Abstract #998903: Euglycemic Relapsing Diabetic Ketaocidosis Due to SGLT-2 Inhibitor Use: A Metabolic Challenge in Need of Substrate

2021 ◽  
Vol 27 (6) ◽  
pp. S34
Author(s):  
L. Maria Belalcazar ◽  
Christina Davis ◽  
Hammad Nazeer
Keyword(s):  
Pharmacology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Alex Guazzi Rodrigues ◽  
Helton Oliveira Campos ◽  
Lucas Rios Drummond ◽  
Umeko Marubayashi ◽  
Cândido Celso Coimbra

<b><i>Aim:</i></b> The aim of this study was to assess the influence of adrenomedullary secretion on the plasma glucose, lactate, and free fatty acids (FFAs) during running exercise in rats submitted to intracerebroventricular (i.c.v.) injection of physostigmine (PHY). PHY i.c.v. was used to activate the central cholinergic system. <b><i>Methods:</i></b> Wistar rats were divided into sham-saline (sham-SAL), sham-PHY, adrenal medullectomy-SAL, and ADM-PHY groups. The plasma concentrations of glucose, lactate, and FFAs were determined immediately before and after i.c.v. injection of 20 μL of SAL or PHY at rest and during running exercise on a treadmill. <b><i>Results:</i></b> The i.c.v. injection of PHY at rest increased plasma glucose in the sham group, but not in the ADM group. An increase in plasma glucose, lactate, and FFAs mobilization from adipose tissue was observed during physical exercise in the sham-SAL group; however, the increase in plasma glucose was greater with i.c.v. PHY. Moreover, the hyperglycemia induced by exercise and PHY in the ADM group were blunted by ADM, whereas FFA mobilization was unaffected. <b><i>Conclusion:</i></b> These results indicate that there is a dual metabolic control by which activation of the central cholinergic pathway increases plasma glucose but not FFA during rest and exercise, and that this hyperglycemic response is dependent on adrenomedullary secretion.


2017 ◽  
Vol 32 (3) ◽  
pp. 426-443 ◽  
Author(s):  
R. Perez-Lobos ◽  
C. Lespay-Rebolledo ◽  
A. Tapia-Bustos ◽  
E. Palacios ◽  
V. Vío ◽  
...  

2018 ◽  
Vol 30 (1) ◽  
pp. 85 ◽  
Author(s):  
J. R. Roche ◽  
C. R. Burke ◽  
M. A. Crookenden ◽  
A. Heiser ◽  
J. L. Loor ◽  
...  

The transition from pregnancy to lactation (i.e. the transition period) is a time of significant metabolic challenge, with a several-fold increase in a cow’s requirement for energy, protein and minerals within days of calving. A successful transition involves the initiation and coordination of changes in multiple tissues that facilitate the provision of these nutrients to the cow and, more specifically, to the mammary gland, often at the considerable expense of other tissues. Failure to coordinate the necessary changes effectively results in transition period maladaptation, which can broadly be grouped into three categories: (1) negative energy balance and metabolic diseases associated with energy metabolism; (2) immune dysfunction and inflammation; and (3) metabolic diseases associated with mineral deficiency. Because reinitiation of ovarian activity, follicle recruitment, ovulation, fertilisation and, potentially, even maternal recognition of pregnancy and implantation occur against the backdrop of this metabolic and immunological disturbance in early lactation, the role of nutrition in ensuring a smooth transition between the pregnant and lactating state is important. In this paper we integrate recent research findings with previous knowledge of the interaction between transition cow metabolism and nutrition and reproductive outcomes, and offer new insights into key elements of successful cow management to avoid transition ‘maladaptation’ and improve pregnancy rates.


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Kazunari Nohara ◽  
Venkata Mallampalli ◽  
Travis Nemkov ◽  
Marvin Wirianto ◽  
Jiah Yang ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Dalia De Ita-Pérez ◽  
Isabel Méndez ◽  
Olivia Vázquez-Martínez ◽  
Mónica Villalobos-Leal ◽  
Mauricio Díaz-Muñoz

Daytime restricted feeding (DRF) is an experimental protocol that influences the circadian timing system and underlies the expression of a biological clock known as the food entrained oscillator (FEO). Liver is the organ that reacts most rapidly to food restriction by adjusting the functional relationship between the molecular circadian clock and the metabolic networks.γ-Aminobutyric acid (GABA) is a signaling molecule in the liver, and able to modulate the cell cycle and apoptosis. This study was aimed at characterizing the expression and activity of the mostly mitochondrial enzyme GABA transaminase (GABA-T) during DRF/FEO expression. We found that DRF promotes a sustained increase of GABA-T in the liver homogenate and mitochondrial fraction throughout the entire day-night cycle. The higher amount of GABA-T promoted by DRF was not associated to changes in GABA-T mRNA or GABA-T activity. The GABA-T activity in the mitochondrial fraction even tended to decrease during the light period. We concluded that DRF influences the daily variations of GABA-T mRNA levels, stability, and catalytic activity of GABA-T. These data suggest that the liver GABAergic system responds to a metabolic challenge such as DRF and the concomitant appearance of the FEO.


2021 ◽  
Vol 30 ◽  
pp. S135-S136
Author(s):  
S. Hayes ◽  
U. Varma ◽  
C. Curl ◽  
A. Raaijmakers ◽  
L. Delbridge

2000 ◽  
Vol 98 (1) ◽  
pp. 55-66 ◽  
Author(s):  
Seth D Friedman ◽  
Stephen R Dager ◽  
Todd L Richards ◽  
Helen Petropoulos ◽  
Stefan Posse

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