It is known that the changes of the kidney and the eye-ground in workers exposed to carbon disulphide (CS
2) are very similar to diabetic microangiopathy, however, the influences of CS
2 exposure on glucose tolerance and pancreatic α, β cell function are still obscure.
In order to throw some light on this problem in this paper, the responses of blood glucose, serum insulin (IRI), serum C-peptide (CPR), plasma pancreatic glucagon (IRG), and serum growth hormone (HGH) to oral glucose loading (100gm.) and retinal changes were studied in workers exposed to CS
2 (CS
2 group).
The CS
2 group averaged 45 years of age and had been exposed to CS
2 for an average of 13 years. Age and body index of healthy control subjects (control group) were matched with these of the CS
2 group. Both groups had not a hereditary predisposition to diabetes, The results were as follows :
a) Neither proteinuria nor glycosuria was found after fasting in the case of the CS
2 group.
b) The types of glucose tolerance in the CS
2 group were normoglycemic and borderline-hyperglycemic, and there were no significant differences between the CS
2 group and the control group in the response of blood glucose.
c) In comparison with the control group, the responses of IRI and CPR were significantly lower, and the response of HGH had a tendency to be lower in the CS
2 group. The response of IRG in the CS
2 group was identical to the one in the control group.
d) The changes of the eye-ground in the CS
2 group were very similar to these of diabetics, corresponding to A
IA
III of Shikano's classification.
e) In comparison with the group exposed to CS
2 for less than 10 years, the incidence of A
I-A
III was higher, and the response of IRI was lower in the group exposed to CS
2 for more than 10 years.
f) In the cases with A
I-A
III of the CS
2 group, the response of IRI had a tendency to be lower in comparison with the one without these changes (A
I-A
III). No differences were found in the incidence of A
I-A
III between normoglycemic and borderline-hyperglycemic types of the CS
2 group.
The results suggest that CS
2 exposure causes the hypofunction of the pancreatic β cell, despite glucose intolerance, and has an influence on the hyposecretion of HGH. And a correlation is thought to exist between the low response of IRI and the pathogenesis of diabetic-like retinopathy in workers exposed to CS
2.
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