Regulation of skeletal muscle morphology in type 2 diabetic subjects by troglitazone and metformin: Relationship to glucose disposal

Autor: Odile Mathieu-Costello, Yan Ju, Alice Kong, Li Cui, Theodore P. Ciaraldi, Neelima Chu, Sunder Mudaliar, Dennis Kim, Robert R. Henry
Rok vydání: 2003
Předmět:
Zdroj: Metabolism. 52:540-546
ISSN: 0026-0495
DOI: 10.1053/meta.2002.50108
Popis: The goal of this work was to compare the effects of different antidiabetic therapies on the phenotype of skeletal muscle in type 2 diabetic subjects failing sulfonylurea therapy. Subjects were treated with a thiazolidinedione (troglitazone, TGZ) or a biguanide (metformin, MET) in addition to glyburide for 3 to 4 months. Insulin action was determined with a hyperinsulinemic (300 mU. m(-2). min(-1)) euglycemic (5.0 to 5.5 mmol/L) clamp. Biopsies were obtained from the vastus lateralis muscle for morphological analysis. Despite similar glycemic control, relative increases in the insulin-stimulated glucose disposal rate (GDR) were greater after TGZ treatment (37 +/- 8% increase, P
Databáze: OpenAIRE