Dissociation of glucose and potassium arterial-venous differences across the forearm by acetazolamide. A possible relationship to acetazolamide's beneficial effect in hypokalemic periodic paralysis

Arch Neurol. 1984 Jan;41(1):35-8. doi: 10.1001/archneur.1984.04050130041019.

Abstract

We studied the effect of acetazolamide on arterial-venous (A-V) glucose and potassium differences across the forearm following oral glucose loading in eight normal subjects. Administration of acetazolamide for 72 hours prior to glucose loading resulted in increased A-V glucose differences and decreased A-V potassium differences. Acetazolamide may, therefore, increase glucose uptake across muscle while decreasing potassium uptake following glucose ingestion. This glucose-potassium dissociation observed in normal subjects may relate to acetazolamide's beneficial effect in hypokalemic periodic paralysis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acetazolamide / pharmacology*
  • Acetazolamide / therapeutic use
  • Adult
  • Blood Glucose / analysis*
  • Blood Glucose / metabolism
  • Cell Membrane / metabolism
  • Dietary Carbohydrates / metabolism
  • Female
  • Forearm / blood supply
  • Humans
  • Hypokalemia / blood
  • Hypokalemia / drug therapy
  • Hypokalemia / metabolism
  • Male
  • Muscles / metabolism
  • Paralyses, Familial Periodic / blood*
  • Paralyses, Familial Periodic / drug therapy
  • Paralyses, Familial Periodic / metabolism
  • Potassium / blood*
  • Potassium / metabolism

Substances

  • Blood Glucose
  • Dietary Carbohydrates
  • Acetazolamide
  • Potassium