Decrease of fructosamine levels during treatment with adalimumab in patients with both diabetes and rheumatoid arthritis

I C van Eijk, M J L Peters, M T Nurmohamed, A W van Deutekom, B A C Dijkmans, S Simsek

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Tumour necrosis factor alpha (TNFalpha) is a pro-inflammatory cytokine which has been closely linked to obesity and insulin resistance. We present two cases of patients with rheumatoid arthritis (RA) and concomitant diabetes mellitus, who showed a marked decrease of fructosamine levels after initiating therapy with adalimumab, a TNFalpha-blocking agent, for active RA. This finding may implicate that TNFalpha blockade causes better glycaemic control in RA patients with concomitant diabetes, possibly by improving insulin resistance.

Original languageEnglish
Pages (from-to)291-3
Number of pages3
JournalEuropean journal of endocrinology
Volume156
Issue number3
DOIs
Publication statusPublished - Mar 2007

Keywords

  • Adalimumab
  • Adult
  • Aged
  • Anti-Inflammatory Agents/adverse effects
  • Antibodies, Monoclonal/adverse effects
  • Antibodies, Monoclonal, Humanized
  • Arthritis, Rheumatoid/blood
  • Diabetes Mellitus, Type 1/blood
  • Diabetes Mellitus, Type 2/blood
  • Female
  • Fructosamine/blood
  • Humans
  • Male
  • Tumor Necrosis Factor-alpha/immunology

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