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Medical Forum / Diseases and Disorders / Lupus / June 2008

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Iron Chelation and Glucose Metabolism

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ironjustice - 13 Jun 2008 04:55 GMT
Br J Haematol. 2006 Aug;134(4):438-44. Epub 2006 Jul 4.Related
Articles, Links
Comment in:
Br J Haematol. 2006 Oct;135(2):271-2.

Effect of enhanced iron chelation therapy on glucose metabolism in
patients with beta-thalassaemia major.

Farmaki K, Angelopoulos N, Anagnostopoulos G, Gotsis E, Rombopoulos G,
Tolis G.

Haematological Department, Korinthos General Hospital, Korinthos,
Greece.

Recently introduced chelation regimens that combine deferoxamine (DFO)
and deferiprone have been shown to have greater efficacy in promoting
iron excretion than either chelator alone and have been associated
with rapid reduction of the iron load in the heart and liver, and with
reversal of cardiac dysfunction. It is unclear whether this combined
therapy could be associated with a reduction in iron load or decline
in the severity of iron-induced endocrinopathies. Starting in January
2001, 42 patients with beta-thalassaemia major, previously maintained
on subcutaneous DFO only, were switched to combined treatment with DFO
and deferiprone. The primary endpoint was to investigate the effects
of this therapy on the glucose metabolism characteristics of this
population. Combination therapy markedly decreased ferritin levels
(638 +/- 1345 vs. 2991 +/- 2093 microg/l, P < 0.001). Glucose
responses were improved at all times during an oral glucose tolerance
test, particularly in patients in early stages of glucose intolerance.
Glucose quantitative secretion also decreased significantly with
combined therapy, while no significant change occurred in insulin
levels in any group. Insulin secretion, according to the homeostasis
assessment model, markedly increased in all groups, while overall
reduction in insulin sensitivity did not reach statistical
significance. This study showed that the combination of DFO and
deferiprone was associated with an improvement in liver iron
deposition and glucose intolerance.

PMID: 16822284 [PubMed - indexed for MEDLINE]

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
Paul T. Holland - 13 Jun 2008 23:06 GMT
bye the bye tom - you do know that this [homozygous beta thalassemia] is
a hereditary genetic disorder don't you?

thanks for posting it, even if not particularly germane to this group,

you see tom,

it's one more instance wherein the proven actual cause and effect makes
your thesis moot.

and you posted it all by yourself...

cause and effect tommy - out of your own mouth [figuratively speaking of
course]

> Br J Haematol. 2006 Aug;134(4):438-44. Epub 2006 Jul 4.Related
> Articles, Links
[quoted text clipped - 47 lines]
> DEAD PEOPLE WALKING
> http://tinyurl.com/zk9fk
J666 - 13 Jun 2008 23:32 GMT
> cause and effect tommy - out of your own mouth [figuratively speaking of
> course]

And so his words are only worth a FARThing.
ironjustice - 14 Jun 2008 00:41 GMT
On Jun 13, 3:32 pm, J666 <j...@nowhere.com> wrote: how many different
bacteria in sht <<

Br J Haematol. 2006 Aug;134(4):438-44. Epub 2006 Jul 4.Related
Articles, Links
Comment in:
Br J Haematol. 2006 Oct;135(2):271-2.

Effect of enhanced iron chelation therapy on glucose metabolism in
patients with beta-thalassaemia major.

Farmaki K, Angelopoulos N, Anagnostopoulos G, Gotsis E, Rombopoulos
G,
Tolis G.

Haematological Department, Korinthos General Hospital, Korinthos,
Greece.

Recently introduced chelation regimens that combine deferoxamine
(DFO)
and deferiprone have been shown to have greater efficacy in promoting
iron excretion than either chelator alone and have been associated
with rapid reduction of the iron load in the heart and liver, and
with
reversal of cardiac dysfunction. It is unclear whether this combined
therapy could be associated with a reduction in iron load or decline
in the severity of iron-induced endocrinopathies. Starting in January
2001, 42 patients with beta-thalassaemia major, previously maintained
on subcutaneous DFO only, were switched to combined treatment with
DFO
and deferiprone. The primary endpoint was to investigate the effects
of this therapy on the glucose metabolism characteristics of this
population. Combination therapy markedly decreased ferritin levels
(638 +/- 1345 vs. 2991 +/- 2093 microg/l, P < 0.001). Glucose
responses were improved at all times during an oral glucose tolerance
test, particularly in patients in early stages of glucose
intolerance.
Glucose quantitative secretion also decreased significantly with
combined therapy, while no significant change occurred in insulin
levels in any group. Insulin secretion, according to the homeostasis
assessment model, markedly increased in all groups, while overall
reduction in insulin sensitivity did not reach statistical
significance. This study showed that the combination of DFO and
deferiprone was associated with an improvement in liver iron
deposition and glucose intolerance.

PMID: 16822284 [PubMed - indexed for MEDLINE]

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
ironjustice - 14 Jun 2008 00:39 GMT
On Jun 13, 3:06 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
wrote:long winded whack <<

Br J Haematol. 2006 Aug;134(4):438-44. Epub 2006 Jul 4.Related
Articles, Links
Comment in:
Br J Haematol. 2006 Oct;135(2):271-2.

Effect of enhanced iron chelation therapy on glucose metabolism in
patients with beta-thalassaemia major.

Farmaki K, Angelopoulos N, Anagnostopoulos G, Gotsis E, Rombopoulos
G,
Tolis G.

Haematological Department, Korinthos General Hospital, Korinthos,
Greece.

Recently introduced chelation regimens that combine deferoxamine
(DFO)
and deferiprone have been shown to have greater efficacy in promoting
iron excretion than either chelator alone and have been associated
with rapid reduction of the iron load in the heart and liver, and
with
reversal of cardiac dysfunction. It is unclear whether this combined
therapy could be associated with a reduction in iron load or decline
in the severity of iron-induced endocrinopathies. Starting in January
2001, 42 patients with beta-thalassaemia major, previously maintained
on subcutaneous DFO only, were switched to combined treatment with
DFO
and deferiprone. The primary endpoint was to investigate the effects
of this therapy on the glucose metabolism characteristics of this
population. Combination therapy markedly decreased ferritin levels
(638 +/- 1345 vs. 2991 +/- 2093 microg/l, P < 0.001). Glucose
responses were improved at all times during an oral glucose tolerance
test, particularly in patients in early stages of glucose
intolerance.
Glucose quantitative secretion also decreased significantly with
combined therapy, while no significant change occurred in insulin
levels in any group. Insulin secretion, according to the homeostasis
assessment model, markedly increased in all groups, while overall
reduction in insulin sensitivity did not reach statistical
significance. This study showed that the combination of DFO and
deferiprone was associated with an improvement in liver iron
deposition and glucose intolerance.

PMID: 16822284 [PubMed - indexed for MEDLINE]

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
Paul T. Holland - 14 Jun 2008 02:00 GMT
thanks  tom

every time you post it, it proves you wrong...by your own hand

odd as it would appear, that must be what you want

> On Jun 13, 3:06 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
> wrote:long winded whack <<
[quoted text clipped - 55 lines]
> DEAD PEOPLE WALKING
> http://tinyurl.com/zk9fk
ironjustice - 14 Jun 2008 02:34 GMT
On Jun 13, 6:00 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
wrote:long winded whack <<

You can't seem to get the .. drift .. man ..

YOU ARE A FKG WHACKJOB .. !!
YOU ARE A FKG WHACKJOB .. !!
YOU ARE A FKG WHACKJOB .. !!
YOU ARE A FKG WHACKJOB .. !!
YOU ARE A FKG WHACKJOB .. !!
YOU ARE A FKG WHACKJOB .. !!

Stay off my threads ..

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk

> thanks  tom
>
[quoted text clipped - 63 lines]
>
> - Show quoted text -
J666 - 14 Jun 2008 03:15 GMT
> On Jun 13, 6:00 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
> wrote:long winded whack <<
[quoted text clipped - 12 lines]
> Who loves ya.
> Tom

Your true color (rust) finally comes out.
Cheeky Bastard - 14 Jun 2008 22:38 GMT
>> On Jun 13, 6:00 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
>> wrote:long winded whack <<
[quoted text clipped - 14 lines]
>
> Your true color (rust) finally comes out.

Yeah, BROWN! LOL
ironjustice - 15 Jun 2008 23:01 GMT
testosterone depleted retarded fatboy <<

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
Paul T. Holland - 15 Jun 2008 21:44 GMT
tommy asks for even more whack - so he must be given that which he
demands:

> On Jun 13, 6:00 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
> wrote:long winded whack <<

but i did thank you didn't i? lol

> You can't seem to get the .. drift .. man ..

that the study you posted clearly determines the genetic cause of the
medical condition? but indeed we all did tommy - exactly as you posted
it

more and more you do these things, and more and more it shows that your
primary thesis is wrong - ]

so, since it is 'you' who continues to post these thngs, we can only
conclude that

you really - really - really - want us to know that you have be
incorrect all these years!!!

> YOU ARE A FKG WHACKJOB .. !!

whackado whackado

> YOU ARE A FKG WHACKJOB .. !!

dowhackadowhacka

> YOU ARE A FKG WHACKJOB .. !!

whackawhackawhacka

> YOU ARE A FKG WHACKJOB .. !!

whackadowhackadowhackado

> YOU ARE A FKG WHACKJOB .. !!

do, do, do whacka

> YOU ARE A FKG WHACKJOB .. !!

dooooooowhaaaaaaaaawhacka

> Stay off my threads ..

don't you mean blue suede shoes?

> Who loves ya.

do you tommy - really? truly? no fooling? promise? you're shining us on
are you? cross your heart?

> Tom
>
[quoted text clipped - 74 lines]
> >
> > - Show quoted text -
ironjustice - 15 Jun 2008 23:02 GMT
On Jun 15, 1:44 pm, "Paul T. Holland" <pholl...@bellatlantic.net>
wrote: long winded whack <<

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
ironjustice - 14 Jun 2008 03:01 GMT
On Jun 12, 8:55 pm, ironjustice <teamtan...@hotmail.com> wrote: Effect
of enhanced iron chelation therapy <<

"Correlation of serum ferritin concentrations with 2-hour glucose
concentration (top) in 538 nondiabetic persons and insulin
sensitivity
in 257 nondiabetic persons."

http://www.annals.org/cgi/content/full/139/10/869-b?ct

"Bloodletting improved glycemia and insulin sensitivity in patients
with
type 2 diabetes "

from the Annals of Internal Medicine
11/18/03

Association of High Serum Ferritin Concentration with Glucose
Intolerance and
Insulin Resistance in Healthy People

Background:
Increasing evidence points to an association between increased
body iron storage and type 2 diabetes mellitus, even outside the
context of
hemochromatosis (1, 2).
A small intervention study provided preliminary evidence that
bloodletting, which resulted in 50% reduction of serum ferritin
concentrations, improved glycemia and insulin sensitivity in patients
with type 2 diabetes (3).
However, interpretation of mechanistic studies in patients with overt
type 2 diabetes mellitus are complicated because glycemic control
itself influences serum ferritin concentrations (glycosylated ferritin
has a longer serum half-life) and primary effects on insulin
sensitivity or ß-cell function can no longer be studied.
Objective:
To analyze the relationship between iron variables and glucose
tolerance, insulin sensitivity, and ß-cell function in nondiabetic
persons.

Conclusion:
It may become advisable to routinely screen for mildly elevated or
even high-normal serum ferritin concentrations in the context of
glucose
intolerance.
If prospective and interventional studies confirm an etiologic
role of iron overload in the pathogenesis of insulin resistance and
type 2
diabetes, reduced dietary iron intake, especially in men and
postmenopausal
women (9) with additional risk factors for type 2 diabetes, would
appear to be
a logical consequence.
In the future, actively lowering body iron stores may become a tool in
preventing type 2 diabetes in selected subgroups.

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk

> Br J Haematol. 2006 Aug;134(4):438-44. Epub 2006 Jul 4.Related
> Articles, Links
[quoted text clipped - 44 lines]
>
> DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk
Alan - 14 Jun 2008 03:10 GMT
From 1903 !!! give it up, stop posting this out of date crap.

Do your parents know you are using their computer ??

Naughty boy, you'll get a smack..............

> On Jun 12, 8:55 pm, ironjustice <teamtan...@hotmail.com> wrote: Effect
> of enhanced iron chelation therapy <<
[quoted text clipped - 112 lines]
>>
>> DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk
J666 - 14 Jun 2008 03:18 GMT
> ...... stop posting this out of date crap.

Obviously we now know where his head is.
ironjustice - 15 Jun 2008 23:00 GMT
On Jun 13, 7:18 pm, J666 <j...@nowhere.com> wrote: how many different
bacteria in sht <<

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk
 
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