Effect of Addition of WZB117 as an Inhibitor of Glucose Transporter 1 for Venous Blood Glucose Determination

2020 ◽  
Author(s):  
Lei Zhang ◽  
Yaqiong Ran ◽  
Yan Zhu ◽  
Qianna Zhen

Abstract Objective Sodium fluoride (NaF) has been applied to inhibit glycolysis in venous specimens for decades. However, it has had little effect on the rate of glycolysis in the first 1 to 2 hours, resulting in a decrease of glucose, so a more efficient method is needed. Recently, we discovered that WZB117, a specific Glut1 inhibitor, restricts glycolysis by inhibiting the passive sugar transport of human red blood cells and cancer cells. The purpose of this study was to evaluate the results of intravenous blood glucose determination after the addition of WZB117. Methods Venous specimens from 40 pairs of healthy volunteers were collected for several days and placed in tubes containing NaF plus EDTA-disodium (Na2) without WZB117 (the A group); citric acid, trisodium citrate, and EDTA-Na2 without WZB117 (B group); and NaF plus EDTA-Na2 with WZB117 (C group). The glucose concentration was measured after venipuncture and compared with test tubes treated for 1 hour, 2 hours, and 3 hours before centrifugation. Glucose level was determined by the hexokinase method. The paired t-test was used to examine differences in glucose values at baseline and at different time points. The number of misdiagnoses and the misdiagnosis rate were calculated at 2 diagnostic stages: high risk of diabetes (glucose level of 6.1 mmol/L) and diagnosis of diabetes (glucose level of 7.0 mmol/L). Results Glucose levels decreased by 1.0% at 1 hour and by 2.1% at 3 hours in the C group tubes and simultaneously decreased by 1.7% at 1 hour and by 2.5% at 3 hours in the B group tubes. In contrast, glucose levels decreased by 4.1% at 1 hour and by 6.3% at 3 hours in the A group tubes. There was a statistically significant difference in glucose levels measured in the A group tubes and B group tubes at 1 hour, 2 hours, and 3 hours. The misdiagnosis rate of clinical diagnosis in diabetes was highest in the A group tubes (7.0‰ at 1 hour, 0.1‰ at 3 hours at 7.0 mmol/L point; 14.6‰ at 1 hour, 0.4‰ at 3 hours at 6.1 mmol/L point) and lowest in the C group tubes (2.95‰ at 1 hour, 0‰ at 3 hours at 7.0 mmol/L point; 4.8‰ at 1 hour, 0.1‰ at 3 hours at 6.1 mmol/L point). Conclusion The tube addition of WZB117 is more suitable for minimizing glycolysis and has no effect on glucose levels even if specimens are left uncentrifuged for up to 3 hours.

Author(s):  
Aishwarya Pramod Benkar ◽  
Smita Bhimrao Kanase

Objective: Diabetes mellitus is a leading cause of death and disability in the world and its prevalence is predicted to rise to 10% by 2030. Hence, this study is conducted with objectives to find out the effect of aerobic exercises and resisted exercises on blood glucose levels in type 2 diabetes mellitus (T2DM) subjects and to compare the effect of both exercises on blood glucose level.Method: The comparative study was conducted at Krishna Institute of Medical Sciences Deemed University, Physiotherapy department, Karad. 30 participants with age group between 30 and 65 years were taken. Subjects were selected as per inclusion and exclusion criteria. Group A (15) participants were given aerobic exercise on static bicycle, and Group B (15) participants were given resistance training using dumbbells and weight cuffs for 5 days/week for 4 weeks. Diet recommendations were given to every participant.Results: Statistical analysis was performed using paired and unpaired t-test. Analysis showed statistically extremely significant difference in fasting blood glucose level and postprandial blood glucose level in both the groups (p≤0.0001).Conclusion: Thus, this study concludes that both aerobic exercises and resistance training prove to be beneficial in controlling blood glucose levels in T2DM subjects.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1410-1414
Author(s):  
Gnanamoorthy Kothai ◽  
Acksa Alex ◽  
Aruna Bholenath Patil ◽  
Athanallur Raman Malathy ◽  
Prasanna Karthik Suthakaran

Diabetes Mellitus (DM) is a systemic disorder characterized by hyperglycemia either due to insulin resistance or insulin deficiency. This can lead to many serious life-threatening complications if not managed properly by regular monitoring of glycemic status. Prevalence of fear of needles in the society make people non-compliant to regular monitoring. Thus, there is a need for a non-invasive method for determining the glycemic status of the individual. Salivary Glucose has the potential to be one such tool. This study aimed to find whether a correlation between fasting blood glucose levels and fasting salivary glucose levels could be established in diabetic and non-diabetic individuals. 50 patients with DM and 50 patients without DM were studied. 5 ml of venous blood and 5 ml of unstimulated saliva after overnight fasting were collected from each participant and processed using standardized enzymatic methods. The data was analyzed using SPSS software. There was a strong and very significant positive correlation (r=0.800, p=0.001) between fasting salivary glucose levels and fasting blood glucose levels in patients with DM whereas the correlation was weak and insignificant in patients without DM (r=0.111, p=0.441). The cut off value for diagnosing DM was found to be ˃ 2.2mg/dl with 100% specificity and 100% sensitivity.


2021 ◽  
Author(s):  
huijun Wang ◽  
Mark I Fowler ◽  
David J Messenger ◽  
Jose Juan Ordaz-Ortiz ◽  
Xuelan Gu ◽  
...  

Inhibition of glucose uptake in the intestine through sodium-dependent glucose transporter 1 (SGLT1) or glucose transporter 2 (GLUT2) may be beneficial in controlling postprandial blood glucose levels. Gallic acid and...


2020 ◽  
Author(s):  
Raafay S. Ali ◽  
Morag F. Dick ◽  
Saad Muhammad ◽  
Dylan Sarver ◽  
G. William Wong ◽  
...  

AbstractHummingbirds subsist almost exclusively on nectar sugar and face extreme challenges blood sugar regulation. Transmembrane sugar transport is mediated by facilitative glucose transporters (GLUTs) and the capacity for sugar transport is dependent on both the activity of GLUTs and their localisation to the plasma membrane (PM). In this study, we determined the relative protein abundance in whole-tissue (WT) homogenates and PM fractions via immunoblot using custom antibodies for GLUT1, GLUT2, GLUT3, and GLUT5 in flight muscle, heart, and, liver of ruby-throated hummingbirds (Archilochus colubris). GLUTs examined were detected in nearly all tissues tested. Hepatic GLUT1 was minimally present in WT homogenates and absent in PM fractions. GLUT5 was expressed in hummingbird flight muscles at levels comparable to that of their liver, consistent with the hypothesised uniquely high fructose-uptake and oxidation capacity of this tissue. To assess GLUT regulation, we fed ruby-throated hummingbirds 1M sucrose ad libitum for 24 hours followed by either 1 hour of fasting or continued ad libitum feeding until sampling. We measured relative GLUT abundance and concentrations of circulating sugars. Blood fructose concentration in fasted hummingbirds declined from ∼5mM to ∼0.18mM, while fructose-transporting PM GLUT2 and PM GLUT5 did not change in abundance. Blood glucose concentrations remained elevated in both fed and fasted hummingbirds, at ∼30mM, while glucose-transporting PM GLUT1 and PM GLUT3 in the flight muscle and liver, respectively, declined in fasted birds. Our results suggest that glucose uptake capacity is dynamically reduced in response to fasting, allowing for maintenance of elevated blood glucose levels, while fructose uptake capacity remains constitutively elevated promoting depletion of blood total fructose within the first hour of a fast.Summary statementHummingbird ingest nectar rich in glucose and fructose. When fasted, tissue capacity for circulating glucose import declines while remaining elevated for fructose. This may underlie maintenance of high blood glucose and rapid depletion of blood fructose.


2020 ◽  
Vol 223 (20) ◽  
pp. jeb229989 ◽  
Author(s):  
Raafay S. Ali ◽  
Morag F. Dick ◽  
Saad Muhammad ◽  
Dylan Sarver ◽  
Lily Hou ◽  
...  

ABSTRACTHummingbirds, subsisting almost exclusively on nectar sugar, face extreme challenges to blood sugar regulation. The capacity for transmembrane sugar transport is mediated by the activity of facilitative glucose transporters (GLUTs) and their localisation to the plasma membrane (PM). In this study, we determined the relative protein abundance of GLUT1, GLUT2, GLUT3 and GLUT5 via immunoblot using custom-designed antibodies in whole-tissue homogenates and PM fractions of flight muscle, heart and liver of ruby-throated hummingbirds (Archilochus colubris). The GLUTs examined were detected in nearly all tissues tested. Hepatic GLUT1 was minimally present in whole-tissue homogenates and absent win PM fractions. GLUT5 was expressed in flight muscles at levels comparable to those of the liver, consistent with the hypothesised uniquely high fructose uptake and oxidation capacity of hummingbird flight muscles. To assess GLUT regulation, we fed ruby-throated hummingbirds 1 mol l−1 sucrose ad libitum for 24 h followed by either 1 h of fasting or continued feeding until sampling. We measured relative GLUT abundance and concentration of circulating sugars. Blood fructose concentration in fasted hummingbirds declined (∼5 mmol l−1 to ∼0.18 mmol l−1), while fructose-transporting GLUT2 and GLUT5 abundance did not change in PM fractions. Blood glucose concentrations remained elevated in fed and fasted hummingbirds (∼30 mmol l−1), while glucose-transporting GLUT1 and GLUT3 in flight muscle and liver PM fractions, respectively, declined in fasted birds. Our results suggest that glucose uptake capacity is dynamically reduced in response to fasting, allowing for maintenance of elevated blood glucose levels, while fructose uptake capacity remains constitutively elevated promoting depletion of blood total fructose within the first hour of a fast.


2000 ◽  
Vol 18 (6) ◽  
pp. 690-694 ◽  
Author(s):  
Andreas Holstein ◽  
Detlef Kühne ◽  
Hans-Georg Elsing ◽  
Ekkart Thiessen ◽  
Armin Plaschke ◽  
...  

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Ni Putu G. A. Lande ◽  
Yanti Mewo ◽  
Michaela Paruntu

Abstract: Physical activity is one of the factors which can affect blood glucose level in human body. Vigorous physical activity for 20 minutes can lower one’s blood glucose level. Futsal is categorized as a vigorous activity. During the activity, body will use endogenous fuel from blood to take care of glucose levels homeostasis in it. This study aimed to determine the ratio of blood glucose levels before and after vigorous physical activity at the 2011 batch students of the Faculty of Medicine, University of Sam Ratulangi using futsal. This was a pre and post experimental study. Respondents were 21 males aged 20-22 years. The results showed a decrease of all respondents’ blood glucose average from104.14 mg/dL before the physical activity to 95.40 mg/dL after it with p < 0.05 that meant there was a significant decrease in glucose level. Conclusion: In this study, there was a significant difference in blood glucose levels of the students between before and after vigorous physical activity.Keywords: blood glucose levels, vigorous physical activityAbstrak: Aktivitas fisik merupakan salah satu faktor yang dapat mempengaruhi kadar glukosa darah dalam tubuh manusia. Aktivitas fisik intensitas berat yang dilakukan selama 20 menit dapat menurunkan kadar glukosa darah dalam tubuh. Futsal merupakan salah satu permainan yang tergolong dalam aktivitas intensitas berat. Selama aktivitas fisik dilakukan, tubuh akan menggunakan bahan bakar endogen dan dari darah untuk menjaga homeostasis kadar glukosa dalam tubuh. Penelitian ini bertujuan untuk mengetahui perbandingan kadar glukosa darah sebelum dan sesudah aktivitas fisik intensitas berat pada mahasiswa angkatan 2011 Fakultas Kedokteran Universitas Sam Ratulangi melalui permainan futsal. Penelitian ini bersifat pre dan post eksperimental. Pada penelitian ini responden terdiri dari 21 orang laki-laki dengan umur 20-22 tahun. Hasil penelitian menunjukkan adanya penurunan glukosa dari rata-rata 104,14 mg/dL sebelum aktivitas fisik menjadi 95,40 mg/dL setelah melakukan aktivitas fisik dengan nilai p < 0,05, yang berarti terjadi penurunan yang signifikan. Simpulan: Terdapat perbedaan yang signifikan antara kadar glukosa darah mahasiswa sebelum dan sesudah melakukan aktivitas fisik intensitas berat.Kata kunci: kadar glukosa darah, aktivitas fisik intensitas berat


Author(s):  
Intan Rahma Husna ◽  
Riezky Valentina Astari ◽  
Tuty Rizkianti

Stroke is the death of brain cells due to lack of blood flow and oxygen to the brain by blockage or rupture of an artery. Stress hyperglycemia in acute stroke may worsen the clinical outcome and the prognosis of stroke. The purpose of this study is to find out and compare blood glucose profile between ischemic stroke and hemorrhagic stroke. This is an observational analytic cross-sectional research using consecutive sampling. Data was obtained through medical record from January to December 2018 in RSUP Fatmawati with each group of stroke consisting of 74 samples. Data was processed using SPSS 2017. Mann-Whitney test shows a significant difference in random blood glucose levels between ischemic stroke and hemorrhagic stroke (p = 0.024), with the median value of random blood glucose level during ischemic stroke is 115.50 mg / dL and hemorrhagic stroke is 136.50 mg / dL. The results also shows a significant difference in fasting blood glucose levels between ischemic stroke and hemorrhagic stroke (p = 0.042), with the median value of fasting blood glucose level for ischemic stroke is 116.50 mg / dL and hemorrhagic stroke is 125.50 mg / dL. A significant difference is also seen in 2 hours post-prandial glucose level between ischemic stroke and hemorrhagic stroke (p = 0.028), with the median value of 2 hours post-prandial glucose level of  ischemic stroke is 130 mg / dL and hemorrhagic stroke is 147.50 mg / dL. Keywords: Ischemic Stroke; Hemorrhagic Stroke; Random Blood Glucose; Fasting Blood Glucose; 2 Hour Post-Prandial Blood Glucose AbstrakStroke adalah kematian sel-sel otak akibat hilangnya pasokan darah dan oksigen ke otak karena adanya  hambatan atau ruptur arteri yang menuju otak. Pada stroke fase akut dapat terjadi hiperglikemia reaktif yang dapat memperburuk  keluaran klinis dan prognosis stroke. Penelitian ini dilakukan untuk mengetahui dan membandingkan profil glukosa darah antara stroke iskemik dan stroke hemoragik. Penelitian ini bersifat analitik observasional dengan desain potong lintang dan pemilihan sampel consecutive sampling. Data didapat dari rekam medis periode Januari-Desember 2018 di RSUP Fatmawati dengan masing-masing kelompok stroke sebanyak 74 sampel. Pengolahan data dilakukan dengan program SPSS tahun 2017. Uji Mann-Whitney menunjukkan adanya perbedaan bermakna kadar Glukosa Darah Sewaktu antara stroke iskemik dengan stroke hemoragik (p = 0,024), dengan nilai median Glukosa Darah Sewaktu stroke iskemik adalah 115,50 mg/dL dan stroke hemoragik adalah 136,50 mg/dL. Hasil juga menunjukkan adanya perbedaan bermakna kadar Glukosa Darah Puasa antara stroke iskemik dan stroke hemoragik (p = 0,042), dengan nilai median Glukosa Darah Puasa stroke iskemik adalah 116,50 mg/dL dan stroke hemoragik adalah 125,50 mg/dL, serta adanya perbedaan bermakna kadar Glukosa Darah 2 Jam Post-Prandial antara stroke iskemik dan stroke hemoragik (p = 0,028), dengan nilai median Glukosa Darah 2 Jam Post-Prandial stroke iskemik adalah 130 mg/dL dan stroke hemoragik adalah 147,50 mg/dL.


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