Brief, Irregular Oscillations of Basal Plasma Insulin and Glucose Concentrations in Diabetic Man
Abstract
The basal plasma insulin and glucose concentrations of 12 diet-treated maturity-onset diabetics were measured at minute intervals for 2 h. Brief, irregular oscillations (mean period 8.8 min) in plasma insulin were superimposed on longer term fluctuations (> 30 min). Time series analysis demonstrated a synchronous plasma glucose oscillation (mean amplitude 0.03 mmol/L) associated with short insulin cycles. The glucose changes seen in diabetic subjects were similar to the short plasma insulin cycles (< 10 min) observed in normal subjects. In contrast, the longer plasma insulin cycles (> 10 min) of normal subjects were associated with a plasma glucose oscillation that rose before the end of the cycle. The demonstration of insulin oscillations independent of preceding plasma glucose changes in both normal and diabetic subjects suggests a pancreatic oscillating mechanism or “pacemaker.” The associated glucose changes may reflect the entrainment, by the insulin cycles, of glucose production or utilization.
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Elevation of plasma glucose by intravenous glucose infusion triggers oscillations in plasma insulin with a period of ~10 min.
“When blood samples are taken at high frequency (every min), it becomes clear that elevation of plasma glucose (by intravenous glucose infusion) triggers oscillations in plasma insulin with a period of ~10 min (363) (Figure 15C).”
From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [363]
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- Authors
- Lang, D. A., Matthews, D. R., Burnett, M., & Turner, R. C.
- Affiliations
- University of Oxford (GB)
- ORCID
- Matthews, D R
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 1981-05-01
- Volume
- 30
- Issue
- 5
- Pages
- 435-439
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2123410845
- Cited by
- 279
- References
- 0
- Citations by year
- 2026: 4 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 6 · 2019: 6 · 2018: 6 · 2017: 10 · 2016: 4 · 2015: 6 · 2014: 12 · 2013: 5 · 2012: 9
- FWCI
- 2.01
- 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
- insulin oscillations, type 2 diabetes, basal insulin secretion, glucose production, glucose utilization, time series analysis
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Humans, Insulin, Kinetics, Reference Values
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