Changes in forearm blood flow at elevated ambient temperature and their role in the apparent impairment of glucose tolerance

Clin Sci (Lond). 1989 Mar;76(3):323-8. doi: 10.1042/cs0760323.

Abstract

1. Antecubital venous plasma glucose and insulin concentrations after ingestion of 75 g of glucose were higher in six normal subjects when studied at an ambient temperature of 33 degrees C at an ambient temperature of 23 degrees C; the mean area under the glucose-time curve increased from 833 at 23 degrees C to 990 mmol min-1 at 33 degrees C, that for insulin from 5300 to 7900 m-units min 1-1. 2. Core temperature was elevated by 0.5 degree C at 33 degrees C ambient, although there was no marked stress response as judged by plasma levels of catecholamines, cortisol and growth hormone; at 2 h after glucose ingestion, mean noradrenaline levels were lower at 33 degrees C than at 23 degrees C (1.1 at 33 degrees C vs 1.8 nmol/l at 23 degrees C), adrenaline slightly higher (0.18 at 33 degrees C vs 0.09 nmol/l at 23 degrees C), cortisol and growth hormone unchanged. 3. Forearm blood flow was markedly elevated at 33 degrees C ambient (mean total flow 9.1 at 33 degrees C vs 1.8 ml min-1 100 ml-1 at 23 degrees C), as were antecubital venous partial pressure of oxygen (mean 10.1 at 33 degrees C vs 5.6 kPa at 23 degrees C) and oxygen saturation (mean 92% at 33 degrees C vs 70% at 23 degrees C). There was a positive correlation between oxygen saturation and area under the glucose tolerance curve. 4. In separate experiments, arterialized glucose concentrations were measured after glucose ingestion at 23 degrees C ambient.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / metabolism
  • Carbon Dioxide / blood
  • Drug Tolerance
  • Female
  • Forearm / blood supply*
  • Glucose / pharmacokinetics*
  • Glucose Tolerance Test*
  • Humans
  • Insulin / blood
  • Male
  • Oxygen / blood
  • Partial Pressure
  • Regional Blood Flow
  • Temperature*

Substances

  • Blood Glucose
  • Insulin
  • Carbon Dioxide
  • Glucose
  • Oxygen