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November 1, 1990Diabetes Care

Effect of Captopril on Glucose Concentration: Possible Role of Augmented Postprandial Forearm Blood Flow

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Key result

Captopril 25 mg 3 times/day improved the daily profile of plasma glucose levels and augmented postprandial forearm blood flow in 12 non-insulin-dependent diabetic normotensive subjects.

Why the study?

Does captopril improve plasma glucose concentration in non-insulin-dependent diabetic normotensive subjects?

Population

12 non-insulin-dependent diabetic normotensive subjects

Comparison

Captopril 25 mg 3 times/day vs Without captopril

Design

Other

Authors

JKJunichi KodamaHokkaido UniversitySKShigehiro KatayamaInstitute for Advanced StudyKTKiyoshi TanakaSaitama Medical University

Discussion

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Implication

Hypothesis-generating for captopril's glycemic effects in type 2 diabetes; larger RCTs needed before any clinical consideration.

Structured PICO

Does captopril improve plasma glucose concentration in non-insulin-dependent diabetic normotensive subjects?

P
Population
12 non-insulin-dependent diabetic normotensive subjects.
I
Intervention
Captopril 25 mg 3 times/day
C
Comparator
Without captopril
O
Outcome
Daily profiles of plasma glucose levelssurrogate

Captopril may improve glucose metabolism in diabetic subjects, potentially by enhancing blood flow to skeletal muscle.

Cite This Study

Kodama et al. (1990) studied Non-insulin-dependent diabetes mellitus (n=12). Captopril vs. Without captopril was evaluated on Daily profiles of plasma glucose levels. Captopril 25 mg 3 times/day improved the daily profile of plasma glucose levels and augmented postprandial forearm blood flow in 12 non-insulin-dependent diabetic normotensive subjects.

synapsesocial.com/papers/6a6cfa5731a3df824326de46https://doi.org/10.2337/diacare.13.11.1109
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Also Consider

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

  1. 1Long-Term Effects of the Angiotensin Converting Enzyme Inhibitor Captopril on Metabolic Control in Non – Insulin-Dependent Diabetes Mellitus1993 · 44 citations
  2. 2Improved Insulin Action and Glycemic Control After Long Term Angiotensin-Converting Enzyme Inhibition in Subjects with Arterial Hypertension and Type II Diabetes1993 · 87 citations
  3. 3Circulating catecholamines and metabolic effects of captopril in NIDDM patients1996 · 18 citations
  4. 4Influence of captopril on symptomatic and hormonal responses to hypoglycaemia in humans2003 · 16 citations
  5. 5Circulating endothelin-1 levels in lean non-insulin-dependent diabetic patientsInfluence of ACE inhibition1995 · 30 citations