Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials

Jørn Ditzel, Hans Henrik LervangDepartment of Endocrinology, and Center for Prevention of Struma and Metabolic Diseases, Aalborg University Hospital, Aarhus University, DenmarkAbstract: A paradoxical metabolic imbalance in inorganic phosphate occurs from the early onset of diabetes an...

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Main Authors: Jørn Ditzel, Hans Henrik Lervang
Format: Article
Language:English
Published: Dove Medical Press 2009-10-01
Series:Diabetes, Metabolic Syndrome and Obesity
Online Access:http://www.dovepress.com/disturbance-of-inorganic-phosphate-metabolism-in-diabetes-mellitus-tem-a3613
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author Jørn Ditzel
Hans Henrik Lervang
author_facet Jørn Ditzel
Hans Henrik Lervang
author_sort Jørn Ditzel
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description Jørn Ditzel, Hans Henrik LervangDepartment of Endocrinology, and Center for Prevention of Struma and Metabolic Diseases, Aalborg University Hospital, Aarhus University, DenmarkAbstract: A paradoxical metabolic imbalance in inorganic phosphate occurs from the early onset of diabetes and may lead to a reduction of high energy phosphates and tissue hypoxia. These changes take place in the cells and tissues in which the entry of glucose is not controlled by insulin, and particularly in poorly regulated diabetes patients in whom long-term vascular complications are more likely to occur. Several therapeutic intervention trials have been carried out, including assessment of optimal glucose regulation, the effect of dietary inclusion of calcium diphosphate and pharmaceutical intake of etidronate disodium (EHDP), but none of these modalities wholly overcome the problem. The potential therapeutic application of fructose-1, 6-diphosphate, however, which also acts as human bioenergy, holds a great deal of promise as an efficacious and well-tolerated therapeutic regimen.Keywords: diabetes, inorganic phosphate metabolism, early intervention trials
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spelling doaj.art-edde048fab82445dbf8388cf85af09da2023-02-02T19:40:40ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072009-10-012009default173177Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trialsJørn DitzelHans Henrik LervangJørn Ditzel, Hans Henrik LervangDepartment of Endocrinology, and Center for Prevention of Struma and Metabolic Diseases, Aalborg University Hospital, Aarhus University, DenmarkAbstract: A paradoxical metabolic imbalance in inorganic phosphate occurs from the early onset of diabetes and may lead to a reduction of high energy phosphates and tissue hypoxia. These changes take place in the cells and tissues in which the entry of glucose is not controlled by insulin, and particularly in poorly regulated diabetes patients in whom long-term vascular complications are more likely to occur. Several therapeutic intervention trials have been carried out, including assessment of optimal glucose regulation, the effect of dietary inclusion of calcium diphosphate and pharmaceutical intake of etidronate disodium (EHDP), but none of these modalities wholly overcome the problem. The potential therapeutic application of fructose-1, 6-diphosphate, however, which also acts as human bioenergy, holds a great deal of promise as an efficacious and well-tolerated therapeutic regimen.Keywords: diabetes, inorganic phosphate metabolism, early intervention trialshttp://www.dovepress.com/disturbance-of-inorganic-phosphate-metabolism-in-diabetes-mellitus-tem-a3613
spellingShingle Jørn Ditzel
Hans Henrik Lervang
Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials
Diabetes, Metabolic Syndrome and Obesity
title Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials
title_full Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials
title_fullStr Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials
title_full_unstemmed Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials
title_short Disturbance of inorganic phosphate metabolism in diabetes mellitus: temporary therapeutic intervention trials
title_sort disturbance of inorganic phosphate metabolism in diabetes mellitus temporary therapeutic intervention trials
url http://www.dovepress.com/disturbance-of-inorganic-phosphate-metabolism-in-diabetes-mellitus-tem-a3613
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AT hanshenriklervang disturbanceofinorganicphosphatemetabolismindiabetesmellitustemporarytherapeuticinterventiontrials