:1985-02-01 00:00:00

  • (111)In-exendin uptake in the pancreas correlates with the β-cell mass and not with the α-cell mass.

    abstract::Targeting of the GLP-1 receptor with (111)In-labeled exendin is an attractive approach to determine the β-cell mass (BCM). Preclinical studies as well as a proof-of-concept study in type 1 diabetic patients and healthy subjects showed a direct correlation between BCM and radiotracer uptake. Despite these promising ini...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db14-1212

    authors: Brom M,Joosten L,Frielink C,Boerman O,Gotthardt M

    更新日期:2015-04-01 00:00:00

  • Relationship between cerebrospinal fluid visfatin (PBEF/Nampt) levels and adiposity in humans.

    abstract:OBJECTIVE:Observations of elevated circulating concentrations of visfatin (PBEF/Nampt) in obesity and diabetes suggest that this recently described adipokine is involved in the regulation of body weight and metabolism. We examined in humans whether visfatin is found in cerebrospinal fluid (CSF) and, if so, how CSF visf...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db08-1176

    authors: Hallschmid M,Randeva H,Tan BK,Kern W,Lehnert H

    更新日期:2009-03-01 00:00:00

  • Inducement by fat feeding of basal hyperglycemia in rats with abnormal beta-cell function. Model for study of etiology and pathogenesis of NIDDM.

    abstract::Non-insulin-dependent diabetes mellitus (NIDDM) is a heterogenous disorder characterized by defects in insulin action and secretion. This study was aimed at developing a rat model in which these pathogenic factors might be studied. Male Wistar rats were injected at 2 days of age with 45 or 30 mg/kg streptozocin (STZ) ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.39.2.226

    authors: Pascoe WS,Storlien LH

    更新日期:1990-02-01 00:00:00

  • Insulin-secreting cells derived from embryonic stem cells normalize glycemia in streptozotocin-induced diabetic mice.

    abstract::Embryonic stem (ES) cells display the ability to differentiate in vitro into a variety of cell lineages. Using a cell-trapping system, we have obtained an insulin-secreting cell clone from undifferentiated ES cells. The construction used allows the expression of a neomycin selection system under the control of the reg...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.2.157

    authors: Soria B,Roche E,Berná G,León-Quinto T,Reig JA,Martín F

    更新日期:2000-02-01 00:00:00

  • Physiological hyperinsulinemia has no detectable effect on access of macromolecules to insulin-sensitive tissues in healthy humans.

    abstract:OBJECTIVE:Physiologically elevated insulin concentrations promote access of macromolecules to skeletal muscle in dogs. We investigated whether insulin has a stimulating effect on the access of macromolecules to insulin-sensitive tissues in humans as well. RESEARCH DESIGN AND METHODS:In a randomized, controlled trial, ...

    journal_title:Diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/db07-0238

    authors: Weinhandl H,Pachler C,Mader JK,Ikeoka D,Mautner A,Falk A,Suppan M,Pieber TR,Ellmerer M

    更新日期:2007-09-01 00:00:00

  • Fasting hyperinsulinemia is a predictor of increased body weight gain and obesity in Pima Indian children.

    abstract::Hyperinsulinemia is commonly associated with obesity, but it has not been determined which defect comes first. Some have proposed that hyperinsulinemia may precede obesity in populations prone to NIDDM, such as Pima Indians or Pacific Islanders. In contrast, longitudinal studies in adults show that insulin sensitivity...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.46.8.1341

    authors: Odeleye OE,de Courten M,Pettitt DJ,Ravussin E

    更新日期:1997-08-01 00:00:00

  • Deletion of the G6pc2 gene encoding the islet-specific glucose-6-phosphatase catalytic subunit-related protein does not affect the progression or incidence of type 1 diabetes in NOD/ShiLtJ mice.

    abstract:OBJECTIVE:Islet-specific glucose-6-phosphatase catalytic subunit-related protein (IGRP), now known as G6PC2, is a major target of autoreactive T cells implicated in the pathogenesis of type 1 diabetes in both mice and humans. This study aimed to determine whether suppression of G6p2 gene expression might therefore prev...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db11-0220

    authors: Oeser JK,Parekh VV,Wang Y,Jegadeesh NK,Sarkar SA,Wong R,Lee CE,Pound LD,Hutton JC,Van Kaer L,O'Brien RM

    更新日期:2011-11-01 00:00:00

  • Driving decrements in type I diabetes during moderate hypoglycemia.

    abstract::Diabetic hypoglycemia produces cognitive-motor slowing, which is assumed to increase risk of automobile crashes. This study investigated driving decrements during and after hypoglycemia, and the patients' awareness of driving decrements. We used a randomized, single-blind, crossover design and conducted the study at t...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diab.42.2.239

    authors: Cox DJ,Gonder-Frederick L,Clarke W

    更新日期:1993-02-01 00:00:00