The level of pituitary hormones (somatotropin and prolactin) and pancreatic hormones (insulin and glucagon) was measured by radioimmunoassay in blood of patients with insulin-independent diabetes mellitus with and without diabetic microangiopathies, in the state of decompensation and during treatment. Forty-four patients aged 26 to 60 years were examined. Some patients with insulin-independent diabetes with and without diabetic microangiopathies demonstrated an elevation of blood insulin and glucagon. The blood somatotropin level was found to be increased in patients with insulin-independent diabetes mellitus with diabetic microangiopathies in the state of decompensation. No correlations were established between prolactin and insulin levels, somatotropin and insulin levels in the blood of patients with insulin-independent diabetes mellitus. During treatment, one could see a decrease in the somatotropin content and a tendency toward elevation in the insulin content and reduction in the glucagon level in patients with insulin-independent diabetes with diabetic microangiopathies.
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J Am Coll Surg
January 2025
Departments of Surgery, University of Minnesota Medical School Department of Pediatrics, University of Minnesota Medical School Division of Biostatistics and Health Data Science, School of Public Health, University of Minnesota.
Background: Total pancreatectomy and intraportal islet cell auto transplantation (TPIAT) is increasingly being offered to patients with refractory chronic pancreatitis. Understanding factors that impact islet function over time is critical.
Study Design: We evaluated factors associated with islet function over 12 years post TPIAT using mixed meal tolerance testing (MMTT).
Am J Transplant
November 2024
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA; Division of Transplantation, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA; UWHealth Transplant Center, Madison, Wisconsin, USA. Electronic address:
Pediatric donors are underutilized for simultaneous pancreas-kidney transplantation due to concerns about technical complications and inadequate islet and/or renal mass. We analyzed our experience with simultaneous en bloc kidney and pancreas transplantation using pediatric donors on 8 consecutive adult patients from 1997-2018. En bloc kidney transplants were implanted intraperitoneally and contralaterally to right-sided pancreas grafts.
View Article and Find Full Text PDFJ Diabetes Investig
January 2025
Department of Endocrinology, Metabolism and Diabetes, Kindai University Faculty of Medicine, Osaka, Japan.
Insulin treatment should be introduced in patients with slowly progressive type 1 diabetes (SPIDDM; definite), according to the revised diagnostic criteria of SPIDDM (2023). In contrast, SPIDDM (probable) patients are in a non-insulin-dependent state; therefore, a more flexible treatment can be considered, although sulfonylurea agents should be avoided. Insulin treatment has been shown to maintain endogenous insulin secretion capacity in SPIDDM (probable); however, this does not mean that all SPIDDM (probable) patients should use insulin from the early phase.
View Article and Find Full Text PDFJ Vasc Access
November 2024
Division of Vascular and Endovascular Surgery, University of Connecticut School of Medicine, Farmington, CT, USA.
J Ethnopharmacol
November 2024
Department of Physiology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand; Center of Excellence for Innovation in Chemistry, Naresuan University, Phitsanulok, 65000, Thailand; Center of Excellence in Medical Biotechnology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand. Electronic address:
Ethnopharmacological Relevance: Calotropis gigantea (L.) Dryand. (C.
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