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Calcium Antagonists in Patients with Hypertension and Diabetes Mellitus

Effects of Calcium Antagonist Nitrendipine on Glucose Homeostasis

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Essential Hypertension
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Summary

In ten elderly patients with diabetes mellitus type II and mild to moderate hypertension, both of which had been present for several years, it was demonstrated by means of fasting blood sugar levels, urinary glucose excretion, and behavior of plasma glucose and insulin concentrations after a standard breakfast as well as by measurements of the glycosylated hemoglobin A1 that antihypertensive long-term monotherapy with about 30 mg nitrendipine every morning for 12 months was able to lower blood pressure reproducibly compared with placebo. Despite some apprehension derived mostly from in vitro experiments, nitrendipine did not impair overall glucose homeostasis.

This study was supported in part by the Swiss National Science Foundation and Bayer AG, Leverkusen, Federal Republic of Germany

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References

  1. Kannel WB, McGee DL (1979) Diabetes and cardiovascular disease (the Framingham study). JAMA 241:2035–2038

    Article  PubMed  CAS  Google Scholar 

  2. Barrett-Connor E, Criqui MH, Klauber MR, Holdbrook M (1981) Diabetes and hypertension in a community of older adults. Am J Epidemiol 113:276–284

    Google Scholar 

  3. Christlieb AR (1982) Treating hypertension in the patient with diabetes mellitus. Med Clin North Am 66:1373–1388

    PubMed  CAS  Google Scholar 

  4. Passa P, Lombrail P, Eschwege E, Canivet J (1983) Prévalence de l’hypertension artérielle chez le diabétique, influence des traitements antihypertenseurs sur le contrôle métabolique. Arch Mal Coeur 76:169–171

    Google Scholar 

  5. Uusitupa M, Siitonen O, Aro A, Pyörälä K (1985) Prevalence of coronary heart disease, left ventricular failure and hypertension in middle-aged, newly diagnosed type 2 (non-insulin-dependent) diabetic subjects. Diabetologia 28:22–27

    Article  PubMed  CAS  Google Scholar 

  6. Trost BN, Weidmann P, Beretta-Piccoli C (1985) Antihypertensive therapy in diabetic patients. Hypertension 7 (Suppl II): II-102–II-108

    CAS  Google Scholar 

  7. Löffler G, Weiss L (1975) Radioimmunologische Bestimmung von Insulin im Serum. In: Breuer H, Hamel D, Krüskemper HL (eds) Methoden der Hormonbestimmung. Thieme, Stuttgart, pp 75–88

    Google Scholar 

  8. Deck K, Stoepel K, Leibowitz D, Taylor R, Vanov S (1984) Some aspects of the clinical pharmacology of nitrendipine. In: Scriabine A, Vanov S, Deck K (eds) Nitrendipine. Urban and Schwarzenberg, Baltimore, pp 397–407

    Google Scholar 

  9. Hansson L, Andrén L, Orö L, Ryman T (1984) The antihypertensive effects and pharmacokinetics of nitrendipine in patients with essential hypertension. In: Scriabine A, Vanov S, Deck K (eds) Nitrendipine. Urban and Schwarzenberg, Baltimore, pp 423–433

    Google Scholar 

  10. Vlachakis ND, Vanov SK, Taylor RJ, Pun EFC (1984) Controlled comparison of nitrendipine and placebo in the treatment of hypertension. In: Scriabine A, Vanov S, Deck K (eds) Nitrendipine. Urban and Schwarzenberg, Baltimore, pp 443–449

    Google Scholar 

  11. Esper RJ, Esper RC, Cassola D, Spiritoso RA, Mosca H, Sami HH, Castro JM, Rohwedder RW (1984) Effectiveness of nitrendipine in the treatment of essential hypertension: a multi-center trial. In: Scriabine A, Vanov S, Deck K (eds) Nitrendipine. Urban and Schwarzenberg, Baltimore, pp 477–489

    Google Scholar 

  12. Wollheim CB, Sharp GWG (1981) Regulation of insulin release by calcium. Physiol Rev 61:914–973

    PubMed  CAS  Google Scholar 

  13. Trost BN, Weidmann P (1984) Effects of nitrendipine and other calcium antagonists on glucose metabolism in man. J Cardiovasc Pharmacol 6: S 986–995

    Article  Google Scholar 

  14. Raemsch KD, Sommer J (1984) Pharmacokinetics and metabolism of nitrendipine. In: Scriabine A, Vanov S, Deck K (eds) Nitrendipine. Urban and Schwarzenberg, Baltimore, pp 409–421

    Google Scholar 

  15. Gabbay KH (1982) Glycosylated hemoglobin and diabetes mellitus. Med Clin North Am 66:1309–1315

    PubMed  CAS  Google Scholar 

  16. Kennedy L, Baynes JW (1984) Non-enzymatic glycosylation and the chronic complications of diabetes: an overview. Diabetologia 26:93–98

    Article  PubMed  CAS  Google Scholar 

  17. Nathan DM, Singer DE, Hurxthal K, Goodson JD (1984) The clinical information value of the glycosylated hemoglobin assay. N Eng J Med 310:341–346

    Article  CAS  Google Scholar 

  18. Ames RP, Hill P (1982) Improvement of glucose tolerance and lowering of glycohemoglobin and serum lipid concentrations after discontinuation of antihypertensive drug therapy. Circulation 65:899–904

    Article  PubMed  CAS  Google Scholar 

  19. Bloomgarden ZT, Ginsberg-Fellner F, Rayficld EJ, Bookman J, Brown WV (1984) Elevated hemoglobin A1c and low-density lipoprotein cholesterol levels in thiazide-treated diabetic patients. Am J med 77:823–827

    Article  PubMed  CAS  Google Scholar 

  20. Bunn HF, Haney DN, Kamin S, Gabbay KH, Gallop PM (1976) The biosynthesis of human hemoglobin A1c: Slow glycosylation of hemoglobin in vivo. J Clin Invest 57:1652–1659

    Article  PubMed  CAS  Google Scholar 

  21. Fitzgibbons JF, Koler RD, Jones RT (1976) Red cell age-related changes of hemoglobins A1a+b and A1c in normal and diabetic subjects. J Clin Invest 58:820–824

    Article  PubMed  CAS  Google Scholar 

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© 1986 Springer-Verlag Tokyo

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Trost, B.N., Weidmann, P. (1986). Calcium Antagonists in Patients with Hypertension and Diabetes Mellitus. In: Aoki, K. (eds) Essential Hypertension. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68048-2_16

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  • DOI: https://doi.org/10.1007/978-4-431-68048-2_16

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68050-5

  • Online ISBN: 978-4-431-68048-2

  • eBook Packages: Springer Book Archive

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