INSULIN SENSITIVITY IN NARCOLEPSY AND THE EFFECT OF SODIUM OXYBATE AS MEASURED BY A HYPERINSULINEMIC-EUGLYCEMIC CLAMP

Diabetes mellitus: pathophysiological changes and therap

Quelle place réserver aux infiltrations rachidiennes dans la hernie discale lombaire du sportif ?

Mise au point sur le traitement de la hernie discale chez l'athlète par infiltration de glucocorticoïdes : indications et complications des injections épidurales, intradurales, périradiculaires, foraminales et transforaminales

WAS THE POST-WAR BOOM KEYNESIAN?

South Asians (SAs) develop type 2 diabetes at a younger age and lower BMI compared with Caucasians (Cs). The underlying cause is still poorly understood but might result from an innate inability to adapt to the Westernized diet. This study aimed to compare the metabolic adaptation to a high-fat, high-calorie (HFHC) diet between both ethnicities. Twelve healthy, young lean male SAs and 12 matched Cs underwent a two-step hyperinsulinemic-euglycemic clamp with skeletal muscle biopsies and indirect calorimetry before and after a 5-day HFHC diet. Hepatic triglyceride content (HTG) and abdominal fat distribution were assessed using magnetic resonance imaging and spectroscopy. At baseline, SAs had higher insulin clamp levels than Cs, indicating reduced insulin clearance rate. Despite the higher insulin levels, endogenous glucose production was comparable between groups, suggesting lower hepatic insulin sensitivity in SAs. Furthermore, a 5-day HFHC diet decreased the insulin-stimulated (nonoxidative) glucose disposal rate only in SA. In skeletal muscle, no significant differences were found between groups in insulin/mammalian target of rapamycin signaling, metabolic gene expression, and mitochondrial respiratory chain content. Furthermore, no differences in (mobilization of) HTG and abdominal fat were detected. We conclude that HFHC feeding rapidly induces insulin resistance only in SAs. Thus, distinct adaptation to Western food may partly explain their propensity to develop type 2 diabetes