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March 1, 1997Journal of Hypertension

Altered action of angiotensin II in patients with type 2 diabetes mellitus of recent onset

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Why the study?

Does Angiotensin II infusion improve insulin sensitivity and skeletal muscle blood flow in patients with recent-onset type 2 diabetes compared to healthy volunteers?

Population

27 subjects, including 12 healthy volunteers and 15 patients with type 2 diabetes mellitus of recent onset.

Comparison

Infusion of 2 ng Angiotensin II/kg per min vs Sham infusion (placebo)

Design

RCT, Allocated in random order, Double-blind, placebo-controlled

Follow-up

Acute (during infusion)

Authors

DFDanilo FliserPreventive CardiologyCKChristine K. KellerRush University Medical CenterPBPhilipp BahrmannGeneral / Preventive / Lipids

Discussion

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Implication

Ang II fails to boost insulin sensitivity in recent-onset T2D; challenges assumptions of uniform effects and extends evidence of attenuated responses versus controls.

Structured PICO

Does Angiotensin II infusion improve insulin sensitivity and skeletal muscle blood flow in patients with recent-onset type 2 diabetes compared to healthy volunteers?

P
Population
27 subjects, including 12 healthy volunteers (aged 43+/-9 years) and 15 patients with type 2 diabetes mellitus (NIDDM) of recent onset (aged 45+/-9 years).
I
Intervention
Infusion of 2 ng Angiotensin II/kg per min
C
Comparator
Sham infusion (placebo)
O
Outcome
Insulin-stimulated glucose uptake (the M value) measured with the euglycaemic clamp techniquesurrogate

The stimulatory effect of Angiotensin II on insulin sensitivity and skeletal muscle blood flow is attenuated in patients with recent-onset type 2 diabetes compared to healthy volunteers.

Cite This Study

Fliser et al. (1997) studied this question.

synapsesocial.com/papers/6a716f76f44fa9f079df3dc2https://doi.org/10.1097/00004872-199715030-00011
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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. 2Pressor and Subpressor Doses of Angiotensin II Increase Insulin Sensitivity in NIDDM: Dissociation of Metabolic and Blood Pressure Effects1994 · 36 citations
  3. 3Effects of Angiotensin II on Insulin Sensitivity: A Placebo-Controlled Study1993 · 14 citations
  4. 4Vascular Reactivity to Angiotensin II and to Norepinephrine in Diabetic Subjects1976 · 177 citations
  5. 5Opposing Actions of Angiotensin II on Microvascular Growth and Arterial Blood Pressure1996 · 288 citations