A study of carbohydrate metabolism in postnecrotic cirrhosis liver.

Abstract:

:Intravenous glucose tolerance, insulin tolerance, tolbutamide, and glucagon tests were carried out in 21 patients with postnecrotic cirrhosis. Based arbitrarily on the bromsulphthalein retention they were divided into group A, nine patients with less impaired liver function, and group B, 12 patients with greater impairment of liver function. Intravenous glucose and insulin tolerances were reduced in both groups. The hypoglycaemic effect of tolbutamide was similar in the controls and in both groups of cirrhotic patients but this was achieved at higher plasma insulin levels in group B indicating resistance of the liver to the effect of endogenous insulin. The blood glucose response to glucagon was markedly impaired in group B patients which is consistent with this hypothesis. In contrast to the insulin response to glucose and tolbutamide, the insulin response to glucagon was reduced in the cirrhotic patients. Fasting human growth hormone and free fatty acid levels were elevated in both groups but they were not considered to be important factors in the production of insulin resistance.

journal_name

Gut

journal_title

Gut

authors

Yeung RT,Wang CC

doi

10.1136/gut.15.11.907

subject

Has Abstract

pub_date

1974-11-01 00:00:00

pages

907-12

issue

11

eissn

0017-5749

issn

1468-3288

journal_volume

15

pub_type

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