Diabetes Care, Vol 19, Issue 8 880-882, Copyright © 1996 by American Diabetes Association
Hyperglycemia affects cardiovascular autonomic nerve function in normal subjects
BB Yeap, A Russo, RJ Fraser, GA Wittert and M Horowitz
Department of Medicine, Royal Adelaide Hospital, North Terrace, Adelaide, Australia.
OBJECTIVE: To evaluate the effect of acute hyperglycemia on autonomic nerve
function in normal subjects. RESEARCH DESIGN AND METHODS: Six healthy
volunteers ages 19-32 years underwent paired studies during euglycemia
(blood glucose 5.1 +/- 0.04 mmol/l) and hyperglycemia (blood glucose 15.7
+/- 0.48 mmol/l) induced by intravenous infusion of glucose and maintained
for 150 min. The order of the two studies was randomized. In each
experiment, supine heart rate, heart rate variation with respiration, ratio
of the maximum to minimum R-R interval after standing ("30:15" ratio),
systolic blood pressure response to standing, and diastolic blood pressure
response to sustained handgrip were measured. Data were analyzed using
repeated measures analysis of variance. RESULTS: The supine heart rate was
greater (P = 0.04) and the "30:15" ratio less (P = 0.03) during
hyperglycemia than during euglycemia. Hyperglycemia had no significant
effect on any of the other cardiovascular reflex tests. CONCLUSIONS: These
observations indicate that acute hyperglycemia affects autonomic nerve
function in healthy humans.