Skip to main content
Log in

Assisting effects of lithium on hypoglycemic treatment in patients with diabetes

  • Original Articles
  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

In this article, we report the assisting effect of lithium on hypoglycemic treatment in patients with diabetes. Thirty-eight diabetic patients, 15 male and 23 female, aged 20–70 yr, 33 noninsulin-dependent diabetesmellitus (NIDDM) patients, and 5 insulin-dependent diabetesmellitus (IDDM) patients, were recruited in this study. Fasting and 1-h postprandial blood glucose (BG) profiles were undertaken from three groups of patients with diabetes before and after short-term of treatment of lithium carbonate. Group I was treated with diet only, Group II with oral hypoglycemic agents (OHA), and Group III with insulin.

The fasting blood glucose (FBG) level and 1-h postprandial blood glucose (1-h PBG) level before and after treatment of lithium were: Group I: FBG: 7.67 ± 0.48 vs 7.13 ± 0.82; 1-h PBG 15.13 ± 0.88 vs 10.33 ± 0.96; Group II: FBG: 8.84 ± 0.67 vs 6.04 ± 0.57; 1-h PBG: 12.33 ± 0.72 vs 9.95 ± 0.82; Group III: FBG: 10.87 ± 0.83 vs 6.83 ± 0.79; 1-h PBG: 12.45 ± 0.93 vs 9.17 ± 1.00 mmol/L, respectively. The FBG and PBG of all three groups decreased significantly after lithium treatment, except the FBG in Group I. These data suggest that combined with other therapy, lithium could improve glucose metabolism in most patients with diabetes. Our results suggest that lithium has an assisting hypoglycemic effect on antidiabetic treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. N. T. Hunt, Hypoglycemic effect of lithium,Biol. Psychiatry 22, 798–799 (1987).

    Article  PubMed  CAS  Google Scholar 

  2. A. S. Saran, Antidiabetic effects of lithium,J. Clin. Psychiatry 43, 388–384 (1982).

    Google Scholar 

  3. R. Waziri and J. Nelson. Lithium in diabetes mellitus: A paradoxical response,J. Clin. Psychiatry 39, 623–625 (1978).

    PubMed  CAS  Google Scholar 

  4. P. Vesterrgaard and M. Schou, Does long-term lithium treatment induce diabetes mellitus?Neuropsychobiology 17, 130–132 (1987).

    Google Scholar 

  5. K. Cheng, S. Creacy, and J. Larner, Insulin-like effects of lithium ion on isolated rat adipocytes I. Stimulation of glycogenesis,Mol. Cell Biochem. 56, 177–182 (1983).

    PubMed  CAS  Google Scholar 

  6. F. Nyfeler, P. Fasel, and P. Walter, Short-term stimulation of net glycogen production by insulin in rat hepatocytes,Biochim. Biophys. Acta 675, 17–23 (1981).

    PubMed  CAS  Google Scholar 

  7. A. Sjöholm, N. Welhs, and C. Hellerstrom, Lithium increases DNA replication, polyamine content, and insulin secretion by rat pancreatic B-cells,Am. J. Physiol. (Cell physiol.31). c391-c395 (1992).

    Google Scholar 

  8. L. Rossetti, Normalization of insulin sensitivity with lithium in diabetic rats,Diabetes 38, 648–652 (1989).

    Article  PubMed  CAS  Google Scholar 

  9. L. Rossetti, A. Giaccari, E. Klein-Robbenhear, and A. R. Vogen, Insulinomimetic properties of trace elements and characterization of their in vivo model of action,Diabetes 39, 1243–1250 (1990).

    Article  PubMed  CAS  Google Scholar 

  10. M. Hu, Y. S. Wu, and H. W. Wu, Effects of lithium deficiency in some insulin-sensitive tissues of diabetic Chinese hamsters,Biol. Trace Elements Res. in print 1997.

  11. H. Weiss, Ueber eine neue behandlungsmethode des diabetes mellitus and verwandter stoffwechselstorungen,WienKlin Wochenschr. 37, 1142–1143 (1924).

    Google Scholar 

  12. H. Roth and M. Kirchgessner, Zinc and insulin metabolism,Biol. Trace Elements Res. 3, 13–22 (1981).

    Article  CAS  Google Scholar 

  13. H. A. Schroeder, Chromium deficiency in rats: a syndrome simulating diabetes mellitus with retarded growth,J. Nutr. 88, 439–445 (1996).

    Google Scholar 

  14. M. L. Failla and R. A. Kiser, Altered tissue content and cytosol distribution of trace metals in experimental diabetes,J. Nutr. 111, 1900–1909 (1981).

    PubMed  CAS  Google Scholar 

  15. I. Raz, J. H. Adler, and E. Havivi, Altered tissue content of trace metals in diabetic hyperinsulin sand rats,Diabetologia 31, 329–333 (1988).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hu, M., Wu, H. & Chao, C. Assisting effects of lithium on hypoglycemic treatment in patients with diabetes. Biol Trace Elem Res 60, 131–137 (1997). https://doi.org/10.1007/BF02783316

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02783316

Index Entries

Navigation