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INSULIN RESISTANCE, METABOLIC DISEASES AND DIABETIC COMPLICATIONS
Insulin Resistance, Metabolic Diseases and Diabetic ComplicationsProceedings of the 7th European Symposium on Metabolism, Padova, 30 September - 3 October, 1998

Edited by
G. Crepaldi, University of Padua-Policlinico, Department of Internal Medicine, Via Giustiniani, 2, 32128 Padova, Italy
A. Tiengo, University of Padua-Policlinico, Department of Clinical Medicine, Via Giustiniani, 2, 32128 Padova, Italy
S. Del Prato, University of Padua-Policlinico, Department of Clinical Medicine, Via Giustiniani, 2, 32128 Padova, Italy

Included in series
International Congress, 1177

Description
Insulin resistance was recognized as a feature and a pathogenic mechanism in pathological states such as type 2 diabetes mellitus and obesity. More recently, however, it has become apparent that an impairment in insulin action is shared by a variety of conditions not necessarily associated with diabetes or obesity. These conditions include essential hypertension, dyslipidemia, endothelial dysfunction, hyperuricemia and many others. Moreover, these conditions tend to cluster with insulin resistance prompting the definition of the "Syndrome of Insulin Resistance." This association has been recently recognized by the WHO as a tentative definition of diagnostic criteria was proposed. This book provides a comprehensive information on the role of insulin resistance as prognostic parameter.

This book collects the contribution of the most eminent experts in the field of genetics, epidemiology, physiopathology, complications and therapy of insulin resistance. As such, it provides a comprehensive and updated evaluation of the possible role of insulin resistance in pathogenesis of a cluster of major risk factors for cardiovascular disease.

The book will be of interest for all those professionals who would like to find a broad, though specific, overview on several aspects of insulin resistance as a possible pathogenetic mechanism.

The book represents the most comprehensive review of genetics, epidemiology, physiopathology, complications and therapy of insulin resistance.

Audience
Professionals in the field of diabetes and cardiology

Contents


Epidemiology.
Insulin resistance and systematic atherosclerosis (G. Howard et al.). The Diabetes Intervention Study: impact of quality of risk factor control on coronary heart disease and mortality (M. Hanefeld, S. Fischer). Glucose, insulin and atherosclerosis: Lesson from the Bruneck Study (E. Bonora et al.). The plurimetabolic syndrome in the European population: the experience of the European Group on Insulin Resistance (EGIR) (S. Del Prato, A. Maran, H. Beck-Nielsen).

Genetics.
Result of 10-years genetic studies in French families with type 2 diabetes (P. Froguel). ACE genotype and diabetic nephropathy (M. Marre). Apolipoprotein E. gene polymorphism, vascular complications and nephropathy in NIDDM (C. Gabelli et al.). The atherogenic dyslipidemia of visceral obesity: need for preventive endocrinology (J.-P. Després).

Molecular and Cellular Markers of Insulin Resistance and Diabetic Complications.
Nitric oxide and arginine (P. Vallance). Protein kinase C activation and the formation of diabetic vascular complications (G.L. King, H. Wakasaki). Molecular basis of insulin receptor activation, signal transduction and signalling specificity (P.A. Holst, P. De Meyts). Regulation of metabolic gene expression by glucose (J. Girard, F. Foufelle, P. Ferre).

Insulin Resistance, Endothelium and Diabetic Complications.
Endothelium and diabetes. Evidences for a relationship between metabolic control and inappropriate nitric oxide production (A. Avogaro et al.). Effect of different lipoprotein fractions on nitric oxide and superoxide production in endothelial cells (L. Vergnani et al.).

Renal Complications.
Diabetic nephropathy in IDDM and NIDDM: functional studies (R. Mangili). Diabetic nephropathy in Type 1 and Type 2 diabetes: structural studies (A. Saller et al.). Cellular markers for diabetic nephropathy (R. Trevisan et al.).

Atherosclerotic Complications.
Dyslipidemia in diabetes: clinical importance of lipoprotein heterogeneity (M.-R. Taskinen, R. Malmström, C.J. Packard). Heterogeneity of triglyceride-rich lipoproteins in the postprandial state (F. Karpe). The role of glycation in diabetic complications (A. Lapolla, P. Traldi, D. Fedele). Oxidative stress and diabetic complications (A. Ceriello). Triglycerides increase the biosynthesis of plasminogen activator inhibitor type I: focus on their mechanism of action (E. Tremoli et al.). Altered fatty acid partitioning by PPAR activators improves glucose homeostatis; a case of PPARα and γ coagonists (J. Auwerx).

Prevention of Complications.
The role of antihypertensive treatment in CHD prevention (L. Argenziano et al.). Antihypertensive therapy and cardiovascular complications (Ph. Passa). Pharmacologic inhibition of the renin-angiotensin system and diabetic nephropathy (G. Deferrari et al.). Calcium channel blockers and incipient diabetic nephropathy (M. Dalla Vestra et al.). Prevention of diabetic complications. Diet and cardiovascular disease: the epidemiological evidence (A. Bonanome, A. Pagnan). Effects of dietary fat and carbohydrate on insulin resistance (G. Riccardi, G. Annuzzi). Secondary prevention of coronary heart disease in diabetes: a subgroup analysis of the Scandinavian Simvastatin Survival Study (4S) (K. Pyörälä). HMG-CoA reductase inhibitors in atherosclerosis (B.M. Buckley). Diabetes and atherosclerosis: a lipoprotein perspective (G. Steiner). Metformin (D. Giugliano). Metformin and the treatment of insulin resistance syndrome - The BIGPRO Studies (M.A. Charles, E. Eschwège, BIGPRO Study Group). Mechanism of action of thiazozidinediones in type 2 diabetes (K.Levin, H. Beck-Nielsen). Leptin: a perspective for the weight control problem (M. Maffei). Carnitine system and insulin resistance (G. Peluso et al.).

Index of authors.


Bibliographic details
Hardbound, 286 pages, publication date: JUL-1999
ISBN-13: 978-0-444-50022-9
ISBN-10: 0-444-50022-7
Imprint: EXCERPTA MEDICA

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Last update: 8 Nov 2008
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