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Plasma glucose lowering effect of spartein sulphate infusion in non-insulin dependent (Type 2) diabetic subjects
Authors:G Paolisso  S Sgambato  N Passariello  G Pizza  R Torella  P Tesauro  M Varricchio  F D'Onofrio
Institution:(1) Istituto di Gerontologia e Geriatria, Italy;(2) Istituto di Medicina Generale, Terapia Medica e Malattia del Metabolismo, Italy;(3) Cattedra di diagnostica clinica radioisotopica, University of Naples, Naples, Italy
Abstract:Summary Sparteine sulphate, given i.v. as a bolus of 15 mg/ml plus 90 mg in 0.9% NaCl 100 ml over 60 min, increases plasma insulin and decreases plasma glucose and adrenaline in non-insulin dependent (Type II) diabetic subjects. The hypoglycaemic effect was also evident in the presence of a high plasma glucose level produced by Biostator changing glucose infusion from 20.2±2.8 to 26.4±4.2 mg · kg–1 · min–1 (p<0.01), and it was potentiated by simultaneous infusion of arginine.No additional effect of sparteine on the peripheral sensitivity to insulin were detected by the euglycaemic, hyperinsulinaemic glucose clamp technique, as the glucose infusion rate (3.1±0.8 vs 2.6±1.2 mg · kg–1 · min–1) was not statistically significant different in the last 60 min of the experiment.It is concluded that sparteine sulphate enhances beta-cell secretion, causing a fall in the plasma glucose concentration.
Keywords:sparteine sulphate  diabetes mellitus  insulin secretion/-sensitivity  non-insulin dependent diabetes mellitus  arginine infusion  blood sugar level  glucose clamp technique
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