[Control of the lipid profile in insulin-dependent diabetic children].
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Biomedical subjects
Publications and source records attributed to F Cerutti.
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The method of Cerasi & Luft was evaluated after 6 months and 1 yr of dietary management in 7 children with familial diabetes and/or very slight clinical and laboratory symptoms, and one obese girl. There was a marked reduction in the blood insulin area in the obese subject, whereas the remainder of the series displayed stationary pictures. It is felt that the method deserves emphasis on account of its constant evocation of a reproducible response and the possibilities of interpretation that it offers in the field of paediatrics.
Results obtained with Cerasi & Luft's method and OGTT in subjects with a historical, clinical and laboratory suspicion of dysmetabolism were compared. It was found that: 1) obese subjects showed increased blood sugar and insulinase areas by comparison with normal controls; 2) subjects of normal weight displayed: a) a mean increase in blood sugar areas by comparison with normal controls; b) less evident changes in blood insulin areas; in these subjects, it was also noted that, c) an early-phase secretion irregularity detected with Cerasi & Luft's method did not involve changes in the oral loading pattern displayed by subjects classed as normal by means of such method; d) in subjects classed as "chemical diabetics" by OGTT, the response to glucagon after venous loading was defective. In border-line cases, early-phase changes were observed in the venous curve after oral glucose, whereas the response to glucagone remained efficient. It is felt that OGTT is an effective means in the diagnosis of infantile dysmetabolism. Attention is also drawn to the possibilities offered by the method of Cerasi & Luft in the detailed and specific appraisal of insulin secretion.
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