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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Endocr+Soc
2018 ; 2
(5
): 420-436
Nephropedia Template TP
gab.com Text
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English Wikipedia
Blood Pressure and Metabolic Effects of Acetyl-l-Carnitine in Type 2 Diabetes:
DIABASI Randomized Controlled Trial
#MMPMID29696241
Parvanova A
; Trillini M
; Podestà MA
; Iliev IP
; Aparicio C
; Perna A
; Peraro F
; Rubis N
; Gaspari F
; Cannata A
; Ferrari S
; Bossi AC
; Trevisan R
; Parameswaran S
; Chávez-Iñiguez JS
; Masnic F
; Seck SM
; Jiamjariyaporn T
; Cortinovis M
; Perico L
; Sharma K
; Remuzzi G
; Ruggenenti P
; Warnock DG
J Endocr Soc
2018[May]; 2
(5
): 420-436
PMID29696241
show ga
CONTEXT: Acetyl-l-carnitine (ALC), a mitochondrial carrier involved in lipid
oxidation and glucose metabolism, decreased systolic blood pressure (SBP), and
ameliorated insulin sensitivity in hypertensive nondiabetic subjects at high
cardiovascular risk. OBJECTIVE: To assess the effects of ALC on SBP and glycemic
and lipid control in patients with hypertension, type 2 diabetes mellitus (T2D),
and dyslipidemia on background statin therapy. DESIGN: After 4-week run-in period
and stratification according to previous statin therapy, patients were randomized
to 6-month, double-blind treatment with ALC or placebo added-on simvastatin.
SETTING: Five diabetology units and one clinical research center in Italy.
PATIENTS: Two hundred twenty-nine patients with hypertension and dyslipidemic T2D
>40 years with stable background antihypertensive, hypoglycemic, and statin
therapy and serum creatinine <1.5 mg/dL. INTERVENTIONS: Oral ALC 1000 mg or
placebo twice daily on top of stable simvastatin therapy. OUTCOME AND MEASURES:
Primary outcome was SBP. Secondary outcomes included lipid and glycemic profiles.
Total-body glucose disposal rate and glomerular filtration rate were measured in
subgroups by hyperinsulinemic-euglycemic clamp and iohexol plasma clearance,
respectively. RESULTS: SBP did not significantly change after 6-month treatment
with ALC compared with placebo (-2.09 mm Hg vs -3.57 mm Hg, P = 0.9539). Serum
cholesterol, triglycerides, and lipoprotein(a), as well as blood glucose,
glycated hemoglobin, fasting insulin levels, homeostatic model assessment of
insulin resistance index, glucose disposal rate, and glomerular filtration rate
did not significantly differ between treatments. Adverse events were comparable
between groups. CONCLUSIONS: Six-month oral ALC supplementation did not affect
blood pressure, lipid and glycemic control, insulin sensitivity and kidney
function in hypertensive normoalbuminuric and microalbuminuric T2D patients on
background statin therapy.