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Effects of ramipril therapy on some components of insulin resistance syndrome in patients with essential hypertension

机译:雷米普利对原发性高血压患者胰岛素抵抗综合征某些成分的影响

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Essential hypertension presents a component of insulin resistance syndrome. Insulin resistance exists whenever normal concentration of hormone produces less than normal biologic response. This prospective clinical study included 15 patients (7 male and 8 female), with normal glucose tolerance, aged 53,24 ± 6,60 years, BMI 26,97 ± 1,24 kg/ m2, with mild-to-moderate essential hypertension before and after ramipril treatment lasting 12 weeks. For assessment of peripheral insulin sensitivity and glucose effectiveness we used a reduced samples Bergman's Minimal Model method. At week 12, we noted a 50% elevation of mean insulin sensitivity index, but without achieving normal reference values (Si = 1,22 ± 0,66 vs 1,78 ± 0,8 x 10-4 min/μU/ml). Glucose effectiveness, plasma lipids and electrolytes were relatively unchanged. Haemoglobin and platelet count were significantly decreased. Being metabolically neutral, with antithrombotic activity, ramipril can be recommended for treatment of patients with hypertension and insulin resistance, especially for patients with accompanied diabetes mellitus.
机译:原发性高血压是胰岛素抵抗综合症的一个组成部分。只要正常浓度的激素产生的生物反应低于正常水平,就会存在胰岛素抵抗。这项前瞻性临床研究包括15例患者(男性7例,女性8例),糖耐量正常,年龄53,24±6,60岁,BMI 26,97±1,24 kg / m2,轻中度原发性高血压雷米普利治疗前后持续12周。为了评估外周胰岛素敏感性和葡萄糖有效性,我们使用了减少的样本伯格曼最小模型方法。在第12周时,我们注意到平均胰岛素敏感性指数提高了50%,但未达到正常参考值(Si = 1.22±0.66 vs 1.78±0.8 x 10-4 min /μU/ ml) 。葡萄糖有效性,血浆脂质和电解质相对不变。血红蛋白和血小板计数显着降低。雷米普利是代谢中性的,具有抗血栓形成的活性,可推荐用于治疗高血压和胰岛素抵抗的患者,尤其是伴有糖尿病的患者。

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