Evidence map›Paper›PMID 24379929›Full record

ArticleWorld journal of diabetes2013

Influence of physiological and supraphysiological hyperinsulinemia on skin microcirculation in healthy volunteers.

Michal Krčma, Daniela Cechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Zourek, Zdeněk Rušavý

Open access · hybridAbstract read
In one paragraph

Article in World journal of diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Michal KrčmaMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Daniela CechurováMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Jitka BrožováMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Zdeněk JankovecMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Silvie LacigováMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Michal ZourekMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Zdeněk RušavýMichal Krčma, Daniela Čechurová, Jitka Brožová, Zdeněk Jankovec, Silvie Lacigová, Michal Žourek, Zdeněk Rušavý, Diabetology Centre, 1 Department of Clinic Medicine, Teaching Hospital and Medical Faculty Charles University, 32300 Plzen, Czech Republic.
Charles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine skin perfusion in dependency on insulinemia in healthy subjects.

methodsAll volunteers were informed in detail about the procedures and signed informed consent. The protocol of this study was approved by the ethical committee. In our study, a two stage hyperinsulinemic euglycemic clamp was performed, with insulinemia 100 and 250 mIU/mL and glycemia 5.0 mmol/L (3% standard deviation). Before the clamp and in steady states, microcirculation was measured by laser Doppler flowmetry and transcutaneous oximetry and energy expenditure was measured by indirect calorimetry. Results (average and standard deviation) were evaluated with paired t-test.

resultsPhysiological (50 mIU/L) insulinemia led to higher perfusion in both tests; hyperemia after heating to 44%-1848% (984-2046) vs 1599% (801-1836), P < 0.05, half time of reaching peak perfusion after occlusion release 1.2 s (0.9-2.6) vs 4.9 s (1.8-11.4), P < 0.05. Supraphysiological (150 mIU/L) insulinemia led to even higher perfusion in both tests; hyperemia after heating to 44%-1937% (1177-2488) vs 1599% (801-1836), P < 0.005, half time to reach peak perfusion after occlusion release 1.0 s (0.7-1.1) vs 4.9 s (1.8-11.4), P < 0.005. A statistically significant increase occurred in tissue oxygenation in both insulinemia. The difference in perfusion and oxygenation between physiological and supraphysiological hyperinsulinemia was not statistically significant.

conclusionThe post occlusive hyperemia test in accordance with heating test showed significantly increasing skin perfusion in the course of artificial hyperinsulinemia. This effect rises non-linearly with increasing insulinemia. Dependency on the dose was not statistically significant.

Indexed as

DiabetesInsulinLaser Doppler flowmetryMicrocirculation

Identifiers

PMID24379929
PMCPMC3874498
OpenAlexW1999119382

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.