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April 1, 1996HypertensionOpen Access

Angiotensin Mediates Forearm Glucose Uptake by Hemodynamic Rather Than Direct Effects

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Key result

Local Angiotensin II infusion maintained steady glucose utilization (4% decrease, P=NS) by increasing glucose extraction by 59% (P<.05) to compensate for a 38% decrease in forearm blood flow (P<.05).

Why the study?

Does local Angiotensin II infusion directly impair insulin-stimulated glucose utilization in healthy subjects?

Population

20 healthy subjects

Comparison

Local infusion of Angiotensin II into the… vs Insulin alone

Design

Other

Follow-up

90 minutes

Authors

KJKenneth JamersonPreventive CardiologySNShawna D. NesbittGeneral / Preventive / LipidsJAJohn AmerenaHeart Failure / Cardiomyopathy

Discussion

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Implication

Local Ang II effects on forearm glucose handling warrant no practice change; leaves open systemic metabolic implications in hypertension.

Structured PICO

Does local Angiotensin II infusion directly impair insulin-stimulated glucose utilization in healthy subjects?

P
Population
20 healthy subjects undergoing an isolated insulin-perfused forearm model with local Angiotensin II infusion.
I
Intervention
Local infusion of Angiotensin II into the brachial artery for 30 minutes (following 60 minutes of insulin alone)
C
Comparator
Insulin alone (first 60 minutes of the 90-minute infusion period)
O
Outcome
Glucose utilization and forearm blood flowsurrogate

Main Result

Effect estimate: 4% decrease

p-value: p=NS

Local Angiotensin II infusion does not directly impair insulin-stimulated glucose utilization, suggesting that previously observed effects on glucose uptake are mediated by hemodynamic factors rather than direct metabolic effects.

Cite This Study

Jamerson et al. (1996) studied Healthy (n=20). Local infusion of Angiotensin II vs. Insulin alone (first 60 minutes) was evaluated on Glucose utilization (4% decrease, p=NS). Local Angiotensin II infusion maintained steady glucose utilization (4% decrease, P=NS) by increasing glucose extraction by 59% (P<.05) to compensate for a 38% decrease in forearm blood flow (P<.05).

synapsesocial.com/papers/6a6c0d3279eb7ca170248170https://doi.org/10.1161/01.hyp.27.4.854
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Also Consider

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

  1. 1Angiotensin II enhances insulin sensitivity in healthy volunteers under euglycemic conditions1993 · 37 citations
  2. 2Low-Dose Angiotensin II Increases Glucose Disposal Rate During Euglycemic Hyperinsulinemia1993 · 23 citations
  3. 3Effect of Captopril on Glucose Concentration: Possible Role of Augmented Postprandial Forearm Blood Flow1990 · 90 citations
  4. 4Hyperinsulinemia produces both sympathetic neural activation and vasodilation in normal humans.1991 · 1,085 citations
  5. 5Hyperinsulinaemia and other metabolic disturbances in well-controlled hypertensive men and women: an epidemiological study of the Dalby population1990 · 54 citations