Effects of telmisartan on insulin resistance and serum retinol-binding protein 4 in patients with essential hypertension
Yuan Zhong
Abstract
Yuan Zhong
Abstract
AIM: To investigate the effects of telmisartan on insulin resistance and serum retinol-binding protein 4 in patients with essential hypertension.METHODS: Forty-five subjects with essential hypertension were treated with telmisartan(80 mg/day) or losartan(100 mg/day) combined with long-acting calcium antagonist,if necessary,for 16 weeks.Waist and hip circumference,body mass index,blood pressure,fasting plasma glucose(FPG),insulin(FPI),lipid and retinol-binding protein 4(RBP4) were measured before and after the treatment.Insulin sensitivity was estimated by homeostasis model assessment(HOMA-IR).RESULTS: Compared with baseline levels,systolic and diastolic blood pressure decreased significantly in both groups.But the levels of HOMA-IR and RBP4 decreased significantly only in telmisartan group.CONCLUSION: Telmisartan improves insulin resistance and decreases serum RBP4 level in patients with essential hypertension.
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AIM: To investigate the effects of telmisartan on insulin resistance and serum retinol-binding protein 4 in patients with essential hypertension.METHODS: Forty-five subjects with essential hypertension were treated with telmisartan(80 mg/day) or losartan(100 mg/day) combined with long-acting calcium antagonist,if necessary,for 16 weeks.Waist and hip circumference,body mass index,blood pressure,fasting plasma glucose(FPG),insulin(FPI),lipid and retinol-binding protein 4(RBP4) were measured before and after the treatment.Insulin sensitivity was estimated by homeostasis model assessment(HOMA-IR).RESULTS: Compared with baseline levels,systolic and diastolic blood pressure decreased significantly in both groups.But the levels of HOMA-IR and RBP4 decreased significantly only in telmisartan group.CONCLUSION: Telmisartan improves insulin resistance and decreases serum RBP4 level in patients with essential hypertension.
Key concepts: Telmisartan, Internal medicine, Insulin resistance, Medicine, Endocrinology, Blood pressure, Essential hypertension, Losartan