Trial of chlorpropamide in subclinical diabetes

Autor: Thorir Helgason, John M. Stowers
Rok vydání: 1965
Předmět:
Zdroj: Diabetologia. 1:128-130
ISSN: 1432-0428
0012-186X
DOI: 10.1007/bf00421488
Popis: A trial is described of the use of small doses of Chlorpropamide for subclinical diabetes, defined as chemical diabetes with a normal fasting blood sugar and without diabetic symptoms. Subjects with subclinical diabetes were investigated for symptomless glycosuria or because of one or more of a number of clinical characteristics known often to be associated with diabetes. Glucose tolerance was measured initially and at intervals by the intravenous technique, the results being expressed numerically as Increment Indices. Precautions were taken to exclude the non-specific influences of loss of excess weight, of bed rest and of pregnancy when assessing the long-term effect of small doses of Chlorpropamide. The Chlorpropamide treatment was temporarily discontinued some three weeks before performing the sequential intravenous glucose tolerance test. Results on 107 subjects showed improvement in glucose tolerance in 78, no change in 2 and deterioration in 27. The most favourable results were obtained in the 30 women under 35 years of age who achieved a normal Increment Index after an average of 121/2 months treatment of Chlorpropamide. A larger scale, double-blind trial is being performed under the auspices of the Medical & Scientific Section of the British Diabetic Association using a placebo-treated control group.
Databáze: OpenAIRE