Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients

Diabetes mellitus (DM) is a complex, multifactorial and heterogeneous group of disorders characterized by endogenous insulin deficiency and/or insulin resistance. Regardless of the etiology, the disease manifests itself as a state of chronic hyperglycemia with attendant small blood vessel (microvasc...

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Main Authors: Nesren Sh. Mohammed, Saad A. Hussain, Isam Noori Ai-Karwi
Format: Article
Language:English
Published: University of Anbar 2014-04-01
Series:مجلة جامعة الانبار للعلوم الصرفة
Subjects:
Online Access:https://juaps.uoanbar.edu.iq/article_121393_d41d8cd98f00b204e9800998ecf8427e.pdf
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author Nesren Sh. Mohammed
Saad A. Hussain
Isam Noori Ai-Karwi
author_facet Nesren Sh. Mohammed
Saad A. Hussain
Isam Noori Ai-Karwi
author_sort Nesren Sh. Mohammed
collection DOAJ
description Diabetes mellitus (DM) is a complex, multifactorial and heterogeneous group of disorders characterized by endogenous insulin deficiency and/or insulin resistance. Regardless of the etiology, the disease manifests itself as a state of chronic hyperglycemia with attendant small blood vessel (microvascular) and large blood vessel (macrovascular) complications, All individuals who have DM have derangement of normal blood glucose and insulin homeostasis. Insulin receptor defects (quantitative and/or qualitative) inhibit glucose uptake by cells as in type 2 diabetes mellitus (T2DM). While Beta cell failure results in inadequate circulating insulin levels as in type 1 diabetes mellitus (T1DM). 30 patients selected with uncontrolled non insulin dependent diabetes mellitus (NIDDM) .Their average age was (44.34±7.15) years and their duration of diabetes was 8.48±8.27 years,examination and selection of patients done by the consultant physician ,assistant professor ,at the national center of treatment and research for diabetes .Essential kidney disease and hypertensive patients were excluded, we tested their blood pressure, fasting blood sugar (FBS),post postprandial glucose excursion (PPGE) and albuminuria before and after daily captopril intake for 2 months.The results showed a significant decrease (p<0.01) in PPGE (postprandial glucose excursion) , after taking angiotensin converting enzyme (ACE) inhibitor captopril mean (185 ±28.75 mg/dl) when compared before captopril intake (230±45 mg/dl) , when calculating the area under the curve. In which these results indicated a positive effect of captopril on insulin sensitivity and blood glucose level.
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spelling doaj.art-6b0feb1133724833af22ed841ba6aa682023-12-28T21:57:17ZengUniversity of Anbarمجلة جامعة الانبار للعلوم الصرفة1991-89412706-67032014-04-0181141810.37652/juaps.2014.121393121393Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM PatientsNesren Sh. Mohammed0Saad A. Hussain1Isam Noori Ai-Karwi2College of Pharmacy,University of Baghdad-Iraq.College of Pharmacy,University of Baghdad-Iraq.National Center for Diabetes ,Al-Mustansriya universityDiabetes mellitus (DM) is a complex, multifactorial and heterogeneous group of disorders characterized by endogenous insulin deficiency and/or insulin resistance. Regardless of the etiology, the disease manifests itself as a state of chronic hyperglycemia with attendant small blood vessel (microvascular) and large blood vessel (macrovascular) complications, All individuals who have DM have derangement of normal blood glucose and insulin homeostasis. Insulin receptor defects (quantitative and/or qualitative) inhibit glucose uptake by cells as in type 2 diabetes mellitus (T2DM). While Beta cell failure results in inadequate circulating insulin levels as in type 1 diabetes mellitus (T1DM). 30 patients selected with uncontrolled non insulin dependent diabetes mellitus (NIDDM) .Their average age was (44.34±7.15) years and their duration of diabetes was 8.48±8.27 years,examination and selection of patients done by the consultant physician ,assistant professor ,at the national center of treatment and research for diabetes .Essential kidney disease and hypertensive patients were excluded, we tested their blood pressure, fasting blood sugar (FBS),post postprandial glucose excursion (PPGE) and albuminuria before and after daily captopril intake for 2 months.The results showed a significant decrease (p<0.01) in PPGE (postprandial glucose excursion) , after taking angiotensin converting enzyme (ACE) inhibitor captopril mean (185 ±28.75 mg/dl) when compared before captopril intake (230±45 mg/dl) , when calculating the area under the curve. In which these results indicated a positive effect of captopril on insulin sensitivity and blood glucose level.https://juaps.uoanbar.edu.iq/article_121393_d41d8cd98f00b204e9800998ecf8427e.pdfaceimproving insulin sensitivitytype ii dm patients
spellingShingle Nesren Sh. Mohammed
Saad A. Hussain
Isam Noori Ai-Karwi
Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients
مجلة جامعة الانبار للعلوم الصرفة
ace
improving insulin sensitivity
type ii dm patients
title Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients
title_full Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients
title_fullStr Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients
title_full_unstemmed Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients
title_short Effects of Sub therapeutic Doses of ACE-I in Improving insulin sensitivity in Type II DM Patients
title_sort effects of sub therapeutic doses of ace i in improving insulin sensitivity in type ii dm patients
topic ace
improving insulin sensitivity
type ii dm patients
url https://juaps.uoanbar.edu.iq/article_121393_d41d8cd98f00b204e9800998ecf8427e.pdf
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