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서지반출
정상인(正常人) 및 당뇨병환자(糖尿病患者)에서의 경구당부하시(經口糖負荷時) 혈중(血中) Insulin과 C-Peptide의 변동(變動)
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  • 정상인(正常人) 및 당뇨병환자(糖尿病患者)에서의 경구당부하시(經口糖負荷時) 혈중(血中) Insulin과 C-Peptide의 변동(變動)
  • A Study of the Insulin and the C-Peptide Responses to Oral Glucose Load in Nondiabetic and Diabetic Subjects
저자명
이명철,최성재,김응진,민헌기,고창순,Lee. Myung-Chul,Choi. Sung-Jae,Kim. Eung-Jin,Min. Hun-Ki,Koh. Chang-Soon
간행물명
大韓核醫學會誌
권/호정보
1977년|11권 1호|pp.17-32 (16 pages)
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대한핵의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

The present study was undertaken to evaluate the significance of the insulin and the C-peptide rseponse to oral glucose loads in normal and diabetic subjects and to establish the effects of the obesity. In this study, the authors have measured plasma insulin and C-peptide by means of radioimmunoassay in 10 nonobese normal, 5 obese normal, 13 nonobese moderate diabetic patients, 9 obese moderate diabetic patients and 9 severe diabetic patients. The results obtained were as follows; 1. In 10 nonobese normal subjects, the plasma insulin level at fasting state and at 30, 60, 90, and 120 min after oral glucose loads were $15.7{pm}3.4,;48.3{pm}9.8,;40.4{pm}6.7,;37.4{pm}6.5;and;26.0{pm}4.2uU/ml(Mean{pm}S.E.)$ and C-peptide were $1.9{pm}0.3,;3.9{pm}0.6,;6.3{pm}0.6,;5.7{pm}0.5;and;4.0{pm}0.5ng/ml$. The change of C-peptide was found to go almost parallel with that of insulin and the insulin value reaches to the highest level at 30 min whereas C-peptide reaches to its peak at 60min. 2. The plasma insulin level in 5 obese normal subjects were $38.9{pm}12.3,;59.5{pm}12.3,;59.2{pm}17.1,;56.1{pm}20.0;and;48.4{pm}17.2uU/ml$ and the C-peptide were $5.5{pm}0.4,;6.8{pm}0.5,;7.9{pm}0.8,;7.9{pm}0.8;and;7.8{pm}2.0ng/ml$. The insulin response appeared to be greater than nonobese normal subjects. 3. In 13 nonobese moderate diabetic patients, the plasma insulin levels were $27.1{pm}4.9,;44.1{pm}6.0,;37.3{pm}6.6,;35.5{pm}8.1;and;34.7{pm}10.7uU/ml$ and the C-peptide levels were $2.7{pm}0.4,;4.9{pm}0.7,;6.5{pm}0.5,;7.0{pm}0.3;and;6.7{pm}1.0ng/ml$. There was little significance compared to nonobese normal groups but delayed pattern is noted. 4. In 9 obese moderated diabetic patients, the plasma insulin levels were $22.1{pm}7.9,;80.0{pm}19.3,;108.0{pm}27.0,;62.0{pm}17.6;and;55.5{pm}10.1uU/ml$ and the C-peptide levels were $5.2{pm}0.4,;8.0{pm}1.0,;10.4{pm}1.6,;10.4{pm}1.7;and;10.1{pm}1.0ng/ml$ and its response was also greater than that of nonobese moderate diabetic patients. 5. The plasma insulin concentrations in 9 severe diabetic subjects were $8.0{pm}3.8,;12.1{pm}3.5,;16.8{pm}4.6,;19.6{pm}5.2;and;15.0{pm}5.0uU/ml$ and the C-peptide levels were $1.6{pm}0.3,;2.4{pm}0.4,;4.1{pm}0.6,;4.0{pm}0.8;and;4.5{pm}0.7ng/ml$ and the insulin and C-peptide responses were markedly reduced in severe diabetic groups. 6. There were-significant differences between each groups of patients on the magnitude of total insulin or C-peptide areas, the insulinogenic index and the C-peptide index.