Page last updated: 2024-10-28

hydrochlorothiazide and Insulin Resistance

hydrochlorothiazide has been researched along with Insulin Resistance in 23 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

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
"The aim of this study was to evaluate the effects of barnidipine+losartan compared with telmisartan+hydrochlorothiazide on several parameters of insulin sensitivity in patients with hypertension and type 2 diabetes mellitus."9.20Comparison of the effects of barnidipine+losartan compared with telmisartan+hydrochlorothiazide on several parameters of insulin sensitivity in patients with hypertension and type 2 diabetes mellitus. ( D'Angelo, A; Dario Ragonesi, P; Derosa, G; Franzetti, I; Maffioli, P; Querci, F, 2015)
"We studied the effects of treatment with olmesartan/amlodipine and olmesartan/hydrochlorothiazide on inflammatory and metabolic parameters (including new-onset diabetes as a secondary endpoint) in non-diabetic hypertensive patients with metabolic syndrome (MetS)."9.15Olmesartan/amlodipine vs olmesartan/hydrochlorothiazide in hypertensive patients with metabolic syndrome: the OLAS study. ( Comi-Diaz, C; Martinez-Martin, FJ; Pedrianes-Martin, P; Peiro-Martinez, I; Rodriguez-Rosas, H; Soriano-Perera, P, 2011)
"To compare the effect of delapril/manidipine vs olmesartan/hydrochlorothiazide (HCTZ) combination on insulin sensitivity and plasma fibrinogen in obese hypertensive patients."9.13Effect of delapril/manidipine vs olmesartan/ hydrochlorothiazide combination on insulin sensitivity and fibrinogen in obese hypertensive patients. ( Corradi, L; Derosa, G; Fogari, R; Lazzari, P; Mugellini, A; Preti, P; Zoppi, A, 2008)
"5 mg of hydrochlorothiazide on glucose metabolism insulin sensitivity and lipids was evaluated in hypertensive non-insulin-dependent diabetes."9.08The effect of enalapril with and without hydrochlorothiazide on insulin sensitivity and other metabolic abnormalities of hypertensive patients with NIDDM. ( Carroll, J; Grossman, E; Peleg, E; Rosenthal, T; Shamiss, A, 1995)
" Nondiabetics with hypertension (N=30) were started on (or changed to) hydrochlorothiazide (HCTZ) 12."7.73Metoprolol succinate, a selective beta-adrenergic blocker, has no effect on insulin sensitivity. ( Falkner, B; Francos, G; Kushner, H, 2006)
"Insulin sensitivity was expressed as insulin resistance index (IRI), calculated as the ratio of the area under the curve (AUC) for glucose to that for insulin."6.71Comparative effects of candesartan and hydrochlorothiazide on blood pressure, insulin sensitivity, and sympathetic drive in obese hypertensive individuals: results of the CROSS study. ( Bombelli, M; Dell'Oro, R; Facchini, A; Grassi, G; Mancia, G; Scopelliti, F; Seravalle, G; Trevano, FQ, 2003)
"The aim of this study was to evaluate the effects of barnidipine+losartan compared with telmisartan+hydrochlorothiazide on several parameters of insulin sensitivity in patients with hypertension and type 2 diabetes mellitus."5.20Comparison of the effects of barnidipine+losartan compared with telmisartan+hydrochlorothiazide on several parameters of insulin sensitivity in patients with hypertension and type 2 diabetes mellitus. ( D'Angelo, A; Dario Ragonesi, P; Derosa, G; Franzetti, I; Maffioli, P; Querci, F, 2015)
"We studied the effects of treatment with olmesartan/amlodipine and olmesartan/hydrochlorothiazide on inflammatory and metabolic parameters (including new-onset diabetes as a secondary endpoint) in non-diabetic hypertensive patients with metabolic syndrome (MetS)."5.15Olmesartan/amlodipine vs olmesartan/hydrochlorothiazide in hypertensive patients with metabolic syndrome: the OLAS study. ( Comi-Diaz, C; Martinez-Martin, FJ; Pedrianes-Martin, P; Peiro-Martinez, I; Rodriguez-Rosas, H; Soriano-Perera, P, 2011)
"To compare the effect of delapril/manidipine vs olmesartan/hydrochlorothiazide (HCTZ) combination on insulin sensitivity and plasma fibrinogen in obese hypertensive patients."5.13Effect of delapril/manidipine vs olmesartan/ hydrochlorothiazide combination on insulin sensitivity and fibrinogen in obese hypertensive patients. ( Corradi, L; Derosa, G; Fogari, R; Lazzari, P; Mugellini, A; Preti, P; Zoppi, A, 2008)
" STAR-LET was a 6-month extension of the Study of Trandolapril/Verapamil SR and Insulin Resistance (STAR), which assessed the effects of a fixed-dose renin-angiotensin system inhibitor (RASI)/hydrochlorothiazide (HCTZ) combination on changes in 2-hour oral glucose tolerance test (OGTT) results."5.13Reversal of diuretic-associated impaired glucose tolerance and new-onset diabetes: results of the STAR-LET study. ( Bacher, P; Bakris, G; Champion, A; Molitch, M; Sarafidis, P; Sowers, JR; Zhou, Q, 2008)
" Since these metabolic defects are accentuated by obesity, we thought it important to compare the effects of 3 months' treatment with either lisinopril (20 mg/day) or low dose hydrochlorothiazide (12."5.08Comparison of the hemodynamic and metabolic effects of low-dose hydrochlorothiazide and lisinopril treatment in obese patients with high blood pressure. ( Chen, YD; Clinkingbeard, C; Foote, J; Hollenbeck, CB; Jeppesen, J; Maheux, P; Pei, D; Reaven, GM, 1995)
"5 mg of hydrochlorothiazide on glucose metabolism insulin sensitivity and lipids was evaluated in hypertensive non-insulin-dependent diabetes."5.08The effect of enalapril with and without hydrochlorothiazide on insulin sensitivity and other metabolic abnormalities of hypertensive patients with NIDDM. ( Carroll, J; Grossman, E; Peleg, E; Rosenthal, T; Shamiss, A, 1995)
"In short-term studies (4 to 6 months) we have reported that antihypertensive treatment with beta-adrenergic blockade and thiazide diuretics induced insulin resistance, hyperinsulinemia, and a deranged lipid profile; the ACE inhibitor captopril increased insulin sensitivity without affecting serum lipids."5.07Long-term metabolic effects of antihypertensive drugs. ( Berne, C; Lind, L; Lithell, H; Pollare, T, 1994)
" Potassium supplementation improves their insulin resistance and hypertension, whereas allopurinol reduces serum levels of uric acid and ameliorates hypertension, hypertriglyceridemia, hyperglycemia, and insulin resistance."3.74Thiazide diuretics exacerbate fructose-induced metabolic syndrome. ( Johnson, RJ; Mu, W; Nakagawa, T; Reungjui, S; Roncal, CA; Sirivongs, D; Srinivas, TR, 2007)
"Hydrochlorothiazide (HCTZ) is used to manage hypertension and heart failure; however, its side effects include mild hypokalemia, metabolic abnormalities, and volume depletion, which might have deleterious effects on renal and endothelial function."3.74Thiazide-induced subtle renal injury not observed in states of equivalent hypokalemia. ( Byer, K; Croker, BP; Hu, H; Johnson, RJ; Mu, W; Nakagawa, T; Patel, JM; Reungjui, S; Roncal, CA; Simoni, J; Sitprija, V; Srinivas, T; Wesson, D, 2007)
" Nondiabetics with hypertension (N=30) were started on (or changed to) hydrochlorothiazide (HCTZ) 12."3.73Metoprolol succinate, a selective beta-adrenergic blocker, has no effect on insulin sensitivity. ( Falkner, B; Francos, G; Kushner, H, 2006)
"Insulin sensitivity was expressed as insulin resistance index (IRI), calculated as the ratio of the area under the curve (AUC) for glucose to that for insulin."2.71Comparative effects of candesartan and hydrochlorothiazide on blood pressure, insulin sensitivity, and sympathetic drive in obese hypertensive individuals: results of the CROSS study. ( Bombelli, M; Dell'Oro, R; Facchini, A; Grassi, G; Mancia, G; Scopelliti, F; Seravalle, G; Trevano, FQ, 2003)
"Insulin resistance is associated with a number of risk factors for atherosclerosis, including glucose intolerance, hypertension, and dyslipidemia."2.38Insulin resistance. An often unrecognized problem accompanying chronic medical disorders. ( Bell, DS, 1993)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.35)18.7374
1990's6 (26.09)18.2507
2000's11 (47.83)29.6817
2010's5 (21.74)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Derosa, G2
Querci, F1
Franzetti, I1
Dario Ragonesi, P1
D'Angelo, A1
Maffioli, P1
Cicero, AF1
Tocci, G1
Miura, S1
Saku, K1
Eriksson, JW1
Jansson, PA1
Carlberg, B1
Hägg, A1
Kurland, L1
Svensson, MK1
Ahlström, H1
Ström, C1
Lönn, L1
Ojbrandt, K1
Johansson, L1
Lind, L2
Martinez-Martin, FJ1
Rodriguez-Rosas, H1
Peiro-Martinez, I1
Soriano-Perera, P1
Pedrianes-Martin, P1
Comi-Diaz, C1
Guo, Q1
Mori, T1
Jiang, Y1
Hu, C1
Ohsaki, Y1
Yoneki, Y1
Nakamichi, T1
Ogawa, S1
Sato, H1
Ito, S1
Prior, SJ1
Brown, NJ1
Kumar, S1
Painter, CA1
Vaughan, DE1
Grassi, G1
Seravalle, G1
Dell'Oro, R1
Trevano, FQ1
Bombelli, M1
Scopelliti, F1
Facchini, A1
Mancia, G1
Rinder, MR1
Spina, RJ1
Peterson, LR1
Koenig, CJ1
Florence, CR1
Ehsani, AA1
Falkner, B1
Francos, G1
Kushner, H1
Reungjui, S2
Roncal, CA2
Mu, W2
Srinivas, TR1
Sirivongs, D1
Johnson, RJ2
Nakagawa, T2
Hu, H1
Croker, BP1
Patel, JM1
Srinivas, T1
Byer, K1
Simoni, J1
Wesson, D1
Sitprija, V1
Fogari, R1
Zoppi, A1
Lazzari, P1
Corradi, L1
Preti, P1
Mugellini, A1
Bakris, G1
Molitch, M1
Zhou, Q1
Sarafidis, P1
Champion, A1
Bacher, P1
Sowers, JR1
Tkacheva, ON1
Shumbutova, AIu1
Novikova, IM1
Samsonenko, NS1
Guseva, KIu1
Reaven, GM1
Clinkingbeard, C1
Jeppesen, J1
Maheux, P1
Pei, D1
Foote, J1
Hollenbeck, CB1
Chen, YD1
Shamiss, A1
Carroll, J1
Peleg, E1
Grossman, E1
Rosenthal, T1
Pollare, T1
Berne, C1
Lithell, H1
Bell, DS1
Zhao, D1
Klauser, R1
Prager, R1
Gaube, S1
Gisinger, C1
Schnack, C1
Küenburg, E1
Schernthaner, G1
Senft, G1
Schwarzbach, W1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Uric Acid and Hypertension in African Americans[NCT00241839]Phase 3150 participants (Actual)Interventional2005-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Diastolic Blood Pressure by Cuff 8-10 Weeks Minus Baseline

"The Diastolic BP was taken at Baseline and after 8-10 weeks of treatment or placebo while on chlorthalidone and potassium chloride. The blood pressure was measured according to Shared Care protocol: 15 minutes of quiet, undisturbed rest with three BP measurements obtained subsequently at 5 minute intervals.~The mean of the second and third reading was the value used for analysis for both the Baseline measurement and the measurement after 8 - 10 weeks of treatment. The dependent variable is baseline value minus ending value.~Measures are in millimeters of mercury (mm hg)" (NCT00241839)
Timeframe: Measured at 8-10 weeks on allopurinol / placebo

Interventionmm Hg (Mean)
A (Allopurinol)3.44
B (Placebo)-0.83

Change in Overall Mean BP From Those Obtained by 24 Hour Ambulatory Blood Pressure Measurements (ABPM) 8-10 Weeks Minus Baseline.

Subjects had 24 hr blood pressure monitoring (ABPM) at baseline and treatment end. The readings were averaged and the changes from baseline to treatment end were compared. (NCT00241839)
Timeframe: Baseline and end of treatment (8-10 weeks on allopurinol / placebo)

Interventionmm Hg (Mean)
A (Allopurinol)-5.9
B (Placebo)0.90

Change in Systolic Blood Pressure by Cuff After 8-10 Weeks Minus Baseline

"The systolic BP was taken at Baseline and after 8-10 weeks of treatment on placebo, while on chlorthalidone and potassium chloride. The blood pressure was measured according to Shared Care protocol: 15 minutes of quiet, undisturbed rest with three BP measurements obtained subsequently at 5 minute intervals.~The mean of the second and third reading was the value used for analysis for both the Baseline measurement and the measurement after 8 - 10 weeks of treatment. The dependent variable is baseline value minus ending value.~Measures are in millimeters of mercury (mm hg)" (NCT00241839)
Timeframe: Measured at 8-10 weeks on allopurinol or placebo

Interventionmm Hg (Mean)
A (Allopurinol)0.21
B (Placebo)-0.95

Change in Uric Acid (UA) Levels: Baseline Less End of Treatment

Subjects on allopurinol are expected to lower their uric acid levels relative to placebo. (NCT00241839)
Timeframe: Baseline UA levels compared to end of treatment levels (8-10 weeks on allopurinol / placebo)

Interventionmg/dl (Mean)
A (Allopurinol)2.29
B (Placebo)0.14

Reviews

1 review available for hydrochlorothiazide and Insulin Resistance

ArticleYear
Insulin resistance. An often unrecognized problem accompanying chronic medical disorders.
    Postgraduate medicine, 1993, May-15, Volume: 93, Issue:7

    Topics: Acanthosis Nigricans; Adrenergic alpha-Antagonists; Angiotensin-Converting Enzyme Inhibitors; Arteri

1993

Trials

12 trials available for hydrochlorothiazide and Insulin Resistance

ArticleYear
Comparison of the effects of barnidipine+losartan compared with telmisartan+hydrochlorothiazide on several parameters of insulin sensitivity in patients with hypertension and type 2 diabetes mellitus.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2015, Volume: 38, Issue:10

    Topics: Adipokines; Aged; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzimidazoles;

2015
Hydrochlorothiazide, but not Candesartan, aggravates insulin resistance and causes visceral and hepatic fat accumulation: the mechanisms for the diabetes preventing effect of Candesartan (MEDICA) Study.
    Hypertension (Dallas, Tex. : 1979), 2008, Volume: 52, Issue:6

    Topics: Adult; Aged; Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds; Blood Pressure; Body Compo

2008
Olmesartan/amlodipine vs olmesartan/hydrochlorothiazide in hypertensive patients with metabolic syndrome: the OLAS study.
    Journal of human hypertension, 2011, Volume: 25, Issue:6

    Topics: Adiponectin; Adult; Aged; Amlodipine; Antihypertensive Agents; Blood Pressure; C-Reactive Protein; C

2011
ACE inhibition versus angiotensin type 1 receptor antagonism: differential effects on PAI-1 over time.
    Hypertension (Dallas, Tex. : 1979), 2002, Volume: 40, Issue:6

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents;

2002
Comparative effects of candesartan and hydrochlorothiazide on blood pressure, insulin sensitivity, and sympathetic drive in obese hypertensive individuals: results of the CROSS study.
    Journal of hypertension, 2003, Volume: 21, Issue:9

    Topics: Adolescent; Adult; Aged; Antihypertensive Agents; Benzimidazoles; Biphenyl Compounds; Blood Glucose;

2003
Comparison of effects of exercise and diuretic on left ventricular geometry, mass, and insulin resistance in older hypertensive adults.
    American journal of physiology. Regulatory, integrative and comparative physiology, 2004, Volume: 287, Issue:2

    Topics: Aged; Angiotensins; Blood Glucose; Blood Pressure; Blood Pressure Monitoring, Ambulatory; Body Compo

2004
Effect of delapril/manidipine vs olmesartan/ hydrochlorothiazide combination on insulin sensitivity and fibrinogen in obese hypertensive patients.
    Internal medicine (Tokyo, Japan), 2008, Volume: 47, Issue:5

    Topics: Adult; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Antihypert

2008
Reversal of diuretic-associated impaired glucose tolerance and new-onset diabetes: results of the STAR-LET study.
    Journal of the cardiometabolic syndrome, 2008,Winter, Volume: 3, Issue:1

    Topics: Analysis of Variance; Chi-Square Distribution; Diabetes Mellitus; Diuretics; Female; Glucose Toleran

2008
Comparison of the hemodynamic and metabolic effects of low-dose hydrochlorothiazide and lisinopril treatment in obese patients with high blood pressure.
    American journal of hypertension, 1995, Volume: 8, Issue:5 Pt 1

    Topics: Administration, Oral; Blood Glucose; Drug Therapy, Combination; Female; Hemodynamics; Humans; Hydroc

1995
The effect of enalapril with and without hydrochlorothiazide on insulin sensitivity and other metabolic abnormalities of hypertensive patients with NIDDM.
    American journal of hypertension, 1995, Volume: 8, Issue:3

    Topics: Adult; Aged; Blood Glucose; Cholesterol; Diabetes Mellitus, Type 2; Enalapril; Female; Glycated Hemo

1995
Long-term metabolic effects of antihypertensive drugs.
    American heart journal, 1994, Volume: 128, Issue:6 Pt 1

    Topics: Adrenergic beta-Antagonists; Aged; Antihypertensive Agents; Blood Glucose; Captopril; Cholesterol, H

1994
Metabolic effects of isradipine versus hydrochlorothiazide in diabetes mellitus.
    Hypertension (Dallas, Tex. : 1979), 1991, Volume: 17, Issue:1

    Topics: Adult; Blood Glucose; Blood Pressure; Diabetes Mellitus, Type 2; Double-Blind Method; Female; Glucos

1991

Other Studies

10 other studies available for hydrochlorothiazide and Insulin Resistance

ArticleYear
Metabolic approaches to antihypertensive treatment in diabetic patients.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2015, Volume: 38, Issue:12

    Topics: Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzimidazoles; Benzoates; Calcium

2015
Angiotensin II type 1 receptor blocker combined with hydrochlorothiazide for the treatment of hypertension.
    Internal medicine (Tokyo, Japan), 2008, Volume: 47, Issue:13

    Topics: Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Dose-Response Relationship, Drug;

2008
Losartan modulates muscular capillary density and reverses thiazide diuretic-exacerbated insulin resistance in fructose-fed rats.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2012, Volume: 35, Issue:1

    Topics: Animals; Antihypertensive Agents; Blood Pressure; Capillaries; Fructose; Glucose Clamp Technique; Hy

2012
Anti-hypertensive therapy and insulin sensitivity: regulation through the microcirculation?
    Hypertension research : official journal of the Japanese Society of Hypertension, 2012, Volume: 35, Issue:1

    Topics: Animals; Capillaries; Fructose; Hydrochlorothiazide; Insulin Resistance; Losartan; Male; Muscle, Ske

2012
Metoprolol succinate, a selective beta-adrenergic blocker, has no effect on insulin sensitivity.
    Journal of clinical hypertension (Greenwich, Conn.), 2006, Volume: 8, Issue:5

    Topics: Adrenergic beta-Antagonists; Antihypertensive Agents; Cholesterol; Cholesterol, LDL; Female; Glucose

2006
Thiazide diuretics exacerbate fructose-induced metabolic syndrome.
    Journal of the American Society of Nephrology : JASN, 2007, Volume: 18, Issue:10

    Topics: Allopurinol; Animals; Blood Pressure; Body Weight; Diuretics; Fructose; Gout Suppressants; Hydrochlo

2007
Thiazide-induced subtle renal injury not observed in states of equivalent hypokalemia.
    Kidney international, 2007, Volume: 72, Issue:12

    Topics: Aldosterone; Animals; Blood Pressure; Body Weight; Diuretics; Hydrochlorothiazide; Hypertension, Ren

2007
[Clinical assessment of metabolic effects of antihypertensive therapy].
    Kardiologiia, 2008, Volume: 48, Issue:3

    Topics: Adolescent; Adult; Aged; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Blood Gl

2008
[A preliminary study of insulin resistance in essential hypertension, simple obesity and acromegaly].
    Zhonghua xin xue guan bing za zhi, 1993, Volume: 21, Issue:5

    Topics: Acromegaly; Adult; Blood Glucose; Captopril; Drug Therapy, Combination; Female; Humans; Hydrochlorot

1993
["Therapy with saluretics and insulin resistance in diabetes mellitus"].
    Medizinische Klinik, 1967, Oct-27, Volume: 62, Issue:43

    Topics: Diabetes Mellitus; Diabetic Coma; Diuretics; Humans; Hydrochlorothiazide; Insulin; Insulin Resistanc

1967