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June 1, 1998The Journal of Clinical Endocrinology & MetabolismOpen Access

The Vasodilating Effect of Insulin Is Dependent on Local Glucose Uptake: A Double Blind, Placebo-Controlled Study1

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Key result

Brachial artery infusion of 5 mU/min insulin caused weak (20%) vasodilation compared with placebo (P<0.01), which was significantly augmented to 47% with D-glucose coinfusion.

Why the study?

Does local insulin infusion, alone or with D-glucose, improve forearm blood flow in healthy male volunteers?

Population

17 healthy male volunteers

Comparison

Brachial artery infusions of 1 mU/min or 5… vs Vehicle (placebo) brachial artery infusion

Design

RCT, random order on 3 separate study days, double blind, placebo-controlled

Follow-up

90 min

Authors

SUShinichiro UedaGeneral / Preventive / LipidsJPJohn R. PetrieUniversità Cattolica del Sacro CuoreSCStephen J. ClelandNHS Greater Glasgow and Clyde

Discussion

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Implication

Local glucose uptake determines insulin vasodilation in healthy men; extends mechanistic evidence for metabolic-vascular coupling.

Key Points

  • This study aims to explore the local vascular effects of insulin, particularly its interaction with glucose uptake.
  • Conducted as a double blind, placebo-controlled trial with 17 healthy male volunteers.
  • Measured forearm blood flow using bilateral venous occlusion plethysmography during different insulin and glucose infusions.
  • Administered varying doses of insulin with and without D-glucose to assess effects over 90 minutes.
  • Higher insulin dose (5 mU/min) led to 20% vasodilation compared to placebo (F = 5.75, P < 0.01).
  • Coinfusion of D-glucose increased vasodilation to 47%, indicating a significant interaction.
  • L-glucose did not enhance insulin-mediated vasodilation, showing the role of D-glucose specifically.

Study Design

Type

RCT (n=17)

Blinding

Double-blind

Randomization

Random order

Structured PICO

Does local insulin infusion, alone or with D-glucose, improve forearm blood flow in healthy male volunteers?

P
Population
17 healthy male volunteers evaluated for forearm blood flow during 90-minute infusions.
I
Intervention
Brachial artery infusions of 1 mU/min or 5 mU/min insulin for 90 min, alone or with intraarterial coinfusion of D-glucose or L-glucose
C
Comparator
Vehicle (placebo) brachial artery infusion
O
Outcome
Forearm blood flow measured by bilateral venous occlusion forearm plethysmographysurrogate

Main Result

p-value: p=< 0.01

Local uptake of D-glucose by insulin-sensitive tissues is an important determinant of insulin-mediated vasodilation in healthy men.

Cite This Study

Ueda et al. (1998) conducted an RCT in Healthy (n=17). Insulin alone or with D-glucose vs. Placebo (vehicle) was evaluated on Forearm blood flow (vasodilation) (p=< 0.01). Brachial artery infusion of 5 mU/min insulin caused weak (20%) vasodilation compared with placebo (P<0.01), which was significantly augmented to 47% with D-glucose coinfusion.

synapsesocial.com/papers/6a22fafaba2e71e68a57e90fhttps://doi.org/10.1210/jcem.83.6.4897
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Normal Effect of Insulin to Stimulate Leg Blood Flow in NIDDM1995 · 70 citations
  2. 2Evidence for Dissociation of Insulin Stimulation of Blood Flow and Glucose Uptake in Human Skeletal Muscle: Studies Using [15O]H2O, [18F]fluoro-2-deoxy- D -glucose, and Positron Emission Tomography1996 · 61 citations
  3. 3Impaired Insulin-Mediated Skeletal Muscle Blood Flow in Patients With NIDDM1992 · 458 citations
  4. 4Exposure To Elevated D -Glucose Concentrations Modulates Vascular Endothelial Cell Vasodilatory Response1993 · 81 citations
  5. 5Activation of the Sodium-Potassium Pump Contributes to Insulin-Induced Vasodilation in Humans1996 · 78 citations