Effect of hyperlipacidemia on plasma C-peptide concentration during euglycemic hyperinsulinemic clamp

Diabetes Res. 1993;22(1):41-8.

Abstract

During constant infusion of exogenous human insulin and glucose to healthy volunteers, a rise in glycemia was still able to stimulate the B-cell as judged from the increase in C-peptide plasma concentration. Nevertheless, under euglycemic conditions, the C-peptide concentration fell well below its initial level. This coincided, however, with severe hypolipacidemia. When the latter phenomenon was corrected through the simultaneous administration of exogenous triglycerides and heparin, a reascension in C-peptide plasma concentration was observed despite persistent hyperinsulinemia. It is proposed, therefore, that the hyperinsulinemic-euglycemic clamp procedure does not represent a reliable approach to explore the possible feedback action of insulin upon its own secretion rate, because of the interference upon B-cell secretory activity of factors such as changes in lipacidemia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / metabolism*
  • C-Peptide / blood*
  • Fat Emulsions, Intravenous / administration & dosage
  • Fat Emulsions, Intravenous / pharmacology
  • Fatty Acids, Nonesterified / blood*
  • Glucose Clamp Technique*
  • Humans
  • Infusions, Intravenous
  • Insulin / administration & dosage
  • Insulin / blood*
  • Insulin / pharmacology*
  • Male
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / pharmacology
  • Reference Values
  • Time Factors
  • Triglycerides / blood*

Substances

  • Blood Glucose
  • C-Peptide
  • Fat Emulsions, Intravenous
  • Fatty Acids, Nonesterified
  • Insulin
  • Recombinant Proteins
  • Triglycerides