Summary. Chronic diabetes mellitus in the rat isattended by a reduced bone turnover and growth arrest, decreased circulating immunoreactive parathyroid hormone (iPTH), and hypercorticosteronism. Since chronic insulin deficiency in the rat is associated with intestinal hyperabsorption of calcium and a positive calcium balance that may account for the decreased iPTH, as well as other hormonal alterations observed in these animals, we studied the effect of long-term (5 week) dietary calcium restriction (0.1% Ca, 0.8% P) in control and streptozotocin-induced diabetic rats. Chronic diabetic rats reared on a normal calcium (1.2% Ca) diet had increased serum calcium and phosphate (Pi) concentrations and were markedly hypercalciuric and phosphaturic compared with controls. Serum corticosterone was increased and iPTH markedly decreased in the diabetic animals.Dietary Ca restriction (0.1% Ca) decreased urinary calcium excretion and resulted in a comparable phosphaturic response in both control and diabetic rats. Moreover, although Ca restriction in diabetic animals had no appreciable effect on serum insulin, serum glucose, or urinary glucose excretion, it was associated with a marked increase in circulating iPTH: this resulted in serum concentrations comparable with that observed in control animals reared on the low Ca diet. These results support the hypothesis that the decreased circulating iPTH observed in chronic diabetic rats results predominantly from their intestinal hyperabsorption of Ca. In contrast to control animals, diabetic rats reared on a low Ca diet failed to maintain their serum Ca despite the marked increase in serum iPTH and striking decrease in calciuria, thus underscoring the reliance of these animals on intestinal hyperabsorption of Ca to maintain Ca balance under conditions of adequate Ca intake. Serum corticosterone was insignificantly altered by dietary Ca restriction in control rats; hypercorticosteronism, characteristically observed in diabetic rats, was normalized by Ca restriction. We conclude that a primary disturbance in Ca homeostasis may contribute, in part, to hormonal alterations observed in chronic experimental diabetes.
Key words:Chronic insulin deficiency --Hypercorticosteronism --Dietary calcium restriction --Streptozotocin-induced.Insulin deficiency in both man [1][2][3] and experimental animal [4,5] is attended by alterations of bone and mineral metabolism. We have recently documented that chronic insulin deficiency in the rat results in reduced bone turnover and growth arrest, decreased plasma iPTH levels, and hypercorticosteronism [4]. The pathogenesis of these alterations, and specifically, their relationship to insulinopenia per se is, however, still conjectural.Chronically diabetic rats reared on a nutritionally adequate diet maintain normal to frankly elevated plasma Ca levels, through augmented intestinal absorption of Ca, despite severe hypercalciuria and a pronounced decrease in bone turnover [4,5]. Since the intestinal hyperabsorption of Ca and the positive Ca balance obser...