Hypertension, Vol 23, 1036-1039, Copyright © 1994 by American Heart Association
TW Balon, A Jasman, S Scott, WP Meehan, RK Rude and JL Nadler
Increased dietary fructose may produce insulin insensitivity and elevate
blood pressure in rats. It is possible that the reduced magnesium content
of the high-fructose commercial diet used in some studies may play a role
in these abnormalities because it is known that magnesium deficiency can
produce insulin insensitivity and increased angiotensin II action in
humans. To study this, we maintained rats for 9 weeks on either a normal
control diet, a standard high-fructose diet, or the same high-fructose diet
supplemented with magnesium. Glucose uptake was assessed using a perfused
rat hindquarter preparation sequentially with 0, 900, and 120,000 pmol/L of
added insulin. Basal serum glucose, plasma insulin, and basal glucose
uptake in the absence of insulin were similar among all three groups.
However, insulin sensitivity, defined as glucose uptake in the presence of
900 pmol/L insulin minus basal, was depressed in the high-fructose compared
with the control group (1.02 +/- 0.38 to 1.77 +/- 0.57 mumol/g per hour, P
< .05). In contrast, the high-fructose group supplemented with normal
magnesium had similar insulin sensitivity as the control group (2.09 +/-
0.69 mumol/g per hour). Total serum magnesium was reduced in the high-
fructose group compared with control or high-fructose plus magnesium-
supplemented groups. Blood pressure and fasting insulin levels were also
lower in the magnesium-supplemented group. These results suggest that
magnesium deficiency and not fructose ingestion per se leads to insulin
insensitivity in skeletal muscle and changes in blood pressure.
ARTICLES
Dietary magnesium prevents fructose-induced insulin insensitivity in rats
Department of Diabetes, Endocrinology, and Metabolism, City of Hope National Medical Center, Duarte, CA 91010.
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