The effect of insulin on renal sodium metabolism. A review with clinical implications.

Abstract:

:Data are discussed which demonstrate that insulin plays an important role in sodium metabolism. The primary action of insulin on sodium balance is exerted on the kidney. Increases in plasma insulin concentration within the physiological range stimulate sodium reabsorption by the distal nephron segments and this effect is independent of changes in circulating metabolites or other hormones. Several clinical situations are reviewed: sodium wasting in poorly controlled diabetics, natriuresis of starvation, anti-natriuresis of refeeding and hypertension of obesity, in which insulin-mediated changes in sodium balance have been shown to play an important pathophysiological role.

journal_name

Diabetologia

journal_title

Diabetologia

authors

DeFronzo RA

doi

10.1007/BF00252649

subject

Has Abstract

pub_date

1981-09-01 00:00:00

pages

165-71

issue

3

eissn

0012-186X

issn

1432-0428

journal_volume

21

pub_type

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