THE EFFECT OF BROMOCRIPTINE ON INSULIN SECRETION AND GLUCOSE TOLERANCE IN PATIENTS WITH ACROMEGALY

THE EFFECT OF BROMOCRIPTINE ON INSULIN SECRETION AND GLUCOSE TOLERANCE IN PATIENTS WITH ACROMEGALY
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溴隐亭对肢端肥大症患者胰岛素分泌和葡萄糖耐量的影响

DOI:
10.1111/j.1365-2265.1981.tb00690.x
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发表时间:
1981
影响因子:
3.2
通讯作者:
J. Baird
J. Baird
中科院分区:
医学3区
文献类型:
--
作者:
C. Feek;J. S. Bevan;S. Taylor;N. Brown;J. Baird

文献摘要

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在50 g口服葡萄糖耐量试验(OGTT)期间,12例肢端肥大症患者口服溴隐亭5 mg,每6小时一次,平均持续12个月(范围3-27),显著降低了全血葡萄糖、血浆胰岛素和血浆生长激素(GH)浓度。在此治疗期后,停用溴隐亭48小时,导致重复OGTT期间全血葡萄糖、血浆胰岛素和血浆GH浓度显著升高。可以得出结论,溴隐亭治疗通过抑制GH分泌和GH介导的胰岛素拮抗作用改善肢端肥大症的葡萄糖耐量。
The oral administration of bromocriptine 5 mg 6‐hourly to twelve patients with acromegaly for a mean period of 12 (range 3–27) months significantly reduced whole blood glucose, plasma insulin and plasma growth hormone (GH) concentrations during a 50 g oral glucose tolerance test (OGTT). After this period of treatment, bromocriptine was withdrawn for 48 h resulting in a significant rise in whole blood glucose, plasma insulin and plasma GH concentrations during a repeat OGTT. It is concluded that bromocriptine therapy improves glucose tolerance in acromegaly by suppressing GH secretion and consequently GH‐mediated antagonism of insulin.