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Energy Metabolism in Diabetic and Nondiabetic Heart Transplant Recipients

Table 2—

Plasma hormones and substrate concentrations in the postabsorptive state (basal) and during the clamp (clamp)

D-Tx Tx CON
Free insulin (pmol/l)
 Basal 96±19* 41±9 30±5
 Clamp 571±38 431±61 360±18
C-peptide (nmol/l)
 Basal 1.11±0.1* 1.03±0.17 0.84±0.07
 Clamp 0.69±0.07 0.65±0.21 0.42±0.06
Glucagon (ng/l)
 Basal 164±30 108±10 87±14
 Clamp 191±66 93±12 74±12
Growth hormone (μg/l)
 Basal 1.37±0.49 1.38±0.65 0.77±0.13
 Clamp 1.74±0.80 0.28±2.52 3.17±1.97
Cortisol (nmol/l)
 Basal 284±21 275±78 277±8
 Clamp 294±31 202±49 214±6
Epinephrine (pmol/l)
 Basal 198±41 186±29 202±26
 Clamp 237±40 251±30 221±33
Norepinephrine (units/l)
 Basal 1.71±0.42 1.60±0.25 1.42±0.19
 Clamp 1.65±0.18 2.06±0.44 1.60±0.11
Lactate (μmol/l)
 Basal 791±146 473±44 571±29
 Clamp 887±140 626±87 782±41
Pyruvate (μmol/l)
 Basal 60±3 64±6 73±6
 Clamp 68±6 71±8 76±6
FFAs (mmol/l)
 Basal 1.14±0.24* 0.58±0.07 0.65±0.09
 Clamp 0.56±0.29 0.11±0.01 0.11±0.03
Glycerol (μmol/l)
 Basal 73.10±8.6* 40.60±6.30 31.00±5.30
 Clamp 31.40±13.00 6.20±2.5* 12.60±0.14
β-OHB (μmol/l)
 Basal 209±27 227±116 126±17
 Clamp 14±3 12±6 17±5
Alanine (μmol/l)
 Basal 227±25 228±44 229±22
 Clamp 255±12 231±57 220±15
  • Data are means ±SEM.

  • *

    * P < 0.05 vs. CON;

  • P < 0.05 vs. Tx.

This Article

  1. Diabetes Care March 2002 vol. 25 no. 3 530-536
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