Hypoglycemia, brain energetics, and hypoglycemic neuronal death.

Abstract:

:Hypoglycemia is a common and serious problem among diabetic patients receiving treatment with insulin or other glucose-lowering drugs. Moderate hypoglycemia impairs neurological function, and severe hypoglycemia leads to death of selectively vulnerable neurons. Recent advances have shed new light on the underlying processes that cause neuronal death in hypoglycemia and the factors that may render specific neuronal populations especially vulnerable to hypoglycemia. In addition to its clinical importance, the pathophysiology of hypoglycemia is an indicator of the unique bioenergetic properties of the central nervous system, in particular the metabolic coupling of neuronal and astrocyte metabolism. This review will focus on relationships between bioenergetics and brain dysfunction in hypoglycemia, the neuronal cell death program triggered by hypoglycemia, and the role of astrocytes in these processes.

journal_name

Glia

journal_title

Glia

authors

Suh SW,Hamby AM,Swanson RA

doi

10.1002/glia.20440

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1280-6

issue

12

eissn

0894-1491

issn

1098-1136

journal_volume

55

pub_type

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