Cited by 43Diabetes Management and ResearchPancreatic function and diabetesDiabetes Treatment and Management

The Relevance of Glucose Counterregulatory Systems to Patients with Insulin-Dependent Diabetes Mellitus*

CRYER, PHILIP E., WHITE, NEIL H., SANTIAGO, JULIO V.·1986·Endocrine Reviews

Abstract

THE CENTRAL nervous system (CNS) can neither synthesize nor store glucose, its predominant metabolic fuel. Thus, it is dependent upon a continuous supply of glucose from the circulation. Hypoglycemia can cause profound dysfunction of the brain, even brain death. The fact that hypoglycemia is an uncommon clinical event, except in persons who use drugs that lower the plasma glucose concentration, is testimony to the efficacy of the physiological mechanisms that normally prevent or correct hypoglycemia. Glucoregulation is normally the result of the glucoselowering actions of insulin and the glucose-raising actions of glucose-counterregulatory factors (1, 2). It has long been recognized that deficient insulin secretion is the fundamental abnormality in patients with insulindependent diabetes mellitus (IDDM). The contribution of counterregulatory systems to glycemic excursions ranging from hypoglycemia to hyperglycemia, in the context of imperfect insulin replacement, has been documented more recently in patients with IDDM and is the subject of this review.

Integrity signals

Registry

Crossref · 10.1210/edrv-7-2-131

Cites

64 of 64 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

1 retracted

Flagged first, then by citations

Cited by

Sorted by citations

Authors
CRYER, P. E., WHITE, N. H., & SANTIAGO, J. V.
Affiliations
Washington University in St. Louis (US)
Corresponding author
CRYER, PHILIP E.
Venue
Endocrine Reviews
Published
1986-05
Volume
7
Issue
2
Pages
131-139
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W1993679223
Cited by
43
References
64
Citations by year
2024: 1 · 2023: 1 · 2021: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2012: 1
FWCI
5.16
Type
journal article
Language
en
Open access
closed
Locations
  • Endocrine Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5p60am020579-08, 2r01am027085-06)
  • National Center for Research Resources (RR.00036)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
glucose counterregulation, type 1 diabetes, hypoglycemia, hyperglycemia, insulin secretion, glucoregulation, insulin replacement therapy, glycemic excursions, counterregulatory hormones
MeSH terms
Adrenergic beta-Antagonists, Autonomic Nervous System Diseases, Blood Glucose, Brain, Chromaffin System, Diabetes Mellitus, Type 1, Diabetic Neuropathies, Epinephrine, Forecasting, Glucagon, Humans, Hydrocortisone, Hyperglycemia, Hypoglycemia, Insulin, Growth Hormone, Stress, Physiological, Sympathetic Nervous System, Diabetic Ketoacidosis

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review