Page last updated: 2024-10-27

gliclazide and Insulin Resistance

gliclazide has been researched along with Insulin Resistance in 26 studies

Gliclazide: An oral sulfonylurea hypoglycemic agent which stimulates insulin secretion.

Insulin Resistance: Diminished effectiveness of INSULIN in lowering blood sugar levels: requiring the use of 200 units or more of insulin per day to prevent HYPERGLYCEMIA or KETOSIS.

Research Excerpts

ExcerptRelevanceReference
" In this study, we used the frequently sampled intravenous glucose tolerance test (FSIGT) to evaluate the insulin sensitivity (IS), glucose sensitivity (SG), and acute insulin response after glucose load (AIRg) after 4 months treatment with either gliclazide or repaglinide."9.14Comparison of insulin sensitivity, glucose sensitivity, and first phase insulin secretion in patients treated with repaglinide or gliclazide. ( Chu, YM; Hsia, TL; Hsiao, FC; Hsieh, AT; Lee, LH; Lin, JD; Pei, C; Pei, D; Wang, K; Wu, CZ, 2010)
"To investigate the effect of insulin and gliclazide therapy on endoplasmic reticulum (ER) stress and insulin sensitivity in the liver of type 2 diabetic rats."7.78[The effects of insulin and gliclazide therapy on endoplasmic reticulum stress and insulin sensitivity in liver of type 2 diabetic rats]. ( Bi, Y; Cai, MY; Chen, X; Liang, H; Liao, LZ; Sun, WP; Weng, JP; Zhu, YH, 2012)
" In this study, we investigated whether gliclazide, a second-generation sulfonylurea, can protect 3T3L1 adipocytes from insulin resistance induced by oxidative stress, and whether gliclazide can restore insulin-stimulated glucose transporter 4 (GLUT4) translocation under oxidative stress."7.73Gliclazide protects 3T3L1 adipocytes against insulin resistance induced by hydrogen peroxide with restoration of GLUT4 translocation. ( Ishida, H; Ito, E; Katahira, H; Katsuta, H; Nagamatsu, S; Ohno, H; Seki, H; Shimoyama, T; Takahashi, K; Ushikawa, K; Yamaguchi, S; Yoshimoto, K, 2006)
"Adult patients with type 2 diabetes controlled with insulin frequently require the addition of insulin sensitising drugs such as metformin and sometimes glitazones to achieve optimum glycaemic control."5.33Is it time to re-assess the role of gliclazide? Targeting insulin resistance in type 2 diabetes patients suboptimally controlled with insulin. ( Brown, N, 2006)
" In this study, we used the frequently sampled intravenous glucose tolerance test (FSIGT) to evaluate the insulin sensitivity (IS), glucose sensitivity (SG), and acute insulin response after glucose load (AIRg) after 4 months treatment with either gliclazide or repaglinide."5.14Comparison of insulin sensitivity, glucose sensitivity, and first phase insulin secretion in patients treated with repaglinide or gliclazide. ( Chu, YM; Hsia, TL; Hsiao, FC; Hsieh, AT; Lee, LH; Lin, JD; Pei, C; Pei, D; Wang, K; Wu, CZ, 2010)
"As compared with the patients receiving insulin monotherapy, the patients taking metformin alone or in combination showed a more effective recovery of carbohydrate and lipid metabolic disturbances, diminished insulin resistance (IR), lowered blood pressure and albuminuria, reduced diastolic dysfunction, and a smaller cardiovascular risk."5.14[Capabilities of hypoglycemic therapy in women with decompensated type 2 diabetes mellitus]. ( Elsukova, OS; Onuchin, SG; Onuchina, EL; Solov'ev, OV, 2010)
"To investigate the effect of insulin and gliclazide therapy on endoplasmic reticulum (ER) stress and insulin sensitivity in the liver of type 2 diabetic rats."3.78[The effects of insulin and gliclazide therapy on endoplasmic reticulum stress and insulin sensitivity in liver of type 2 diabetic rats]. ( Bi, Y; Cai, MY; Chen, X; Liang, H; Liao, LZ; Sun, WP; Weng, JP; Zhu, YH, 2012)
" In this study, we investigated whether gliclazide, a second-generation sulfonylurea, can protect 3T3L1 adipocytes from insulin resistance induced by oxidative stress, and whether gliclazide can restore insulin-stimulated glucose transporter 4 (GLUT4) translocation under oxidative stress."3.73Gliclazide protects 3T3L1 adipocytes against insulin resistance induced by hydrogen peroxide with restoration of GLUT4 translocation. ( Ishida, H; Ito, E; Katahira, H; Katsuta, H; Nagamatsu, S; Ohno, H; Seki, H; Shimoyama, T; Takahashi, K; Ushikawa, K; Yamaguchi, S; Yoshimoto, K, 2006)
"We evaluated insulin resistance and assessed the effect of gliclazide on insulin resistance in a patient with diabetes mellitus associated with Turner's syndrome."3.69Insulin resistance in a patient with diabetes mellitus associated with Turner's syndrome. ( Hashimoto, K; Hisatake, K; Kumon, Y; Suehiro, T; Sumiyoshi, R, 1994)
"The primary aim must be the treatment of the insulin resistance."2.43[Controversial therapeutic strategies in the treatment of type 2 diabetes mellitus]. ( Schumm-Draeger, PM, 2005)
" Physiological and treatment-related factors were evaluated as potential influential covariates using a population pharmacokinetic modeling approach (NONMEM version 7."1.62Effect of Nigella sativa oil on pharmacokinetics and pharmacodynamics of gliclazide in rats. ( Adiwidjaja, J; Sasongko, L, 2021)
"Approximately 40% of patients with type 2 diabetes may progress to nephropathy and a good metabolic control can prevent the development of diabetic renal injury."1.37Insulin and metformin may prevent renal injury in young type 2 diabetic Goto-Kakizaki rats. ( da Cunha, FX; Louro, TM; Matafome, PN; Nunes, EC; Seiça, RM, 2011)
" Long-term use of metformin in complex multifactorial therapy of women with decompensated type 2 diabetes DM, AH and abdominal obesity provides improvement of carbohydrate and lipid metabolism, lowering of arterial pressure, diminishment of albuminuria, diastolic dysfunction, and stiffness of left ventricular myocardium."1.36[Dynamics of structural-functional parameters of cardiovascular system during use of complex therapy of women with type 2 diabetes mellitus]. ( Elsukova, OS; Onuchin, SG; Onuchina, EL; Solov'ev, OV, 2010)
"Effective long-term treatment of Type 2 Diabetes Mellitus (T2DM) implies modification of the disease processes that cause this progressive disorder."1.33A mechanism-based disease progression model for comparison of long-term effects of pioglitazone, metformin and gliclazide on disease processes underlying Type 2 Diabetes Mellitus. ( Danhof, M; de Winter, W; DeJongh, J; Eckland, D; Moules, I; Ploeger, B; Post, T; Urquhart, R, 2006)
"Adult patients with type 2 diabetes controlled with insulin frequently require the addition of insulin sensitising drugs such as metformin and sometimes glitazones to achieve optimum glycaemic control."1.33Is it time to re-assess the role of gliclazide? Targeting insulin resistance in type 2 diabetes patients suboptimally controlled with insulin. ( Brown, N, 2006)
"Treatment with gliclazide could not restore p38 phosphorylation in insulin-resistant cells."1.31Gliclazide increases insulin receptor tyrosine phosphorylation but not p38 phosphorylation in insulin-resistant skeletal muscle cells. ( Dey, CS; Kumar, N, 2002)
"Gliclazide was given to group A following CSII, and to five obese NIDDM patients (group B) in their habitual hyperglycemic state."1.28Effect of 6-month gliclazide treatment on insulin release and sensitivity to endogenous insulin in NIDDM: role of initial continuous subcutaneous insulin infusion-induced normoglycemia. ( Cerasi, E; del Rio, G; Della Casa, L; Glaser, B, 1991)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19903 (11.54)18.7374
1990's5 (19.23)18.2507
2000's11 (42.31)29.6817
2010's6 (23.08)24.3611
2020's1 (3.85)2.80

Authors

AuthorsStudies
Adiwidjaja, J1
Sasongko, L1
Konya, H1
Hasegawa, Y1
Hamaguchi, T1
Satani, K1
Umehara, A1
Katsuno, T1
Ishikawa, T1
Miuchi, M1
Kohri, K1
Suehiro, A1
Kakishita, E1
Miyagawa, J1
Namba, M1
Wu, CZ1
Pei, D1
Hsieh, AT1
Wang, K1
Lin, JD1
Lee, LH1
Chu, YM1
Hsiao, FC1
Pei, C1
Hsia, TL1
Onuchin, SG2
Elsukova, OS2
Solov'ev, OV2
Onuchina, EL2
Louro, TM1
Matafome, PN1
Nunes, EC1
da Cunha, FX1
Seiça, RM1
Sun, WP1
Bi, Y1
Liang, H1
Cai, MY1
Chen, X1
Zhu, YH1
Liao, LZ1
Weng, JP1
Kumar, N1
Dey, CS1
Khan, M1
Xu, Y1
Edwards, G1
Urquhart, R2
Mariz, S1
Schumm-Draeger, PM1
Inukai, K1
Watanabe, M1
Nakashima, Y1
Sawa, T1
Takata, N1
Tanaka, M1
Kashiwabara, H1
Yokota, K1
Suzuki, M1
Kurihara, S1
Awata, T1
Katayama, S1
Satoh, J1
Takahashi, K2
Takizawa, Y1
Ishihara, H1
Hirai, M1
Katagiri, H1
Hinokio, Y1
Suzuki, S1
Tsuji, I1
Oka, Y1
Perriello, G1
Pampanelli, S1
Di Pietro, C1
Brunetti, P1
de Winter, W1
DeJongh, J1
Post, T1
Ploeger, B1
Moules, I1
Eckland, D1
Danhof, M1
Shimoyama, T1
Yamaguchi, S1
Katsuta, H1
Ito, E1
Seki, H1
Ushikawa, K1
Katahira, H1
Yoshimoto, K1
Ohno, H1
Nagamatsu, S1
Ishida, H1
Brown, N1
Kumon, Y1
Hisatake, K1
Suehiro, T1
Sumiyoshi, R1
Hashimoto, K1
Karunakaran, S1
Hammersley, MS1
Morris, RJ1
Turner, RC1
Holman, RR1
Vestergaard, H1
Bratholm, P1
Christensen, NJ1
Matthews, DR1
Hosker, JP1
Stratton, I1
Della Casa, L1
del Rio, G1
Glaser, B1
Cerasi, E1
Chang, TC1
Wang, LM1
Cheng, CY1
Kuo, HF1
Liu, PC1
Ho, LT1
Lesobre, B2
Wajchenberg, BJ1
Santomaruo, AT1
Cherem, JJ1
Malerbi, DA1
Giurno Filho, A1
Lerario, AC1
Giannella Neto, D1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Modulation of Insulin Secretion and Insulin Sensitivity in Bangladeshi Type 2 Diabetic Subjects by an Insulin Sensitizer Pioglitazone and T2DM Association With PPARG Gene Polymorphism.[NCT01589445]Phase 477 participants (Actual)Interventional2008-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Comparison of Changes in Fasting Serum Glucose (FSG)With Pioglitazone and Metformin

Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin. (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionmmol/l (Mean)
Baseline FSG3rd Month FSG
Metformin ( 002 Group)6.26.5
Pioglitazone (001 Group)6.95.4

Comparison of Changes in Fasting Serum Insulin (FSI)With Pioglitazone and Metformin

Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin. (NCT01589445)
Timeframe: 3 months for each drug

,
InterventionμU/ml (Mean)
Baseline FSI3rd month FSI
Metformin ( 002 Group)13.013.9
Pioglitazone (001 Group)16.212.3

Comparison of Changes in Glycosylated Hemoglobin (HbA1c)With Pioglitazone and Metformin

Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin. (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionpercentage (Mean)
Baseline HbA1c3rd month HbA1c
Metformin ( 002 Group)7.87.0
Pioglitazone (001 Group)7.36.7

Comparison of Changes in HOMA Percent B and HOMA Percent S With Pioglitazone and Metformin

"Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin.~Analysis 1: Homeostatic Model Assessment of Beta cell function(HOMA percent B) Analysis 2: Homeostatic Model Assessment of Insulin Sensitivity (Homa percent S)" (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionpercentage (Mean)
Baseline HOMA percent beta cells function3rd month HOMA percent beta cells functionBaseline HOMA percent sensitivity3rd month HOMA percent sensitivity
Metformin ( 002 Group)109.3116.076.267.2
Pioglitazone (001 Group)118.9132.351.169.3

Comparison of Changes in Insulin Levels (HOMA IR,QUICKI) With Pioglitazone and Metformin

"Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin.~Analysis 1: Homeostasis Model Assessment Insulin Resistance(HOMA IR) Analysis 2: Quantitative Insulin sensitivity Check Index(QUICKI)" (NCT01589445)
Timeframe: 3 months for each drug

,
InterventionScore on a scale ( SI unit) (Mean)
Baseline QUICKI3rd month QUICKIBaseline HOMA IR3rd month HOMA IR
Metformin ( 002 Group)0.570.543.74.3
Pioglitazone (001 Group)0.520.595.12.9

Comparison of Changes in Lipid Profiles With Pioglitazone and Metformin

"Response rate was defined by ≥10% decrease of FSG or/and ≥1% decrease of HbA1c from the baseline values after 3 months treatment.48 responded to pioglitazone and 32 responded to metformin.~Analysis 1:Total Cholesterol(TC) Analysis 2:Triglyceride(TG) Analysis 3:High Density Lipoprotein(HDL) Analysis 4:Low Density Lipoprotein(LDL)" (NCT01589445)
Timeframe: 3 months for each drug

,
Interventionmg/dl (Mean)
Baseline TC3rd month TCBaseline TG3rd month TGBaseline HDL3rd month HDLBaseline LDL3rd month LDL
Metformin (002 Group)193.0177.0166.0175.034.434.7125.6112.0
Pioglitazone (001 Group)182.01781831953333.2112.8105.5

Reviews

2 reviews available for gliclazide and Insulin Resistance

ArticleYear
[Controversial therapeutic strategies in the treatment of type 2 diabetes mellitus].
    MMW Fortschritte der Medizin, 2005, Apr-28, Volume: 147, Issue:17

    Topics: Cardiovascular Diseases; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Follow-Up Studies; Gli

2005
[Physiopathology of non insulin-dependent diabetes. Action of gliclazide].
    Journees annuelles de diabetologie de l'Hotel-Dieu, 1985

    Topics: Diabetes Mellitus, Type 2; Gliclazide; Humans; Insulin; Insulin Resistance; Insulin Secretion

1985

Trials

9 trials available for gliclazide and Insulin Resistance

ArticleYear
Comparison of insulin sensitivity, glucose sensitivity, and first phase insulin secretion in patients treated with repaglinide or gliclazide.
    Archives of pharmacal research, 2010, Volume: 33, Issue:3

    Topics: Adult; Blood Glucose; Blood Pressure; Body Mass Index; Carbamates; Cross-Over Studies; Diabetes Mell

2010
[Capabilities of hypoglycemic therapy in women with decompensated type 2 diabetes mellitus].
    Terapevticheskii arkhiv, 2010, Volume: 82, Issue:8

    Topics: Blood Glucose; Carbohydrate Metabolism; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Drug The

2010
Effects of pioglitazone on the components of diabetic dyslipidaemia: results of double-blind, multicentre, randomised studies.
    International journal of clinical practice, 2004, Volume: 58, Issue:10

    Topics: Adult; Aged; Cardiovascular Diseases; Cholesterol, HDL; Cholesterol, LDL; Diabetes Mellitus, Type 2;

2004
Efficacy of glimepiride in Japanese type 2 diabetic subjects.
    Diabetes research and clinical practice, 2005, Volume: 68, Issue:3

    Topics: Aged; Asian People; Body Mass Index; Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Fe

2005
Secondary sulfonylurea failure: comparison of period until insulin treatment between diabetic patients treated with gliclazide and glibenclamide.
    Diabetes research and clinical practice, 2005, Volume: 70, Issue:3

    Topics: Age of Onset; Databases, Factual; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Female; Glic

2005
Comparison of glycaemic control over 1 year with pioglitazone or gliclazide in patients with Type 2 diabetes.
    Diabetic medicine : a journal of the British Diabetic Association, 2006, Volume: 23, Issue:3

    Topics: Blood Glucose; Blood Glucose Self-Monitoring; Diabetes Mellitus, Type 2; Double-Blind Method; Female

2006
The Fasting Hyperglycaemia Study: III. Randomized controlled trial of sulfonylurea therapy in subjects with increased but not diabetic fasting plasma glucose.
    Metabolism: clinical and experimental, 1997, Volume: 46, Issue:12 Suppl 1

    Topics: Adult; Aged; Blood Glucose; Diabetes Mellitus, Type 2; England; Fasting; Female; France; Gliclazide;

1997
The physiological action of gliclazide: beta-cell function and insulin resistance.
    Diabetes research and clinical practice, 1991, Volume: 14 Suppl 2

    Topics: Amino Acids; Blood Glucose; Computer Simulation; Diabetes Mellitus, Type 2; Gliclazide; Glucose Clam

1991
The action of gliclazide on insulin secretion and insulin sensitivity in non-obese non-insulin dependent diabetic patients.
    Zhonghua yi xue za zhi = Chinese medical journal; Free China ed, 1990, Volume: 46, Issue:2

    Topics: Adult; Aged; Blood Glucose; Diabetes Mellitus, Type 2; Gliclazide; Glucose Tolerance Test; Humans; I

1990

Other Studies

15 other studies available for gliclazide and Insulin Resistance

ArticleYear
Effect of Nigella sativa oil on pharmacokinetics and pharmacodynamics of gliclazide in rats.
    Biopharmaceutics & drug disposition, 2021, Volume: 42, Issue:8

    Topics: Animals; Biological Availability; Blood Glucose; Gliclazide; Herb-Drug Interactions; Hyperglycemia;

2021
Effects of gliclazide on platelet aggregation and the plasminogen activator inhibitor type 1 level in patients with type 2 diabetes mellitus.
    Metabolism: clinical and experimental, 2010, Volume: 59, Issue:9

    Topics: Aged; alpha-2-Antiplasmin; Antithrombin III; Azides; Blood Glucose; Body Mass Index; Deoxyuracil Nuc

2010
[Dynamics of structural-functional parameters of cardiovascular system during use of complex therapy of women with type 2 diabetes mellitus].
    Kardiologiia, 2010, Volume: 50, Issue:5

    Topics: Aged; Angiotensin-Converting Enzyme Inhibitors; Chi-Square Distribution; Data Interpretation, Statis

2010
Insulin and metformin may prevent renal injury in young type 2 diabetic Goto-Kakizaki rats.
    European journal of pharmacology, 2011, Feb-25, Volume: 653, Issue:1-3

    Topics: Animals; Blood Glucose; Body Weight; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 2; Dia

2011
[The effects of insulin and gliclazide therapy on endoplasmic reticulum stress and insulin sensitivity in liver of type 2 diabetic rats].
    Zhonghua nei ke za zhi, 2012, Volume: 51, Issue:8

    Topics: Animals; Diabetes Mellitus, Experimental; Endoplasmic Reticulum Stress; Gliclazide; Insulin; Insulin

2012
Gliclazide increases insulin receptor tyrosine phosphorylation but not p38 phosphorylation in insulin-resistant skeletal muscle cells.
    The Journal of experimental biology, 2002, Volume: 205, Issue:Pt 23

    Topics: Animals; Cell Line; Deoxyglucose; Enzyme Inhibitors; Gliclazide; Hypoglycemic Agents; Imidazoles; In

2002
[2-year data of large clinical comparative studies. Type 2 diabetes: lasting metabolic control with pioglitazone].
    MMW Fortschritte der Medizin, 2004, Jul-22, Volume: 146, Issue:29-30

    Topics: Animals; Clinical Trials as Topic; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 2; Drug

2004
A mechanism-based disease progression model for comparison of long-term effects of pioglitazone, metformin and gliclazide on disease processes underlying Type 2 Diabetes Mellitus.
    Journal of pharmacokinetics and pharmacodynamics, 2006, Volume: 33, Issue:3

    Topics: Adult; Aged; Algorithms; Blood Glucose; Clinical Trials, Phase III as Topic; Diabetes Mellitus, Type

2006
Gliclazide protects 3T3L1 adipocytes against insulin resistance induced by hydrogen peroxide with restoration of GLUT4 translocation.
    Metabolism: clinical and experimental, 2006, Volume: 55, Issue:6

    Topics: 3T3-L1 Cells; Adipocytes; Animals; Gliclazide; Glucose; Glucose Transporter Type 4; Hydrogen Peroxid

2006
Is it time to re-assess the role of gliclazide? Targeting insulin resistance in type 2 diabetes patients suboptimally controlled with insulin.
    Postgraduate medical journal, 2006, Volume: 82, Issue:969

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Gliclazide; Humans; Hypoglycemic Agents; Insulin; Insulin R

2006
Insulin resistance in a patient with diabetes mellitus associated with Turner's syndrome.
    Internal medicine (Tokyo, Japan), 1994, Volume: 33, Issue:9

    Topics: Adult; Diabetes Complications; Diabetes Mellitus; Female; Gliclazide; Glucose Clamp Technique; Gluco

1994
Increments in insulin sensitivity during intensive treatment are closely correlated with decrements in glucocorticoid receptor mRNA in skeletal muscle from patients with Type II diabetes.
    Clinical science (London, England : 1979), 2001, Volume: 101, Issue:5

    Topics: Adult; Aged; Case-Control Studies; Chromatography, High Pressure Liquid; Diabetes Mellitus, Type 2;

2001
Effect of 6-month gliclazide treatment on insulin release and sensitivity to endogenous insulin in NIDDM: role of initial continuous subcutaneous insulin infusion-induced normoglycemia.
    The American journal of medicine, 1991, Jun-24, Volume: 90, Issue:6A

    Topics: Blood Glucose; Diabetes Mellitus, Type 2; Follow-Up Studies; Gliclazide; Humans; Insulin; Insulin In

1991
Effect of gliclazide on non-insulin dependent diabetes mellitus.
    Advances in experimental medicine and biology, 1988, Volume: 246

    Topics: Blood Glucose; Diabetes Mellitus, Type 2; Fasting; Gliclazide; Glucose Tolerance Test; Humans; Insul

1988
[Non-insulin-dependent diabetes and gliclazide].
    Journees annuelles de diabetologie de l'Hotel-Dieu, 1986

    Topics: Diabetes Mellitus, Type 2; Gliclazide; Humans; Insulin; Insulin Resistance; Insulin Secretion; Sulfo

1986