Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress

We analysed endothelial function and oxidative stress in patients with abnormal glucose metabolism, the effect of glucose load, and the impact of nateglinide. 109 participants were grouped into newly diagnosed diabetes, prediabetes, and control. Fasting plasma glucose (FPG), postprandial plasma gluc...

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Main Authors: Leilei Wang, Lixin Guo, Lina Zhang, Yan Zhou, Qinghua He, Zheng Zhang, Meng Wang
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2013/849295
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author Leilei Wang
Lixin Guo
Lina Zhang
Yan Zhou
Qinghua He
Zheng Zhang
Meng Wang
author_facet Leilei Wang
Lixin Guo
Lina Zhang
Yan Zhou
Qinghua He
Zheng Zhang
Meng Wang
author_sort Leilei Wang
collection DOAJ
description We analysed endothelial function and oxidative stress in patients with abnormal glucose metabolism, the effect of glucose load, and the impact of nateglinide. 109 participants were grouped into newly diagnosed diabetes, prediabetes, and control. Fasting plasma glucose (FPG), postprandial plasma glucose (PPG), glycosylated haemoglobin (HbA1c), and glycated albumin (GA) varied significantly among the study groups (P<0.01). Nitric oxide (NO) and insulin resistance index (HOMA-IRI) levels were markedly different between the newly diagnosed diabetes and the control (P<0.01). Glucose loading lowered flow-mediated endothelium-dependent dilation (FMEDD), NO, and superoxide dismutase (SOD) (P<0.01). Fasting and glucose loading FMEDD, FPG, PPG, HbA1c, and GA were negatively correlated (r=-0.4573, −0.4602, −0.3895, −0.3897, and r=-0.4594, −0.4803, −0.4494, −0.3885; P<0.01), whereas NO, SOD, and HOMA-β were positively correlated (r=0.2983, 0.3211, 0.311, and r=0.1954, 0.361, 0.2569; P<0.05). After the treatment with nateglinide, significant decreases in FPG, PPG, GA, HbA1C, endothelin-1(ET-1), malondialdehyde (MDA), and HOMA-IRI were observed, whereas FMEDD, NO, and SOD increased (P<0.01). Thus, the study demonstrated the adverse effect of glucose load on endothelial function and oxidative stress. Nateglinide lowers blood glucose, reduces insulin resistance and oxidative stress, and improves endothelial function in newly diagnosed diabetes.
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spelling doaj-art-b4de2f1dd4664f429ba103d615aa87c32025-08-20T03:39:22ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/849295849295Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative StressLeilei Wang0Lixin Guo1Lina Zhang2Yan Zhou3Qinghua He4Zheng Zhang5Meng Wang6VIP Department, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaEndocrinology and Metabolism Department, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaEndocrinology and Metabolism Department, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaEndocrinology and Metabolism Department, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaEndocrinology and Metabolism Department, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaUltrasound Division, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaLaboratory Division, Beijing Hospital of the Ministry of Health, Dongdan Dahua, Road Number One, Beijing 100730, ChinaWe analysed endothelial function and oxidative stress in patients with abnormal glucose metabolism, the effect of glucose load, and the impact of nateglinide. 109 participants were grouped into newly diagnosed diabetes, prediabetes, and control. Fasting plasma glucose (FPG), postprandial plasma glucose (PPG), glycosylated haemoglobin (HbA1c), and glycated albumin (GA) varied significantly among the study groups (P<0.01). Nitric oxide (NO) and insulin resistance index (HOMA-IRI) levels were markedly different between the newly diagnosed diabetes and the control (P<0.01). Glucose loading lowered flow-mediated endothelium-dependent dilation (FMEDD), NO, and superoxide dismutase (SOD) (P<0.01). Fasting and glucose loading FMEDD, FPG, PPG, HbA1c, and GA were negatively correlated (r=-0.4573, −0.4602, −0.3895, −0.3897, and r=-0.4594, −0.4803, −0.4494, −0.3885; P<0.01), whereas NO, SOD, and HOMA-β were positively correlated (r=0.2983, 0.3211, 0.311, and r=0.1954, 0.361, 0.2569; P<0.05). After the treatment with nateglinide, significant decreases in FPG, PPG, GA, HbA1C, endothelin-1(ET-1), malondialdehyde (MDA), and HOMA-IRI were observed, whereas FMEDD, NO, and SOD increased (P<0.01). Thus, the study demonstrated the adverse effect of glucose load on endothelial function and oxidative stress. Nateglinide lowers blood glucose, reduces insulin resistance and oxidative stress, and improves endothelial function in newly diagnosed diabetes.http://dx.doi.org/10.1155/2013/849295
spellingShingle Leilei Wang
Lixin Guo
Lina Zhang
Yan Zhou
Qinghua He
Zheng Zhang
Meng Wang
Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress
Journal of Diabetes Research
title Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress
title_full Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress
title_fullStr Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress
title_full_unstemmed Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress
title_short Effects of Glucose Load and Nateglinide Intervention on Endothelial Function and Oxidative Stress
title_sort effects of glucose load and nateglinide intervention on endothelial function and oxidative stress
url http://dx.doi.org/10.1155/2013/849295
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