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 language | English |
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Pages (from-to) | 291-3 |
Number of pages | 3 |
Journal | European journal of endocrinology |
Volume | 156 |
Issue number | 3 |
DOIs | |
Publication status | Published - 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