Recovery from insulin-induced hypoglycemia after saccharose or glucose administration. 1990

K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
First Department of Propedeutic Medicine, Athens University Medical School, Greece.

This study compared the effects of saccharose and glucose on the recovery from insulin hypoglycemia. 17 normal volunteers (12 men, 5 women, 25-40 years old) received the same dose (0.1 IU i.v.) of semisynthetic rapid-acting human insulin on two different days after an overnight fast. Blood glucose and C peptide were measured in venous blood samples before as well as at regular time intervals after insulin administration. 30 min after the injection, 20 g saccharose or 20 g glucose p.o. (diluted in water) were given. The mean glucose values were at most time intervals higher after glucose than after saccharose administration. In addition, glucose ingestion resulted in an earlier and steeper blood glucose rise (mean recovery rates during the first 5 min 3.10 and 1.38 mg/dl/min for glucose and saccharose, respectively). The C peptide values decreased progressively and did not achieve baseline levels even at 120 min in spite of blood sugar normalization. It is concluded that glucose acts faster than saccharose in insulin-induced hypoglycemia. Exogenous insulin results in a prolonged depression of C peptide which lasts longer than the hypoglycemic effect.

UI MeSH Term Description Entries
D007003 Hypoglycemia A syndrome of abnormally low BLOOD GLUCOSE level. Clinical hypoglycemia has diverse etiologies. Severe hypoglycemia eventually lead to glucose deprivation of the CENTRAL NERVOUS SYSTEM resulting in HUNGER; SWEATING; PARESTHESIA; impaired mental function; SEIZURES; COMA; and even DEATH. Fasting Hypoglycemia,Postabsorptive Hypoglycemia,Postprandial Hypoglycemia,Reactive Hypoglycemia,Hypoglycemia, Fasting,Hypoglycemia, Postabsorptive,Hypoglycemia, Postprandial,Hypoglycemia, Reactive
D007328 Insulin A 51-amino acid pancreatic hormone that plays a major role in the regulation of glucose metabolism, directly by suppressing endogenous glucose production (GLYCOGENOLYSIS; GLUCONEOGENESIS) and indirectly by suppressing GLUCAGON secretion and LIPOLYSIS. Native insulin is a globular protein comprised of a zinc-coordinated hexamer. Each insulin monomer containing two chains, A (21 residues) and B (30 residues), linked by two disulfide bonds. Insulin is used as a drug to control insulin-dependent diabetes mellitus (DIABETES MELLITUS, TYPE 1). Iletin,Insulin A Chain,Insulin B Chain,Insulin, Regular,Novolin,Sodium Insulin,Soluble Insulin,Chain, Insulin B,Insulin, Sodium,Insulin, Soluble,Regular Insulin
D007700 Kinetics The rate dynamics in chemical or physical systems.
D008297 Male Males
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D002096 C-Peptide The middle segment of proinsulin that is between the N-terminal B-chain and the C-terminal A-chain. It is a pancreatic peptide of about 31 residues, depending on the species. Upon proteolytic cleavage of proinsulin, equimolar INSULIN and C-peptide are released. C-peptide immunoassay has been used to assess pancreatic beta cell function in diabetic patients with circulating insulin antibodies or exogenous insulin. Half-life of C-peptide is 30 min, almost 8 times that of insulin. Proinsulin C-Peptide,C-Peptide, Proinsulin,Connecting Peptide,C Peptide,C Peptide, Proinsulin,Proinsulin C Peptide
D005260 Female Females
D005947 Glucose A primary source of energy for living organisms. It is naturally occurring and is found in fruits and other parts of plants in its free state. It is used therapeutically in fluid and nutrient replacement. Dextrose,Anhydrous Dextrose,D-Glucose,Glucose Monohydrate,Glucose, (DL)-Isomer,Glucose, (alpha-D)-Isomer,Glucose, (beta-D)-Isomer,D Glucose,Dextrose, Anhydrous,Monohydrate, Glucose
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
October 1980, Acta physiologica Scandinavica,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
August 1987, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
March 1983, The American journal of physiology,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
November 1957, The American journal of physiology,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
November 1978, Journal of neurochemistry,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
April 2011, Journal of neuroscience research,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
January 1984, Diabetes care,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
December 2023, Epileptic disorders : international epilepsy journal with videotape,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
January 1984, Diabetes care,
K Georgakopoulos, and N Katsilambros, and M Fragaki, and Z Poulopoulou, and J Kimbouris, and P Sfikakis, and S Raptis
November 1987, Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
Copied contents to your clipboard!