Intraocular pressure and aqueous humor flow during a euglycemic-hyperinsulinemic clamp in patients with type 1 diabetes and microvascular complications

<p>Abstract</p> <p>Background</p> <p>Microvascular complications, including retinopathy and nephropathy are seen with type 1 diabetes. It is unknown whether functional changes in aqueous humor flow or intraocular pressure (IOP) develop in parallel with these complications. This study was designed to test the hypothesis that clinical markers of microvascular complications coexist with the alteration in aqueous humor flow and IOP.</p> <p>Methods</p> <p>Ten patients with type 1 diabetes and ten healthy age- and weight-matched controls were studied. Aqueous flow was measured by fluorophotometry during a hyperinsulinemic-euglycemic clamp (insulin 2 mU/kg/min). Intraocular pressure was measured by tonometry at -10, 90 and 240 minutes from the start of the clamp, and outflow facility was measured by tonography at 240 minutes.</p> <p>Results</p> <p>During conditions of identical glucose and insulin concentrations, mean aqueous flow was lower by 0.58 μl/min in the diabetes group compared to controls (2.58 ± 0.65 versus 3.16 ± 0.66 μl/min, respectively, mean ± SD, p = 0.07) but statistical significance was not reached. Before the clamp, IOP was higher in the diabetes group (22.6 ± 3.0 mm Hg) than in the control group (19.3 ± 1.8 mm Hg, p = 0.01) but at 90 minutes into the clamp, and for the remainder of the study, IOP was reduced in the diabetes group to the level of the control group. Ocular pulse amplitude and outflow facility were not different between groups. Systolic blood pressure was significantly higher in the diabetes group, but diastolic and mean arterial pressures were not different.</p> <p>Conclusions</p> <p>We conclude that compared to healthy participants, patients with type 1 diabetes having microalbuminuria and retinopathy have higher IOPs that are normalized by hyperinsulinemia. During the clamp, a reduction in aqueous flow was not statistically significant.</p

Development of analytical procedures for coprocessing

Maya crude residue and Illinois No. 6 coal have been processed together over a range of reactant ratios to produce material for study of the product composition and of the coprocessing chemistry. The reaction conditions have been described in previous reports. Acid fractions have been derivatized to produce {sup 13}C tagged products suitable for NMR analysis. The acids have been identified as phenols and other oxygen acids, nitrogen acids including carbazoles, and benzylic and sulfur acids. All of the acid fractions appear to be essentially monofunctional. Base fractions were analyzed by nonaqueous titration and were shown to consist of azaarenes and arylamines. Two of the distillates boiling below 175{degrees}C were analyzed by PIANO capillary gas chromatography. Maya crude petroleum fractions similar to those obtained from coprocessing products have been analyzed for carbon isotope ratios. These fractions were prepared directly from the Maya crude without application of hydrogenation or other processing chemistry. Trends indicating isotopic fractionation coprocessing to that reported earlier for coprocessing products were observed. 14 figs., 13 tabs

Development of analytical procedures for coprocessing. Final technical report

One phase of improving understanding of the fundamental chemistry of coprocessing involves development of the ability to distinguish between products originating from coal versus those originating from petroleum resid. A primary objective of this project was to develop analytical techniques to determine the source (coal versus resid) of the various compound types found in coprocessing products. A corollary objective was to develop an expanded knowledge of the detailed composition of coprocessing products. Two approaches were evaluated for distinguishing between products originating from coal and those originating from petroleum resid. One was based on the use of carbon isotope ratios and the other was based on variations in compound classes in response to changes in the ratio of coal to resid in the coprocessing feed. Other researchers using carbon isotope ratios to determine the origin of products have typically examined distillation fractions. This project involved determination of the origin of chemical classes (e.g., saturates, neutral aromatics, phenols, indoles, etc.) rather than distillate classes. Maya resid and Illinois No. 6 coal (with coal feed varying from 2 to 40 percent) were coprocessed in a batch autoclave to obtain products for detailed analysis

Compound-type separation and characterization studies for a 370©® to 530©® C distillate of Recluse, Wyo., crude oil /

Bibliography: p. 24-25.Mode of access: Internet