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Published on: November 16, 2011
[Changes in insulin secretion in familial combined hyperlipemia]
J F Ascaso1, J Sales, A Priego
1Servicio de Endocrinología, Hospital Clínico Universitario, Universidad de Valencia.
Familial combined hyperlipidemia (FCH) is linked to higher insulin levels and impaired glucose metabolism, even without diabetes. This hyperinsulinism may explain the increased cardiovascular disease risk in FCH patients.
Area of Science:
- Endocrinology
- Metabolic Syndrome
- Cardiovascular Risk Factors
Background:
- Familial combined hyperlipidemia (FCH) is associated with a higher incidence of coronary heart disease.
- The underlying metabolic abnormalities contributing to this risk are not fully understood.
Purpose of the Study:
- To investigate glucose and insulin metabolism abnormalities in non-diabetic individuals with FCH.
- To determine the role of metabolic factors in the elevated cardiovascular disease risk in FCH.
Main Methods:
- A study involving 42 non-diabetic FCH subjects and 42 age/sex-matched controls.
- Assessment of plasma lipids, lipoproteins, glucose, and insulin levels, including during an oral glucose tolerance test (OGTT).
Main Results:
- FCH subjects exhibited higher blood pressure, lipids, and apo B levels compared to controls.
- Significantly elevated plasma glucose and insulin levels were observed in FCH subjects during OGTT.
- A high prevalence of hyperinsulinemia (basal and post-OGTT) was found in the FCH group.
Conclusions:
- Hyperinsulinism is common in non-diabetic FCH patients, irrespective of glucose tolerance.
- This hyperinsulinism is a potential contributor to the heightened cardiovascular risk observed in FCH.
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