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May 25, 2010The Journal of Clinical Endocrinology & MetabolismOpen Access

Angiotensin II Enhances Insulin-Stimulated Whole-Body Glucose Disposal but Impairs Insulin-Induced Capillary Recruitment in Healthy Volunteers

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Why the study?

Does Angiotensin II coinfusion alter insulin-induced capillary recruitment and whole-body glucose uptake in healthy subjects during hyperinsulinemia?

Population

18 healthy subjects

Comparison

Systemic hyperinsulinemia with coinfusion of… vs Basal state, systemic hyperinsulinemia alone…

Design

Other

Authors

AJAmy M. JonkMaastricht University Medical CentreAHAlfons J.H.M. HoubenMaastricht University
Nicolaas C. Schaper
Nicolaas C. SchaperVascular Medicine

Discussion

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Implication

Challenges microvascular mediation of insulin action; leaves open relevance to insulin resistance or outcomes.

Structured PICO

Does Angiotensin II coinfusion alter insulin-induced capillary recruitment and whole-body glucose uptake in healthy subjects during hyperinsulinemia?

P
Population
18 healthy subjects
I
Intervention
Systemic hyperinsulinemia with coinfusion of Angiotensin II
C
Comparator
Basal state, systemic hyperinsulinemia alone, and hyperinsulinemia with coinfusion of phenylephrine (pressor control)
O
Outcome
Skin capillary density, capillary recruitment, capillary density during venous congestion, whole-body glucose uptake, and blood pressuresurrogate

Angiotensin II enhances insulin-mediated glucose uptake in healthy individuals despite reducing insulin-mediated skin capillary recruitment, suggesting the mechanism is independent of increased microvascular perfusion.

Cite This Study

Jonk et al. (2010) studied this question.

synapsesocial.com/papers/6a71f12835aa2c282ce302f1https://doi.org/10.1210/jc.2009-2587
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Also Consider

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

  1. 1Altered action of angiotensin II in patients with type 2 diabetes mellitus of recent onset1997 · 16 citations
  2. 2Angiotensin II Type 1 and Type 2 Receptors Regulate Basal Skeletal Muscle Microvascular Volume and Glucose Use2009 · 88 citations
  3. 3Skeletal muscle capillary responses to insulin are abnormal in late-stage diabetes and are restored by angiogensin-converting enzyme inhibition2007 · 87 citations
  4. 4Role of angiotensin II and oxidative stress in vascular insulin resistance linked to hypertension2009 · 62 citations
  5. 5Impaired microvascular perfusion: a consequence of vascular dysfunction and a potential cause of insulin resistance in muscle2008 · 191 citations