Acute cardiovascular effects of insulin in hyperglycaemic type I diabetics

Scand J Clin Lab Invest. 1991 Feb;51(1):93-7.

Abstract

Cardiovascular responses to high-dose (0.100 IE kg-1 h-1) and low-dose insulin infusion (0.005-0.01 IE kg-1 h-1) were examined in eight hyperglycaemic, resting type I diabetics. Mean blood glucose dropped from 15.9 to 7.1 mmol l-1 and from 14.4 to 12.6 mmol l-1, respectively, during 1 h. Blood pressure and heart rate did not change. There were no significant changes in absolute or relative left ventricular volumes, the 95% confidence interval (CI) for the difference between the doses in left ventricular ejection fraction was -6 to 8%. Calf blood volume increased on high-dose insulin (p = 0.05, CI for the difference over low-dose insulin 0.0 to 4.6 ml 100 ml-1 tissue). Blood flow increased with 1.6 ml 100 ml-1 tissue min-1 with high-dose insulin and with 0.6 ml 100 ml-1 tissue min-1 with low-dose (CI for the difference -0.5 to 3.4). Noradrenaline increases were small and there was no difference between the doses (p = 0.47).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Flow Velocity / drug effects
  • Blood Glucose / metabolism
  • Blood Pressure / drug effects
  • Blood Volume / drug effects
  • Cardiac Output / drug effects
  • Cardiovascular System / drug effects
  • Cardiovascular System / physiopathology*
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Diabetes Mellitus, Type 1 / physiopathology
  • Female
  • Heart Rate / drug effects
  • Humans
  • Insulin / administration & dosage
  • Insulin / pharmacology*
  • Insulin / therapeutic use
  • Male
  • Stroke Volume / drug effects

Substances

  • Blood Glucose
  • Insulin