Aim 1.Test the hypothesis that activation of the endogenous renin-angiotensin-aldosterone system impairs glycemic control via effects on insulin sensitivity and insulin secretion. Aim 2. Test the hypothesis that activation of the endogenous renin-angiotensin-aldosterone system impairs insulin secretion and insulin sensitivity via an mineralocorticoid-receptor dependent mechanism.
In aim 1 subjects are randomized to cross over between an 8 day high salt and 8 day low salt diet and assessments are made. In aim 2, subjects are randomized to a 2x2 cross over study with an 8 day low salt diet and either eplerenone 50mg or amlodipine 5mg.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
44
50mg daily
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Insulin Secretion
Hyperglycemic clamp- acute insulin response (AIR) during time 0-10 minutes
Time frame: After 8 days of diet or drug
Insulin Sensitivity
Hyperinsulinemic clamp- glucose infusion rate during insulin administration
Time frame: after 8 days of diet or medication
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5mg daily