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만성신부전 환자에서 인슐린저항성에 대한 스테로이드의 영향 |
이승헌 , 김영옥 , 안석주 , 양철우 , 김용수 , 장윤식 , 윤영석 , 방병기 |
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Abstract |
The presence of impaired glucose metabolism and insulin resistance has long been recognized in patients with chronic renal failure. Insulin resistance in patients with chronic renal failure may contribute to the increased incidence of atherosclerosis, involve lipid and protein metabolism snd play a role in pro- gression of renal disease. Steroid induced insulin resi- stance may depend on either reduced sensitivity or reduced response to insulin. We, therefore compared insulin resistance of prednisolone to deflazacort after oral glucose tolerance test including glucose, insulin, and C peptide values in 10 patients with chronic renal failure. |
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