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Glucagon treatment in type 1 diabetes -with focus on restoring plasma glucose during mild hypoglycemia
.

Danish medical journal
February 1, 2018
Ajenthen Ranjan
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to investigate whether low-dose glucagon could treat insulin-induced mild hypoglycemia and to identify conditions, such as a low-carbohydrate diet, that might impair glucagon's efficacy.

Results Summary

The study found that the glucose response to low-dose glucagon was dose-dependent but impaired during high insulin levels, after one week of a low-carbohydrate diet, and possibly after ethanol intake. These findings highlight clinically relevant conditions affecting glucagon's effectiveness in glucose control.

Population

Individuals with type 1 diabetes

Effective Dosage

Not specified

Duration

One week of low-carbohydrate diet

Interactions

Impaired efficacy during high insulin levels and possibly after ethanol intake

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-dose glucagon
decrease
insulin-induced mild hypoglycemia
-
-
could treat insulin-induced mild hypoglycemia sufficiently
#1
low-dose glucagon
increase
glucose response
-
-
was dose-dependent
#2
low-dose glucagon
decrease
glucose response
-
-
was impaired
#3
high blood levels of insulin
decrease
glucose response to low-dose glucagon
-
-
impaired
#4
one week of low carbohydrate diet
decrease
glucose response to low-dose glucagon
-
-
impaired
#5
ethanol intake
decrease
glucose response to low-dose glucagon
-
8-9 hours after
perhaps impaired
#6
Abstract

Type 1 diabetes is a chronic disease caused by an autoimmune destruction of the insulin-producing cells in the pancreas, leading to a condition with insulin deficiency and elevated blood glucose levels. Individuals with type 1 diabetes are therefore recommended to frequently inject insulin subcutaneously to keep near-normal blood glucose levels, preventing the progression and onset of diabetes-related complications, i.e. kidney failure, blindness, amputation, stroke and heart attack. Unfortunately, the intensified insulin therapy is associated with risk of hypoglycemia- impeding individuals from reaching recommended treatment goals. In this PhD thesis, we hypothesized that low-dose glucagon may complement existing insulin therapy in improving glucose control by treating and preventing mild hypoglycemia.
 The aim was to determine whether low-dose glucagon could treat insulin-induced mild hypoglycemia sufficiently, and to investigate conditions that might impair the efficacy of glucagon. We showed that the glucose response to low-dose glucagon was dose-dependent but was impaired during high blood levels of insulin, after one week of low carbohydrate diet and perhaps 8-9 hours after ethanol intake. These findings are clinically relevant when blood glucose levels are controlled through insulin and glucagon delivery.

Medical Subject Headings (MeSH)
Blood GlucoseDiabetes ComplicationsDiabetes Mellitus, Type 1GlucagonHumansHypoglycemiaHypoglycemic AgentsInsulin
Study Links
PubMed ID29393039
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality85/10
Citation Metrics
Total Citations4
Citations/Year0.6
Relative Citation Ratio0.23
NIH Percentile11.7%
Research Impact Scores
APT Score0.50
Weight Score1.97
Normalized Score0.65
Related Supplements
Glucagon treatment in type 1 diabetes -with focus on restori... | Panacea Index