Improvement of insulin sensitivity by a long-acting nifedipine preparation (nifedipine-CR) in patients with essential hypertension.

Abstract:

BACKGROUND:Nifedipine has been reported to cause impairment of insulin sensitivity. But recently a controlled-released formulation of nifedipine (nifedipine-GITS) has been reported that it could improve insulin sensitivity. METHODS:We evaluated insulin sensitivity in two groups of essential hypertensive subjects before and after treatment with either long-acting nifedipine (nifedipine-CR, Adalat CR tablets; Bayer Yakuhin, Osaka, Japan) (n = 10) or metoprolol (n = 9). Insulin sensitivity was evaluated from the steady-state plasma glucose (SSPG) level measured at the steady-state insulin level (20 to 30 microU/mL) using a modification of the SSPG method previously reported. RESULTS:The SSPG was initially high, but was significantly reduced by nifedipine-CR treatment (from 133 +/- 14 mg/dL to 95 +/- 8 mg/dL). However, SSPG was not significantly altered by treatment in the metoprolol group (from 103 +/- 15 mg/dL to 119 +/- 12 mg/dL). CONCLUSIONS:Our results indicate that the long-acting nifedipine (nifedipine-CR) is associated with improved insulin sensitivity.

journal_name

Am J Hypertens

authors

Koyama Y,Kodama K,Suzuki M,Harano Y

doi

10.1016/s0895-7061(02)03019-4

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

927-31

issue

11

eissn

0895-7061

issn

1941-7225

pii

S0895706102030194

journal_volume

15

pub_type

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