PMID- 8781301 OWN - NLM STAT- MEDLINE DCOM- 19961018 LR - 20220310 IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 45 IP - 9 DP - 1996 Sep TI - Effects of vanadyl sulfate on carbohydrate and lipid metabolism in patients with non-insulin-dependent diabetes mellitus. PG - 1130-5 AB - The safety and efficacy of vanadyl sulfate (VS) was tested in a single-blind, placebo-controlled study. Eight patients (four men and four women) with non-insulin-dependent diabetes mellitus (NIDDM) received VS (50 mg twice daily orally) for 4 weeks. Six of these patients (four men and two women) continued in the study and were given a placebo for an additional 4 weeks. Euglycemic-hyperinsulinemic clamps were performed before and after the VS and placebo phases. VS was associated with gastrointestinal side effects in six of eight patients during the first week, but was well tolerated after that. VS administration was associated with a 20% decrease in fasting glucose concentration (from 9.3 +/- 1.8 to 7.4 +/- 1.4 mmol/L, P < .05) and a decrease in hepatic glucose output (HGO) during hyperinsulinemia (from 5.0 +/- 1.0 pre-VS to 3.1 +/- 0.9 micromol/kg x min post-VS, P < .02). The improvement in fasting plasma glucose and HGO that occurred during VS treatment was maintained during the placebo phase. VS had no significant effects on rates of total-body glucose uptake, glycogen synthesis, glycolysis, carbohydrate (CHO) oxidation, or lipolysis during euglycemic-hyperinsulinemic clamps. We conclude that VS at the dose used was well tolerated and resulted in modest reductions of fasting plasma glucose and hepatic insulin resistance. However, the safety of larger doses and use of vanadium salts for longer periods remains uncertain. FAU - Boden, G AU - Boden G AD - Division of Endocrinology/Diabetes/Metabolism and the General Clinical Research Center, Temple University Schools of Medicine and Pharmacy, Philadelphia, PA, USA. FAU - Chen, X AU - Chen X FAU - Ruiz, J AU - Ruiz J FAU - van Rossum, G D AU - van Rossum GD FAU - Turco, S AU - Turco S LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Blood Glucose) RN - 0 (Carbohydrates) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (Lipids) RN - 0 (Placebos) RN - 0 (Vanadium Compounds) RN - 6DU9Y533FA (vanadyl sulfate) SB - IM MH - Blood Glucose/analysis MH - Carbohydrates/*blood MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Glucose Clamp Technique MH - Humans MH - Hypoglycemic Agents/adverse effects/*therapeutic use MH - Insulin/blood/metabolism MH - Lipids/*blood MH - Male MH - Middle Aged MH - Placebos MH - Vanadium Compounds/adverse effects/*therapeutic use EDAT- 1996/09/01 00:00 MHDA- 1996/09/01 00:01 CRDT- 1996/09/01 00:00 PHST- 1996/09/01 00:00 [pubmed] PHST- 1996/09/01 00:01 [medline] PHST- 1996/09/01 00:00 [entrez] AID - S0026-0495(96)90013-X [pii] AID - 10.1016/s0026-0495(96)90013-x [doi] PST - ppublish SO - Metabolism. 1996 Sep;45(9):1130-5. doi: 10.1016/s0026-0495(96)90013-x.