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Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia 2010
Although lipid excess can impair
-cell
function in vitro, short-term high-fat feeding in normal rats produces
insulin resistance but not hyperglycemia. This study examines the
effect of long-term (10-mo) high polyunsaturated fat feeding on glucose
tolerance in Wistar rats. The high fat-fed compared with the chow-fed
group was 30% heavier and 60% fatter, with approximately doubled
fasting hyperinsulinemia (P < 0.001) but only marginal
fasting hyperglycemia (7.5 ± 0.1 vs. 7.2 ± 0.1 mmol/l,
P < 0.01). Insulin sensitivity was ~67% lower in
the high-fat group (P < 0.01). The acute insulin response to intravenous arginine was approximately double in the insulin-resistant high-fat group (P < 0.001), but that
to intravenous glucose was similar in the two groups. After the
intravenous glucose bolus, plasma glucose decline was slower in the
high fat-fed group, confirming mild glucose intolerance. Therefore,
despite severe insulin resistance, there was only a mildly elevated
fasting glucose level and a relative deficiency in glucose-stimulated
insulin secretion; this suggests that a genetic or congenital
susceptibility to
-cell impairment is required for overt
hyperglycemia to develop in the presence of severe insulin resistance.
insulin secretion; arginine; long-chain acyl-coenzyme A; body composition; glucose tolerance
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