Too Much Glucagon, Too Little Insulin
Open Access
- 1 July 2008
- journal article
- Published by American Diabetes Association in Diabetes Care
- Vol. 31 (7), 1403-1404
- https://doi.org/10.2337/dc08-0575
Abstract
To determine the time course of changes in glucagon and insulin secretion in children with recently diagnosed type 1 diabetes. Glucagon and C-peptide concentrations were determined in response to standard mixed meals in 23 patients with type 1 diabetes aged 9.4 +/- 4.6 years, beginning within 6 weeks of diagnosis, and every 3 months thereafter for 1 year. Glucagon secretion in response to a physiologic stimulus (mixed meal) increased by 37% over 12 months, while C-peptide secretion declined by 45%. Fasting glucagon concentrations remained within the normal (nondiabetic) reference range. Postprandial hyperglucagonemia worsens significantly during the first year after diagnosis of type 1 diabetes and may represent a distinct therapeutic target. Fasting glucagon values may underestimate the severity of hyperglucagonemia. The opposing directions of abnormal glucagon and C-peptide secretion over time support the link between dysregulated glucagon secretion and declining beta-cell function.This publication has 11 references indexed in Scilit:
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