PMID: 1199269Jun 15, 1975Paper

Secretion of insulin and disorders in fatty acid metabolism in diabetic patients with coronary heart diseases

Zeitschrift für die gesamte innere Medizin und ihre Grenzgebiete
D LohmannW Heilman

Abstract

The behaviour of the blood glucose, the insulin secretion, the free fatty acids, of glycerol and of the triglycerides after glucose tolerance test was examined in 66 patients with condition after myocardial infarction. 16 of the 34 patients loaded with an oral glucose tolerance test and 25 of the 31 patients loaded with an intravenous glucose infusion test showed disturbances of the glucose tolerance. The insulin secretion was significantly different neither in normal nor disturbed or lying in the borderline region glucose tolerance. With increasing glycerol values a significant deterioration of the glucose tolerance developed. The triglyceride values in the plasma increased with increasing insulin secretion. The results seem to be important with regard to the pathogenetic relations between the carbohydrate and fat metabolism and might be fo importance also for a differentiated therapy.

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