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Meal-Generated Oxidative Stress in Type 2 Diabetic Patients
Abstract
OBJECTIVE: Free radical production has been reported to be increased in diabetic patients and to be involved in the pathogenesis of diabetic complications. In this study, a standardized meal was administered to 10 type 2 diabetic patients and 10 healthy matched normal subjects to evaluate its effects on plasma oxidative stress generation. RESEARCH DESIGN AND METHODS: In diabetic patients, at baseline and after the meal, plasma malondialdehyde (MDA), vitamin C, protein SH groups, uric acid, vitamin E, and total plasma radical-trapping parameter, which evaluates plasma antioxidant capacity due to known and unknown antioxidants present in the plasma as well as their mutual cooperation, were measured. RESULTS: After the meal, plasma MDA and vitamin C increased, while protein SH groups, uric acid, vitamin E, and total plasma radical-trapping parameter decreased more significantly in the diabetic subjects than in control subjects. CONCLUSIONS: This finding shows that in the absorptive phase, free radicals are produced in diabetic patients. Since plasma glucose, but not insulin, rose significantly more in diabetic subjects than in control subjects, hyperglycemia may play an important role in the generation of postprandial oxidative stress in diabetic patients.
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“It seems likely that vitamin D plays a paracrine modulatory role in the immune/inflammatory system (728) .”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [728]
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“As per few reports, apart from other reasons, pathogenesis of micro and macrovascular diabetes complications also occur due to the excess accumulation of free radicals as well as a simultaneous decrease in the host’s antioxidant potential resulting in oxidative stress (Ceriello et al., 1998; Naziroglu and Butterworth,…”
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“However, as reported previously by other researchers, 1,8 the present study shows that acute hyperglycemia is associated with postprandial free radicals production in subjects with a normal glucose metabolism.”
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Plasma nitrotyrosine levels, antioxidant vitamins and hyperglycaemia
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Low Serum .ALPHA.-Tocopherol Concentrations in Subjects With Various Coronary Risk Factors
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“Some studies have also reported higher MDA in diabetic untreated rats than in the normal control [28, 37].”
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“Such differences have also been found in healthy subjects with normal glucose tolerance [37-39] and in persons with IGT [38,39] or diabetes [40,41].”
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“Nitric oxide is a very unstable species that has been implicated in the pathology of cancer, type 2 diabetes and several other diseases (Ceriello et al., 1998; Ceriello, 2006; Fukumura et al., 2006).”
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“It has been demonstrated that postprandial hyperglycemia is associated with increased oxidative stress [33,34] and endothelial dysfunction [35,36] and this would promote the development of atherosclerosis [36] and hypertension [36,37].”
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“showed for the first time that TAS levels decrease after OGTT and MMT in normal individuals and patients with type 2 DM [40, 41].”
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“Men had significantly higher fasting MDA (1.17 0.38 vs 0.86 0.26 mol/L in women, p 0.034), uric acid (255 52 vs 172 48 mol/L in women, p 0.001), TACTE (159 24 vs 124 28 mol/L Trolox equivalents, p 0.004).”
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Fruit Polyphenols and Postprandial Inflammatory Stress
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“Lipids particularly triglyceride may contribute to mealrelated oxidative stress in diabetes (Antonio Ceriello et al. 1998).”
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Postprandial Oxidative Stress and Gastrointestinal Hormones: Is There a Link?
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Does postprandial blood glucose matter and why?
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BackgroundTHE IMPACT OF VITAMIN C ON DIABETES INDUCED ALTERATIONS AT MURINE NEUROMUSCULAR JUNCTION
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“Since in one study plasma glucose but not insulin rose more significantly in diabetic subjects than in control subjects it is possible that free radicals are produced in the absorptive phase of diabetic patients (15).”
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“Seit längerem ist die erhöhte Bildung freier Radikale als eine Brücke zwischen postprandialer Hyperglykämie und Endothelschädigung bekannt [42].”
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“Consumption of high GI and GL food has been shown to lead to postprandial hyperglycemic spikes and hyperinsulinemia, thus leading to free radical surge and consequently oxidative damage (Ceriello et al. 1998).”
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“Oral intake of large amounts of glucose in animals increases thiobarbituric reactive substances (TBARS) and reduces the activity of hepatic enzymes susceptible to thiol group oxidation (6) .”
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“Although free radical production is reported to be increased in diabetic patients and is believed to be involved in the pathogenesis of diabetic complications, studies on the role of antioxidants in diabetes-induced changes at the neuromuscular junctions still remain insufficient (17).”
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“Moreover, it has been reported that a decrease in the postprandial glucose levels may lower the oxidative stress generated after a meal in diabetic subjects [43], which is involved in the pathogenesis of diabetic complications.”
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Fatty acid metabolism, impaired glucose tolerance and the effects of lifestyle
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antioxidant capacity and nutritional status in humans: a randomized, cross-over pilot study
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Metadata
- Authors
- Ceriello, A., Bortolotti, N., Motz, E., Crescentini, A., Lizzio, S., Russo, A., Tonutti, L., & Taboga, C.
- Affiliations
- University of Udine (IT)
- Diabetology Unit, Udine General Hospital Udine, Italy
- ORCID
- Ceriello, Antonio
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1998-09-01
- Volume
- 21
- Issue
- 9
- Pages
- 1529-1533
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2052825417
- Cited by
- 211
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 6 · 2013: 8 · 2012: 14
- FWCI
- 3.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System (University of Udine) (submittedVersion)
- Topics
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Keywords
- type 2 diabetes, oxidative stress, postprandial oxidative stress, free radicals, malondialdehyde, vitamin C, vitamin E, uric acid, protein thiol groups, antioxidant capacity, hyperglycemia, plasma glucose, insulin
- MeSH terms
- Analysis of Variance, Antioxidants, Ascorbic Acid, Blood Glucose, Diabetes Mellitus, Type 2, Fatty Acids, Nonesterified, Female, Free Radicals, Humans, Male, Malondialdehyde, Middle Aged, Uric Acid, Vitamin E, Oxidative Stress, Postprandial Period
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