Maintenance of Basal Plasma Glucose and Insulin Concentrations in Maturity-Onset Diabetes
Abstract
Normal and mildly diabetic subjects each have their own "set" of basal plasma glucose and insulin concentrations. Diabetic patients have raised basal plasma glucose, with low-normal basal plasma C-peptide concentrations. Restoring normal glucose levels in mild diabetes by an insulin infusion further reduces the C-peptide concentration, but both the plasma glucose and the C-peptide return to their "set" level when the insulin is withdrawn. These results accord with the action of beta cells and liver in a negative feedback loop that maintains basal plasma glucose and insulin concentrations.
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Fasting plasma glucose and insulin concentrations in each normal subject or Type 2 diabetic patient are set at a level characteristic for that individual for a given state of nutrition.
“The fasting plasma glucose and insulin concentrations in each normal subject or Type 2 (non-insulin-dependent) diabetic patient are set at a level characteristic for that individual for a given state of nutrition [1,2].”
From Homeostasis model assessment: insulin resistance and ?-cell function from fasting plasma glucose and insulin concentrations in man (1985) · cites this paper as [1]
Basal hyperglycaemia in diabetes arises from the feedback loop between the liver and beta-cells, maintaining effective insulin action in the liver and periphery.
“the basal hyperglycaemia in diabetes appears to arise from the feedback loop between the liver and/3-cells, thereby maintaining an effective insulin action in the liver and at the periphery [1,4].”
From Homeostasis model assessment: insulin resistance and ?-cell function from fasting plasma glucose and insulin concentrations in man (1985) · cites this paper as [1]
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Cited by 62
- Authors
- Holman, R. R., & Turner, R. C.
- Affiliations
- John Radcliffe Hospital (GB)
- ORCID
- Holman, R R
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 1979-03-01
- Volume
- 28
- Issue
- 3
- Pages
- 227-230
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2148654989
- Cited by
- 62
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2019: 1 · 2018: 1 · 2015: 2 · 2014: 2
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- maturity-onset diabetes, basal insulin, C-peptide, insulin infusion, negative feedback loop, pancreatic beta cells, glucose homeostasis, insulin withdrawal
- MeSH terms
- Adult, Blood Glucose, C-Peptide, Diabetes Mellitus, Humans, Insulin, Middle Aged
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