INFLUENCE OF BETA-BLOCKERS ON INSULIN RESISTANCE IN PATIEN TS WITH DIABETES MELLITUS TYPE 2

Autor: Nataša Đinđić, Snežana Zlatković-Guberinić, Danka Sokolović, Radivoj Kocić, Radmila Veličković-Radovanović, Ivana Damnjanović, Irena Conić
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Acta Medica Medianae, Vol 50, Iss 4, Pp 23-28 (2011)
Druh dokumentu: article
ISSN: 0365-4478
Popis: The insulin resistance is present when the concentration of insulin is normal and biological response is decreased. The most frequent metabolic change that was detected during anti-hypertension therapy is a change in the insulin resistance. Beta-blockers are generally accompanied by the deterioration of metabolic control in patients with diabetes. It is considered that using certain beta-blockers in hypertension therapy in patients with diabetes mellitus type 2 (DM type 2) can significantly influence the insulin resistance. Taking into consideration the latest knowledge on pharmaco-dynamics of insulin analogues and beta -blockers, by observing the parameters of glycoregulation, it would be of great interest and practical significance to determine the following influence of beta - blockers and their selectivity on the insulin resistance in patients with DM type 2 and hypertension. The research was conducted at the Endocrinology Clinic of the Clinical Centre Niš, and it included 60 patients with diagnosed diabetes mellitus type 2. After collecting anamnesis data, clinical and laboratory research performance, all patients were divided into two therapy groups: first group, 30 patients that were administered the therapy based on insulin glargine and second group, 30 patients that were administered the therapy based on insulin glargine and blocker divided into two therapy subgroups: 15 patients that were administered the therapy based on insulin glargine and carvedilol and 15 patients that were administered the therapy based on insulin glargine and metoprolol. Higher values of glycaemia and glycolised haemoglobin were found in patients receiving therapy based on beta–blocker (p
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