Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Ergebnis 23 von 1428

Details

Autor(en) / Beteiligte
Titel
Sibutramine improves insulin sensitivity without alteration of serum adiponectin in obese subjects with Type 2 diabetes
Ist Teil von
  • Diabetic medicine, 2005-08, Vol.22 (8), p.1024-1030
Ort / Verlag
Oxford, UK: Blackwell Science Ltd
Erscheinungsjahr
2005
Quelle
MEDLINE
Beschreibungen/Notizen
  • Aim  To evaluate the effect of sibutramine on weight loss, insulin sensitivity and serum adiponectin levels in obese patients with Type 2 diabetes. Methods  This study is a randomized, double‐blind, placebo‐controlled parallel comparison study of sibutramine 15 mg/day and placebo. Forty‐eight eligible obese patients with Type 2 diabetes (age between 30 and 75 years with body mass index ≥ 27 kg/m2) were randomly assigned to receive either placebo (n = 24) or sibutramine (15 mg/day) (n = 24) for 6 months. Fifteen subjects in each group underwent meal tests and modified insulin suppression tests before and after 6 months’ treatment. Results  After 6 months of sibutramine treatment statistically significant changes from baseline were observed for body weight (85.4 ± 2.5 vs. 82.9 ± 2.4 kg, P < 0.005) and body mass index (32.0 ± 0.7 vs. 31.4 ± 0.6 kg/m2, P < 0.05) without a significant alteration of waist–hip ratio (W/H), blood pressure, heart rate, glycaemic parameters or lipid profiles. The steady‐state plasma glucose (SSPG) level during the modified insulin suppression test was significantly reduced in the sibutramine group (17.33 ± 2.92 vs. 14.29 ± 4.19 mmol/l, P < 0.05) despite similar steady‐state plasma insulin (SSPI) concentrations. In addition, serum adiponectin and C‐reactive protein (CRP) levels remained unchanged, although modest weight reduction was achieved after sibutramine treatment. There were also no significant correlations between changes in serum adiponectin and reduction of SSPG or body weight. Daily ambient plasma insulin and glucose concentrations in response to a test meal were not significantly different in subjects receiving sibutramine treatment. Conclusions  We conclude that treatment with sibutramine 15 mg once daily effectively reduces weight and enhances insulin sensitivity without alteration of serum adiponectin levels in obese patients with Type 2 diabetes.

Weiterführende Literatur

Empfehlungen zum selben Thema automatisch vorgeschlagen von bX