Effect of a high carbohydrate diet on insulin binding to adipocytes and on insulin action in vivo in man.

Abstract:

:We studied the effects of short-term (5 days) and long-term (2 wk) high carbohydrate (75%) feedings on insulin binding to isolated adipocytes and insulin sensitivity in vivo in normal subjects. Ingestion of the high carbohydrate diet led to daylong hyperinsulinemia in both short- and long-term groups. Insulin binding to isolated adipocytes was decreased in both groups; in the short-term groups this decrease in insulin binding was caused by a decrease in the receptor affinity, whereas in the long-term group it was caused by a decrease in receptor number. On the other hand, despite this decrease in insulin binding, total in vivo insulin sensitivity was markedly improved in both groups. In conclusion, (1) the short-term adaptive response of the insulin receptor is a decrease in binding affinity whereas the long-term response is a decrease in receptor number, (2) sustained and chronic hyperinsulinemia can lead to a decrease in the number of cellular insulin receptors, (3) high carbohydrate diets lead to a general increase in insulin's ability to promote glucose removal from plasma, and (4) the paradox of enhanced insulin sensitivity in the face of decreased insulin binding can be explained if high carbohydrate diets also lead to an increase in the activity of steps in glucose metabolism distal to the insulin receptor.

journal_name

Diabetes

journal_title

Diabetes

authors

Kolterman OG,Greenfield M,Reaven GM,Saekow M,Olefsky JM

doi

10.2337/diab.28.8.731

subject

Has Abstract

pub_date

1979-08-01 00:00:00

pages

731-6

issue

8

eissn

0012-1797

issn

1939-327X

journal_volume

28

pub_type

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