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Possible Beneficial Effect of Telmisartan on Glycemic Control in Diabetic Subjects

  1. Sachiko Honjo, MD1,
  2. Yuichi Nichi, MD12,
  3. Yoshiharu Wada, MD1,
  4. Yoshiyuki Hamamoto, MD, PHD1 and
  5. Hiroyuki Koshiyama, MD, PHD12
  1. 1Center for Diabetes and Endocrinology, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, Japan
  2. 2Department of Diabetes and Clinical Nutrition, Graduate School of Medicine, Kyoto, Japan
  1. Address correspondence to Hiroyuki Koshiyama, MD, PhD, The Tazuke Kofukai Medical Research Institute, Kitano Hospital, 2-4-20 Ohgimachi, Kita-ku, Osaka 530-8480, Japan. E-mail: h-koshiyama{at}kitano-hp.or.jp

In a recent issue of Diabetes Care, Pershadsingh and Kurtz (1) reported an interesting case subject with impaired glucose tolerance, whose insulin resistance and triglycerides improved on the angiotensin II type 1 receptor blocker telmisartan. Telmisartan has a unique agonist activity of the peroxisome proliferator–activated receptor γ (PPARγ) in vitro (2). It reduces glucose, insulin, and triglyceride levels in rats fed a high-fat, high-carbohydrate diet (2). These results suggest that telmisartan may have a beneficial effect on glycemic control in type 2 diabetes.

We investigated the effect of …

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