Important role of adrenergic mechanisms in acute glucose counterregulation following insulin-induced hypoglycemia in type I diabetes. Evidence for an effect mediated by beta-adrenoreceptors
Abstract
Unlabelled During hypoglycemia induced by an i.v. insulin infusion for 60 min, rates of plasma glucose (PG) decrease and recovery, PG nadir, and plasma counter-regulatory hormone and free fatty acid responses were studied in eight type I uncomplicated diabetic subjects and eight nondiabetic subjects. Each subject was tested three times at two different rates of insulin infusion (25 and 32 mU/m2/min): (1) during infusion of saline, (2) during infusion of phentolamine + propranolol (combined alpha, beta-blockade), and (3) during infusion of propranolol alone (isolated beta-blockade) for 150 min. At the time of the studies, the diabetic subjects had been made euglycemic by an overnight i.v. insulin infusion. During infusion of insulin (25 mU/m2/min) and saline, the rates of PG decrease and recovery were slower (P less than 0.01) and PG nadir was delayed in the diabetic subjects. Moreover, their plasma glucagon response was blunted while plasma epinephrine, norepinephrine, growth hormone, and cortisol responses were similar in both groups. Infusion of insulin at 32 mU/m2/min caused larger decreases in PG than had been observed when insulin was infused at 25 mU/m2/min. Plasma glucagon responses increased in the nondiabetic subjects (P less than 0.05) but not in the diabetic subjects. However, in the diabetic subjects, plasma epinephrine increased more than in the nondiabetic subjects (P less than 0.05). There was an inverse correlation between the individual plasma epinephrine res…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
The adrenergic system regulates glucose recovery through activation of both alpha and beta receptors.
“The adrenergic system regulates glucose recovery through activation of both alpha and beta receptors, as supported by delayed glucose recovery during a single episode of hypoglycemia with administration of alpha and/or beta antagonists (29-31).”
From Plasma Epinephrine Contributes to the Development of Experimental Hypoglycemia-Associated Autonomic Failure (2020) · cites this paper as [29]
Cites
Still being checked.
Cited by
Sorted by citations
White, N. H., Skor, D. A., Cryer, P. E., Levandoski, L. A., Bier, D. M., & Santiago, J. V. (1983) · New England Journal of Medicine · doi:10.1056/nejm198303033080903 · Cited by 391 · see citing works
Simonson, D. C., Tamborlane, W. V., DeFRONZO, R. A., & SHERWIN, R. S. (1985) · Annals of Internal Medicine · doi:10.7326/0003-4819-103-2-184 · Cited by 173 · see citing works
Abnormal Glucose Counterregulation after Subcutaneous Insulin in Insulin-Dependent Diabetes Mellitus
Bolli, G. B., Dimitriadis, G., Pehling, G. B., Baker, B. A., Haymond, M. W., Cryer, P. E., & Gerich, J. E. (1984) · New England Journal of Medicine · doi:10.1056/nejm198406283102605 · Cited by 164 · see citing works
Self-citationContribution of cortisol to glucose counterregulation in humans
De Feo, P., Perriello, G., Torlone, E., Ventura, M. M., Fanelli, C., Santeusanio, F., Brunetti, P., Gerich, J. E., & Bolli, G. B. (1989) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1989.257.1.e35 · Cited by 134 · see citing works
Self-citationBolli, G. B., Tsalikian, E., Haymond, M. W., Cryer, P. E., & Gerich, J. E. (1984) · Journal of Clinical Investigation · doi:10.1172/jci111359 · Cited by 108 · see citing works
Self-citationPerriello, G., Feo, P. D., Torlone, E., Fanelli, C. G., Santeusanio, F., Brunetti, P., & Bolli, G. B. (1991) · Diabetologia · doi:10.1007/bf00404020 · Cited by 84 · see citing works
Self-citationFanelli, C. G., Feo, P. D., Porcellati, F., Perriello, G., Torlone, E., Santeusanio, F., Brunetti, P., & Bolli, G. B. (1992) · Journal of Clinical Investigation · doi:10.1172/jci115809 · Cited by 74 · see citing works
Self-citationPowell, A. M., Sherwin, R. S., & Shulman, G. I. (1993) · Journal of Clinical Investigation · doi:10.1172/jci116883 · Cited by 73 · see citing works
Bolli, G., De Feo, P., Perriello, G., De Cosmo, S., Compagnucci, P., Santeusanio, F., Brunetti, P., & Unger, R. H. (1984) · Journal of Clinical Investigation · doi:10.1172/jci111315 · Cited by 64 · see citing works
Self-citationGlucose counterregulation during prolonged hypoglycemia in normal humans
Bolli, G. B., Gottesman, I. S., Cryer, P. E., & Gerich, J. E. (1984) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1984.247.2.e206 · Cited by 52 · see citing works
Self-citationDungan, K. M., Merrill, J., Long, C., & Binkley, P. F. (2019) · Cardiovascular Diabetology · doi:10.1186/s12933-019-0967-1 · Cited by 48 · see citing works
Ishii, D. N., Guertin, D. M., & Whalen, L. R. (1994) · Diabetologia · doi:10.1007/bf00418370 · Cited by 42 · see citing works
Fagerholm, V., Scheinin, M., & Haaparanta‐Solin, M. (2008) · British Journal of Pharmacology · doi:10.1038/bjp.2008.186 · Cited by 40 · see citing works
Contribution of adrenergic mechanisms to glucose counterregulation in humans
Feo, P. D., Perriello, G., Torlone, E., Fanelli, C. G., Ventura, M. M., Santeusanio, F., Brunetti, P., Gerich, J. E., & Bolli, G. B. (1991) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1991.261.6.e725 · Cited by 38 · see citing works
Self-citationPowell, A. M., & Sherwin, R. S. (1993) · Cited by 34 · see citing works
Tily, F. E., & Ajman, S. T. (2007) · International Dental Journal · doi:10.1111/j.1875-595x.2007.tb00442.x · Cited by 32 · see citing works
Glucose counterregulation in diabetes secondary to chronic pancreatitis
Larsen, S., Hilsted, J., Philipsen, E., Tronier, B., Christensen, N. J., Nielsen, M. D., & WORNING, H. (1990) · Metabolism · doi:10.1016/0026-0495(90)90066-l · Cited by 32 · see citing works
Excessive Insulin Therapy: Biochemical Effects and Clinical Repercussions
Wilson, D. E. (1983) · Annals of Internal Medicine · doi:10.7326/0003-4819-98-2-219 · Cited by 32 · see citing works
Bilateral dislocation of the shoulders due to nocturnal hypoglycaemia
Litchfield, J., Subhedar, V. Y., Beevers, D. G., & Patel, H. (1988) · Postgraduate Medical Journal · doi:10.1136/pgmj.64.752.450 · Cited by 30 · see citing works
Regulation of Carbohydrate Metabolism and Response to Hypoglycemia
Butler, P. C., & Rizza, R. A. (1989) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(18)30386-4 · Cited by 27 · see citing works
Hoffman, R. P., Sinkey, C. A., Dopp, J. M., & Phillips, B. G. (2002) · Diabetes · doi:10.2337/diabetes.51.3.734 · Cited by 26 · see citing works
Kudielka, B. M., Fischer, J. E., Metzenthin, P., Helfricht, S., Preckel, D., & von Känel, R. (2007) · Neuropsychobiology · doi:10.1159/000115783 · Cited by 21 · see citing works
Hoffman, R. P., Arslanian, S., DRASH, A. L., & Becker, D. J. (1994) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem.1994.7.3.235 · Cited by 21 · see citing works
Lontchi-Yimagou, E., Aleksic, S., Hulkower, R., Gospin, R., Goyal, A., Kuo, B., Mitchell, W. G., You, J. Y., Upadhyay, L., Carey, M., et al. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa539 · Cited by 17 · see citing works
Duration of type I diabetes affects glucagon and glucose responses to insulin-induced hypoglycemia.
(1984) · PubMed Central · Cited by 17 · see citing works
Glucagon Responses to Hypoglycemia in Children and Adolescents With IDDM
Singer-Granick, C. J., Hoffman, R. P., Kerensky, K. M., DRASH, A. L., & Becker, D. J. (1988) · Diabetes Care · doi:10.2337/diacare.11.8.643 · Cited by 17 · see citing works
Landgraf-Leurs, M. M. C., Brügelmann, I., Kämmerer, S., Lorenz, R. A., & Landgraf, R. (1984) · Journal of Molecular Medicine · doi:10.1007/bf01716462 · Cited by 16 · see citing works
β-Adrenoceptor regulation in insulin-dependent diabetes mellitus
Sager, G., Slørdal, L., Huseby, N. E., & Florholmen, J. R. (1991) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365519109091616 · Cited by 15 · see citing works
Khawaja, N. A., Khalil, H. S., Parveen, K., Alghamdi, A. M., Alzahrani, R. A., & Alherbi, S. M. (2014) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2014.02.006 · Cited by 14 · see citing works
Effects of b-adrenoceptor-blockade on stress-induced adrenocorticotrophin release in humans
Oberbeck, R., Sch�rmeyer, T., Jacobs, R., Benschop, R. J., Sommer, B., Schmidt, R. E., & Schedlowski, M. (1998) · European Journal of Applied Physiology · doi:10.1007/s004210050370 · Cited by 14 · see citing works
Somogyi and dawn phenomena: Mechanisms
Feo, P. D., Perriello, G., & Bolli, G. B. (1988) · Diabetes/Metabolism Reviews · doi:10.1002/dmr.5610040106 · Cited by 13 · see citing works
Self-citationPotential approaches to prevent hypoglycemia-associated autonomic failure
Lontchi-Yimagou, E., You, J. Y., Carey, M., Gabriely, I., Shamoon, H., & Hawkins, M. (2018) · Journal of Investigative Medicine · doi:10.1136/jim-2017-000582 · Cited by 12 · see citing works
Glucose counterregulation during recovery from neuroglucopenia: Which mechanism is important?
Asplin, C. M., Raghu, P., Koerker, D. J., & Palmer, J. P. (1985) · Metabolism · doi:10.1016/0026-0495(85)90053-8 · Cited by 12 · see citing works
Voss, T. S., Vendelbo, M. H., Kampmann, U., Hingst, J. R., Wojtaszewski, J. F. P., Svart, M. V., Møller, N., & Jessen, N. (2017) · Diabetes · doi:10.2337/db16-1559 · Cited by 10 · see citing works
Afework, M., Lincoln, J., Belai, A., & Burnstock, G. (1996) · International Journal of Developmental Neuroscience · doi:10.1016/0736-5748(95)00091-7 · Cited by 10 · see citing works
Fisher, B. M., Hepburn, D. A., Smith, J. G., & Frier, B. M. (1990) · European Journal of Clinical Investigation · doi:10.1111/j.1365-2362.1990.tb01790.x · Cited by 9 · see citing works
Wasada, T., AOKI, K., Babazono, T., Kuroki, H., ARII, H., Saeki, A., & Omori, Y. (1995) · Endocrine Journal · doi:10.1507/endocrj.42.747 · Cited by 8 · see citing works
Cryer, P. E. (1983) · Advances in metabolic disorders · doi:10.1016/b978-0-12-027310-2.50025-6 · Cited by 8 · see citing works
Hypoglycemia in pediatric renal allograft recipients
Wells, T. G., Ulstrom, R. A., & Nevins, T. E. (1988) · The Journal of Pediatrics · doi:10.1016/s0022-3476(88)80571-7 · Cited by 7 · see citing works
Physiological insulin action is opposed by beta-adrenergic mechanisms in dogs
Werther, G. A., Joffe, S. N., Artal, R., & Sperling, M. A. (1988) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1988.255.1.e33 · Cited by 7 · see citing works
Effect of Near Physiologic Insulin Therapy on Hypoglycemia Counterregulation in Type-1 Diabetes
Bischof, M. G., Bernroider, E., Ludwig, C., Kurzemann, S., Kletter, K., Waldhäusl, W., & Roden, M. (2001) · Hormone Research in Paediatrics · doi:10.1159/000048111 · Cited by 5 · see citing works
Zaloga, G. P., & Dons, R. F. (1984) · Digestive Diseases and Sciences · doi:10.1007/bf01317094 · Cited by 4 · see citing works
Trovati, M., Anfossi, G., Mularoni, E., Massucco, P., Cavalot, F. L., Mattiello, L., & Emanuelli, G. (1990) · Diabetic Medicine · doi:10.1111/j.1464-5491.1990.tb01416.x · Cited by 4 · see citing works
EFFECT OF SODIUM SALICYLATE ON HORMONAL RESPONSES TO HYPOGLYCAEMIA IN TYPE II DIABETICS
Brass, E. P., Halter, J. B., Ensinck, J. W., & Robertson, R. P. (1984) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1984.tb01407.x · Cited by 3 · see citing works
Prescription Drug Therapy in the Podiatric Outpatient Population: Interactions and Precautions
Dickinson, B. D., Alley, P., Price, T. W., & Simeone, L. A. (1988) · Clinics in Podiatric Medicine and Surgery · doi:10.1016/s0891-8422(23)00148-9 · Cited by 3 · see citing works
Modulation of catecholamine effects during hypoglycaemia in man by urapidil and propranolol
Petersen, K. ‐., Katschker, P., & Kerp, L. (1989) · European Journal of Clinical Pharmacology · doi:10.1007/bf00558294 · Cited by 2 · see citing works
Suppression of lipolysis in normal man does not inhibit recovery from insuIin‐induced hypoglycaemia
Newrick, P. G., Braatvedt, G. D., Stansbie, D., & Corrall, R. J. M. (1993) · European Journal of Clinical Investigation · doi:10.1111/j.1365-2362.1993.tb00717.x · Cited by 2 · see citing works
Psychoautonome Und Psychoendokrine Wechselwirkungen Bei Diabetes
Strian, F. (1988) · Springer eBooks · doi:10.1007/978-3-642-72678-1_6
Exercise in the Therapy of Diabetes Mellitus
Vergano, S., Bhambri, R., & Schneider, S. H. (2009) · Springer eBooks · doi:10.1007/978-0-387-09841-8_42
Monnier, L., Lachkar, H., Richard, J.-L., Colette, C., Borgel, D., Orsetti, A., & Mirouze, J. (1984)
Chapter 4. Exercise in the Therapy of Diabetes Mellitus
Schneider, S. H., & Bhambri, R. (2004)
Exercise in the Therapy of Diabetes Mellitus
Ohri, A., Vergano, S., Bhambri, R., & Schneider, S. H. (2017) · Springer eBooks · doi:10.1007/978-3-319-18741-9_42
Exercise in the Therapy of Diabetes Mellitus
Ohri, A., Vergano, S., Bhambri, R., & Schneider, S. H. (2016) · Springer eBooks · doi:10.1007/978-3-319-20797-1_42-1
Exercise in the Therapy of Diabetes Mellitus
Ohri, A., Vergano, S., Bhambri, R., & Schneider, S. H. (2016) · Springer eBooks · doi:10.1007/978-3-319-20797-1_42-2
Exercise in the Therapy of Diabetes Mellitus
Schneider, S. H., & Bhambri, R. (2004) · Springer eBooks · doi:10.1007/978-1-4757-6260-0_30
Hypoglycemia with Beta-Blocker in Patients with Type II Diabetes
Wali, R., Muhammad, N., Rahman, N. A., Khan, T. U., Waqas, M. S., & Khan, M. U. (2023) · Life and Science · doi:10.37185/lns.1.1.340
- Authors
- Bolli, G., Feo, P. D., Compagnucci, P., Cartechini, M. G., Angeletti, G., Santeusanio, F., & Brunetti, P.
- Affiliations
- University of Perugia (IT)
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 1982-07-01
- Volume
- 31
- Issue
- 7
- Pages
- 641-647
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2133440135
- Cited by
- 56
- References
- 0
- Citations by year
- 2023: 1 · 2020: 1 · 2019: 1 · 2017: 3 · 2016: 2 · 2014: 1
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- 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
- insulin-induced hypoglycemia, glucose counterregulation, type 1 diabetes, beta-adrenergic receptors, adrenergic mechanisms, glucagon response, epinephrine, alpha-adrenergic blockade, beta-adrenergic blockade, propranolol, phentolamine, counterregulatory hormones, free fatty acids, growth hormone, cortisol, catecholamines
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Epinephrine, Fatty Acids, Nonesterified, Glucagon, Humans, Hydrocortisone, Hypoglycemia, Insulin, Norepinephrine, Phentolamine, Propranolol, Receptors, Adrenergic, Receptors, Adrenergic, beta, Growth Hormone
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