WATANABE Daisuke
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Evaluation of insulin sensitivity and secretion in primary aldosteronism.
Journal Formal name:Clinical and experimental hypertension (New York, N.Y. : 1993)
Abbreviation:Clin Exp Hypertens
ISSN code:15256006/10641963
Domestic / ForeginDomestic
Volume, Issue, Page 38(7),pp.613-617
Author and coauthor Watanabe Daisuke, Yatabe Midori, Ichihara Atsuhiro
Authorship Lead author
Publication date 2016/09
Summary In primary aldosteronism (PA), insulin response to glucose is not fully understood. Insulin action was elucidated using indices in 32 PA and 21 essential hypertension (EH) patients. These patients were evaluated using homeostasis model assessment (HOMA) indices, quantitative insulin sensitivity check index (QUICKI), and insulinogenic index (IGI), which were expressed for insulin sensitivity/secretion and the early phase of insulin secretion. Insulin sensitivity and early phase of insulin secretion were decreased in PA, and there was a negative correlation between serum potassium concentration and insulin sensitivity indices. These findings suggest that glucose intolerance in PA may be caused by hypokalemia-induced insulin resistance and hypokalemia-independent impairment of early-phase insulin secretion.
DOI 10.1080/10641963.2016.1182176
PMID 27669369