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DOC News    April 1, 2006
Volume 3 Number 4 p. 12
© 2006 American Diabetes Association

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Insulin Improves Coronary Artery Blood Flow

Insulin improves myocardial perfusion in people with type 2 diabetes and coronary artery disease (CAD), according to research reported in the February issue of Diabetes.

Investigators in Finland studied the effect of insulin on myocardial blood flow—as measured by single-photon emission-computed tomography (SPECT)—on 43 people with diabetes and CAD who were experiencing ischemia.

While patients were at rest, insulin increased myocardial blood flow by 13% in ischemic regions of the heart and 22% in nonischemic regions.

"In addition to its metabolic effects, insulin infusion may improve endovascular function and thus increase the threshold for ischemia and partly contribute to the beneficial effects found in clinical trials in these subjects," the researchers conclude.

Lautamaki R, Airaksinen KE, Seppanen M, et al.: Insulin improves myocardial blood flow in patients with type 2 diabetes and coronary artery disease. Diabetes 55:511–516, 2006[Abstract/Free Full Text] .


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