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Diabetes, Vol 37, Issue 2 154-159, Copyright © 1988 by American Diabetes Association
Increased rate of Cori cycle in obese subjects with NIDDM and effect of weight reduction
JK Zawadzki, RR Wolfe, DM Mott, S Lillioja, BV Howard and C Bogardus
Clinical Diabetes and Nutrition Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix.
To determine the contribution of the rate of glucose recycling via the Cori
cycle (glucose----3-carbon compounds----glucose) to the higher rate of
endogenous glucose production (EGPR) in subjects with non-insulin-dependent
diabetes mellitus (NIDDM), we studied eight obese, weight-stabilized
diabetic Pima Indians before [93.1 +/- 5.4 kg, 38 +/- 2% body fat, fasting
plasma glucose (FPG) 254 +/- 11 mg/dl] and after (87.7 +/- 4.7 kg, 36 +/-
2% body fat, FPG 153 +/- 17 mg/dl) a 5-wk weight-loss diet and eight obese
Indians (95.0 +/- 4.2 kg, 36 +/- 2% body fat, FPG 97 +/- 1 mg/dl) with
normal glucose tolerance. EGPR and glucose recycling rate were measured
during a 4-h primed continuous tracer infusion of [1-13C]glucose, and the
rate of reincorporation of 1-13C of glucose into C2-6 positions in glucose
was quantified by gas chromatography mass spectrometry. Substrate
utilization rates were measured by simultaneous indirect calorimetry. EGPR
(corrected for measured rate of recycling) decreased in the diabetic
subjects from 3.80 to 2.74 mg.min-1.kg-1 fat-free mass (FFM) (P less than
.01) after weight loss, approaching the rate observed in nondiabetic
subjects (2.09 mg.min-1.kg-1 FFM).(ABSTRACT TRUNCATED AT 250 WORDS)

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Copyright © 1988 by the American Diabetes Association.
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