GLUCOSE TOLERANCE IN NEWBORN INFANTS OF HEALTHY MOTHERS: ITS RELATIONSHIP TO THE MOTHERS' INSULIN RESPONSE TO GLUCOSE INFUSION

1975 ◽  
Vol 78 (1) ◽  
pp. 44-53 ◽  
Author(s):  
Karin Edström ◽  
Erol Cerasi ◽  
Rolf Luft ◽  
Bengt Persson ◽  
Berlil Thalme
Keyword(s):  
Glucose Tolerance ◽  
Newborn Infants ◽  
Insulin Response ◽  
Late Pregnancy ◽  
Mean Difference ◽  
Glucose Infusion ◽  
K Value ◽  
High Insulin ◽  
The Mean ◽  
Low Insulin Response

ABSTRACT It has earlier been postulated that a low insulin response to a glucose infusion is characteristic for the prediabetic individual (Cerasi & Luft 1967c). There is also evidence that some infants of individuals with low insulin response might have a carbohydrate metabolism that is in some respects similar to that of newborn infants to diabetic mothers (Edström et al. 1974). In the present study 15 infants to low insulin responders (ILR) and 22 infants to high insulin responders (IHR) were subjected to an intravenous glucose load (IVGTT) at 2–24 h age. A significant difference in glucose tolerance was found between the groups, the mean k-value for the ILR being 1.39 ± 0.41 and that for the IHR 1.05 ± 0.09 (P < 0.05). No mothers were found to have a gestational diabetes (with the possible exception of one low insulin responders) but during late pregnancy the mean k-value at IVGTT in the low responders decreased from nonpregnant values (the mean difference being 0.41 ± 0.20, P < 0.025) while the high responders did not show a corresponding decrease (mean difference 0.12 ± 0.25, P > 0.05). No other differences between the groups of infants that could influence the k-value could be found apart from the mothers being low or high insulin responders. Our findings show that a low insulin response in the mothers might affect the glucose tolerance of the foetus even in the absence of continuous maternal hyperglycaemia in late pregnancy.

INSULIN RESPONSE TO GLUCOSE INFUSION DURING PREGNANCY. A PROSPECTIVE STUDY OF HIGH AND LOW INSULIN RESPONDERS WITH NORMAL CARBOHYDRATE TOLERANCE

1974 ◽  
Vol 75 (1) ◽  
pp. 87-104 ◽  
Author(s):  
Karin Edström ◽  
Erol Cerasi ◽  
Rolf Luft
Keyword(s):  
Fasting Blood Glucose ◽  
Insulin Response ◽  
Glucose Infusion ◽  
Intravenous Glucose ◽  
K Value ◽  
Endogenous Insulin ◽  
High Insulin ◽  
Insulin Response To Glucose ◽  
A Prospective Study ◽  
Low Insulin Response

ABSTRACT A decreased insulin response to glucose administration has been suggested to be a prerequisite for the development of diabetes mellitus. Factors that increase the demand for insulin in the organism may precipitate diabetes in subjects with a low insulin response to a glucose infusion test (GIT). Since it is well-known that pregnancy is a diabetogenic factor, its effect on the carbohydrate metabolism of subjects with a low insulin response was studied. During pregnancy, the insulin response of the low responders was enhanced as in the controls, but at all stages the insulin response was significantly less than in the controls. None of the subjects developed glucose intolerance during pregnancy. The fasting blood glucose and plasma insulin levels and the k-value in intravenous glucose tolerance tests (IVGTT) were modified according to similar patterns in both groups. The sensitivity to endogenous insulin was significantly greater in the low insulin responders but was reduced to a greater extent than in the controls towards the end of pregnancy. In four of the 11 low insulin responders the initial insulin response to glucose in the last trimester was lower than in mid-pregnancy. This occurred only in one out of 14 high insulin responders. It is suggested that gestational diabetes occurs in those low insulin responders who demonstrate either a dramatic decrease in insulin sensitivity, or limitations in the enhancement of insulin release, or, more likely both conditions.

METABOLISM OF [2-14C] PYRUVATE IN NORMAL, ACROMEGALIC AND HGH-TREATED HUMAN SUBJECTS

1970 ◽  
Vol 65 (1) ◽  
pp. 155-169 ◽  
Author(s):  
W. W. Shreeve ◽  
E. Cerasi ◽  
R. Luft
Keyword(s):  
Glucose Tolerance ◽  
Marked Reduction ◽  
Human Subjects ◽  
Insulin Response ◽  
Human Growth ◽  
Pyruvate Oxidation ◽  
High Insulin ◽  
Low Glucose ◽  
Insulin Response To Glucose ◽  
The Mean

ABSTRACT In 4 studies on 3 acromegalic patients, who had normal iv glucose tolerance and high insulin response to infused glucose (Al), the oxidation to 14CO2 of [2-14C] pyruvate (injected intravenously in trace amount after overnight fast) was not different from that in 9 studies of 9 nonacromegalic »high insulin responders« (Ni). In 4 studies on 3 other acromegalic patients, who had low glucose tolerance and less insulin response to glucose (A2), the formation of 14CO2 was reduced to ½–⅔ that of Al or N1 and was about proportionate to the reduction in glucose tolerance. In A2 the 14CO2 formation was slightly lower than the mean for 10 studies with 7 non-acromegalic subjects, who were »low insulin responders« with normal or low glucose tolerance (N2). Among non-acromegalics expiration of 14CO2 was significantly lower in N2 than in N1. Among 4 non-acromegalic subjects treated with human growth hormone for 3–4 days one had a marked reduction in pyruvate oxidation, while all had a decrease in glucose tolerance. Analysis of 14C in blood glucose at 60 minutes after injection of [2-14C]pyruvate suggested that slightly more total 14C-glucose was present in A2 than N1 without any differences between A2 and N2 or N1 and N2. Two out of 4 studies in A1 showed lower than normal amounts of 14Cglucose. No change in 14C-glucose occurred after administration of HGH. The findings suggest that impairment of pyruvate oxidation accompanies a lowered glucose tolerance in acromegalics with a diabetic tendency. Changes in gluconeogenesis from pyruvate appear to be minimal.

ASPECTS OF CARBOHYDRATE METABOLISM IN NEWBORN INFANTS OF DIABETIC MOTHERS. I

1972 ◽  
Vol 69 (1) ◽  
pp. 174-188 ◽  
Author(s):  
Lars Mølsted-Pedersen
Keyword(s):  
Birth Weight ◽  
Glucose Tolerance ◽  
Linear Regression Analysis ◽  
Newborn Infants ◽  
Maternal Blood ◽  
Intravenous Glucose ◽  
K Value ◽  
Positive Correlation ◽  
The Mean ◽  
Diabetic Mothers

ABSTRACT Glucose tolerance, in terms of the K value (disappearance rate of glucose) during intravenous glucose tolerance tests, was determined in 50 infants of diabetic and 60 infants of non-diabetic mothers 1–6 hours after birth. Newborn infants of insulin-treated diabetic women had a mean K value of 2.18, infants of non-insulin-treated diabetics 1.20, and infants of non-diabetic mothers 0.99. The mean K value in infants of insulin-treated diabetic mothers was significantly higher than in the other two groups. In infants of non-insulin-treated diabetic mothers the mean K value tends to be higher than in the normal group, but the difference was not significant. In infants of insulin-treated diabetic mothers there was a negative correlation between the K value and fasting plasma level of glucose 3 hours after birth. Linear regression analysis of the birth weight against the K value showed a positive correlation between these quantities in the infants of normal and of non-insulin-treated diabetic mothers. In the infants of insulin-treated diabetic mothers the significant positive correlation between K value and birth weight was less marked. The positive correlation between K value and birth weight might indicate that a growth impulse acts through the foetal glucose-insulin system. This growth impulse, present in all infants, might be caused by the maternal blood sugar level during pregnancy.

FURTHER STUDIES ON HEALTHY SUBJECTS WITH LOW AND HIGH INSULIN RESPONSE TO GLUCOSE INFUSION

1967 ◽  
Vol 55 (2) ◽  
pp. 305-329 ◽  
Author(s):  
Erol Cerasi ◽  
Rolf Luft
Keyword(s):  
Healthy Subjects ◽  
Insulin Response ◽  
Glucose Infusion ◽  
Oral Glucose ◽  
Intravenous Glucose ◽  
The Family ◽  
High Insulin ◽  
History Of ◽  
Insulin Response To Glucose ◽  
Plasma Insulin Response

ABSTRACT In a previous paper it was shown that 15 out of 85 healthy subjects with a normal intravenous glucose tolerance demonstrated a low plasma insulin response to glucose infusion which was similar to that obtained in diabetic subjects. In the present paper it has been shown that the type of insulin response to glucose infusion was the same when the test was repeated. Low insulin responders to glucose infusion, as a group, also showed low insulin response to intravenous tolbutamide and oral glucose. This indicates that the type of insulin response is characteristic for a given subject irrespective of the stimulation used. There seemed to be no difference in the occurrence of diabetes in the family history of the groups of low and high insulin responders.

INSULIN RESPONSE TO GLUCOSE INFUSION IN DIABETIC AND NON-DIABETIC MONOZYGOTIC TWIN PAIRS. GENETIC CONTROL OF INSULIN RESPONSE?

1967 ◽  
Vol 55 (2) ◽  
pp. 330-345 ◽  
Author(s):  
Erol Cerasi ◽  
Rolf Luft
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Pancreatitis ◽  
Healthy Subjects ◽  
Insulin Response ◽  
Monozygotic Twin ◽  
Glucose Infusion ◽  
Striking Similarity ◽  
Insulin Response To Glucose ◽  
Genetically Determined ◽  
Low Insulin Response

ABSTRACT The insulin response during a standardized glucose infusion (GIT) was studied in a group of 13 monozygotic twin pairs previously registered as consisting of one diabetic/one non-diabetic member. At the time of the study three of the non-diabetic subjects had developed overt diabetes and three decreased glucose tolerance only. Of the non-diabetic members all but one (with diabetes due possibly to chronic pancreatitis in the sibling) showed an insulin response similar to that seen in diabetic subjects, and in healthy subjects previously assumed to be potential diabetics. The present study therefore supports our earlier suggestion that a low insulin response characterizes potential diabetes. There was a striking similarity between the insulin curves in the twin pairs, irrespective whether diabetes occurred in one, in both or in none of the members. It is suggested as a working hypothesis that the type of insulin response to glucose infusion is genetically determined, and that a low insulin response is a prerequisite for the development of diabetes mellitus.

Japanese IGT Subjects with High Insulin Response Are Far More Frequently Associated with the Metabolic Syndrome Than Those with Low Insulin Response

Endocrine ◽  
2006 ◽  
Vol 29 (2) ◽  
pp. 351-356 ◽  
Author(s):  
Yutaka Mori ◽  
Kyouko Hoshino ◽  
Kuninobu Yokota ◽  
Yohta Itoh ◽  
Naoko Tajima
Keyword(s):  
Metabolic Syndrome ◽  
Insulin Response ◽  
The Metabolic Syndrome ◽  
High Insulin ◽  
Low Insulin Response

Bench-top comparison of thermometers used in newborn infants

2020 ◽  
pp. fetalneonatal-2020-320123
Author(s):  
Emma A Dunne ◽  
Katie Cunningham ◽  
Colm Patrick Finbarr O'Donnell ◽  
Lisa K McCarthy
Keyword(s):  
Steady State ◽  
Prospective Study ◽  
Newborn Infants ◽  
Mean Difference ◽  
Continuous Mode ◽  
Control Temperature ◽  
Steady State Temperature ◽  
The Mean ◽  
A Prospective Study ◽  
Mean Time

We wished to determine the accuracy of thermometers used to measure temperature in newborn infants. We measured the temperature of a water bath with three types of thermometer set at 0.5°C increments between 32.5°C and 38.5°C and compared the values to a control. We recorded the time to display steady-state temperature. The Microlife thermometer most closely approximated control temperature (mean difference <0.1°C (SD<0.1°C)) and displayed a reading in a mean time of 29 s (SD 2 s). Used in ‘predictive’ (default) mode, the Welch Allyn SureTemp Plus 692 thermometer differed from the control by a mean of 0.6°C (SD 0.3°C), displaying a temperature at 15 s (SD 3 s). This device consistently overestimated temperature. In ‘continuous’ mode, the mean difference was <0.1°C (SD<0.1°C) at 5 min. The Phillips probe differed from the control by a mean of 0.4°C (SD 0.2°C). Thermometers used to measure temperature in newborn infants may underestimate hypothermia. A prospective study in newborn infants is needed.

STUDIES ON THE PATHOGENESIS OF DIABETES IN ACROMEGALY

1967 ◽  
Vol 56 (4) ◽  
pp. 593-607 ◽  
Author(s):  
Rolf Luft ◽  
Erol Cerasi ◽  
Carl Axel Hamberger
Keyword(s):  
Glucose Tolerance ◽  
Insulin Response ◽  
Normal Glucose Tolerance ◽  
Glucose Infusion ◽  
Intravenous Glucose ◽  
Highly Active ◽  
Normal Glucose ◽  
Insulin Response To Glucose ◽  
Active Acromegaly ◽  
Plasma Insulin Response

ABSTRACT Plasma insulin response to glucose infusion was found to be markedly increased in 20 patients with active acromegaly and with normal intravenous glucose tolerance. The insulin response was more pronounced in patients with highly active acromegaly than in those showing moderately active disease. In five patients with active acromegaly and with decreased glucose tolerance the insulin response was delayed and smaller than normal, i. e. similar to that seen in diabetic subjects without acromegaly. After successful treatment of the acromegaly insulin response to glucose infusion was normalized in the patients with normal glucose tolerance. In those with decreased glucose tolerance the diabetic type of insulin response remained unchanged even when the glucose tolerance was normalized. It is suggested that diabetes in connection with acromegaly develops only in prediabetic individuals, i.e. subjects with decreased insulin response to hyperglycaemia, who are unable to overcome the diabetogenic effect of growth hormone by compensatory hyperinsulinism.

scholarly journals Determining insulin sensitivity from glucose tolerance tests in Iberian and landrace pigs

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11014
Author(s):  
José Miguel Rodríguez-López ◽  
Manuel Lachica ◽  
Lucrecia González-Valero ◽  
Ignacio Fernández-Fígares
Keyword(s):  
Insulin Sensitivity ◽  
Glucose Tolerance ◽  
Cell Function ◽  
Early Stage ◽  
Insulin Response ◽  
Area Under The Curve ◽  
Tolerance Test ◽  
Glucose Infusion ◽  
Sensitivity Index ◽  
Post Infusion

As insulin sensitivity may help to explain divergences in growth and body composition between native and modern breeds, metabolic responses to glucose infusion were measured using an intra-arterial glucose tolerance test (IAGTT). Iberian (n = 4) and Landrace (n = 5) barrows (47.0 ± 1.2 kg body weight (BW)), fitted with a permanent carotid artery catheter were injected with glucose (500 mg/kg BW) and blood samples collected at -10, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120 and 180 min following glucose infusion. Plasma samples were analysed for insulin, glucose, lactate, triglycerides, cholesterol, creatinine, albumin and urea. Insulin sensitivity indices were calculated and analysed. Mean plasma glucose, creatinine and cholesterol concentrations were lower (P < 0.01) in Iberian (14, 68 and 22%, respectively) than in Landrace pigs during the IAGTT. However, mean plasma insulin, lactate, triglycerides and urea concentrations were greater (P < 0.001) in Iberian (50, 35, 18 and 23%, respectively) than in Landrace pigs. Iberian pigs had larger area under the curve (AUC) of insulin (P < 0.05) or tended to a greater AUC of lactate (P < 0.10), and a smaller (P < 0.05) AUC for glucose 0-60 min compared with Landrace pigs. Indices for estimating insulin sensitivity in fasting conditions indicated improved β-cell function in Iberian compared with Landrace pigs, but no difference (P > 0.10) in calculated insulin sensitivity index was found after IAGTT between breeds. A time response (P < 0.05) was obtained for insulin, glucose and lactate so that maximum concentration was achieved at 10 and 15 min post-infusion for insulin (Iberian and Landrace pigs, respectively), immediately post-infusion for glucose, and 20 min post-infusion for lactate, decreasing thereafter until basal levels. There was no time effect for the rest of metabolites evaluated. In conclusion, growing Iberian pigs challenged with an IAGTT showed changes in biochemical parameters and insulin response that may indicate an early stage of insulin resistance.

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