Accurate Measurement of Postprandial Glucose Turnover: Why Is It Difficult and How Can It Be Done (Relatively) Simply?

Abstract:

:Fasting hyperglycemia occurs when an excessive rate of endogenous glucose production (EGP) is not accompanied by an adequate compensatory increase in the rate of glucose disappearance (Rd). The situation following food ingestion is more complex as the amount of glucose that reaches the circulation for disposal is a function of the systemic rate of appearance of the ingested glucose (referred to as the rate of meal appearance [Rameal]), the pattern and degree of suppression of EGP, and the rapidity of stimulation of the Rd In an effort to measure these processes, Steele et al. proposed what has come to be referred to as the dual-tracer method in which the ingested glucose is labeled with one tracer while a second tracer is infused intravenously at a constant rate. Unfortunately, subsequent studies have shown that although this approach is technically simple, the marked changes in plasma specific activity or the tracer-to-tracee ratio, if stable tracers are used, introduce a substantial error in the calculation of Rameal, EGP, and Rd, thereby leading to incorrect and at times misleading results. This Perspective discusses the causes of these so-called "nonsteady-state" errors and how they can be avoided by the use of the triple-tracer approach.

journal_name

Diabetes

journal_title

Diabetes

authors

Rizza RA,Toffolo G,Cobelli C

doi

10.2337/db15-1166

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

1133-45

issue

5

eissn

0012-1797

issn

1939-327X

pii

65/5/1133

journal_volume

65

pub_type

杂志文章

相关文献

DIABETES文献大全
  • Altered hepatic and muscle substrate utilization provoked by GLUT4 ablation.

    abstract::Studies were conducted to explore altered substrate utilization and metabolism in GLUT4 null mice. Liver fatty acid synthase mRNA and fatty acid synthesis rates were dramatically increased in GLUT4 null mice compared with control mice and were supported by increased rates of the pentose phosphate pathway oxidative pha...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.54.4.935

    authors: Ranalletta M,Jiang H,Li J,Tsao TS,Stenbit AE,Yokoyama M,Katz EB,Charron MJ

    更新日期:2005-04-01 00:00:00

  • Dissociation of intestinal and hepatic activities of FXR and LXRα supports metabolic effects of terminal ileum interposition in rodents.

    abstract::The farnesoid X receptor (FXR) and the liver x receptors (LXRs) are bile acid-activated receptors that are highly expressed in the enterohepatic tissues. The mechanisms that support the beneficial effects of bariatric surgery are only partially defined. We have investigated the effects of ileal interposition (IT), a s...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db13-0299

    authors: Mencarelli A,Renga B,D'Amore C,Santorelli C,Graziosi L,Bruno A,Monti MC,Distrutti E,Cipriani S,Donini A,Fiorucci S

    更新日期:2013-10-01 00:00:00

  • Beta-cell maturation leads to in vitro sensitivity to cytotoxins.

    abstract::Pancreatic beta-cells are more sensitive to several toxins (e.g., streptozotocin, alloxan, cytokines) than the other three endocrine cell types in the islets of Langerhans. Cytokine-induced free radicals in beta-cells may be involved in beta-cell-specific destruction in type 1 diabetes. To investigate if this sensitiv...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.48.12.2324

    authors: Nielsen K,Karlsen AE,Deckert M,Madsen OD,Serup P,Mandrup-Poulsen T,Nerup J

    更新日期:1999-12-01 00:00:00

  • The angiotensin-converting enzyme DD genotype is associated with glomerulopathy lesions in type 2 diabetes.

    abstract::Genetic factors are important in conferring diabetic nephropathy (DN) risk. The insertion/deletion (I/D) polymorphism of the ACE gene has been described to be associated with DN risk and progression. The renal lesions underlying DN in type 2 diabetes are heterogeneous; only a subset of patients, characterized by a fas...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.51.1.251

    authors: Solini A,Dalla Vestra M,Saller A,Nosadini R,Crepaldi G,Fioretto P

    更新日期:2002-01-01 00:00:00

  • Caloric restriction chronically impairs metabolic programming in mice.

    abstract::Although obesity rates are rapidly rising, caloric restriction remains one of the few safe therapies. Here we tested the hypothesis that obesity-associated disorders are caused by increased adipose tissue as opposed to excess dietary lipids. Fat mass (FM) of lean C57B6 mice fed a high-fat diet (HFD; FMC mice) was "cla...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db11-1621

    authors: Kirchner H,Hofmann SM,Fischer-Rosinský A,Hembree J,Abplanalp W,Ottaway N,Donelan E,Krishna R,Woods SC,Müller TD,Spranger J,Perez-Tilve D,Pfluger PT,Tschöp MH,Habegger KM

    更新日期:2012-11-01 00:00:00

  • Regulation of pdx-1 gene expression.

    abstract::The homeodomain-containing transcription factor pancreatic duodenal homeobox 1 (PDX-1) plays a key role in pancreas development and in beta-cell function. Upstream sequences of the gene up to about -6 kb show islet-specific activity in transgenic mice. Attempts to identify functional regulatory elements involved in th...

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/diabetes.51.2007.s320

    authors: Melloul D,Marshak S,Cerasi E

    更新日期:2002-12-01 00:00:00

  • Intra-abdominal fat is a major determinant of the National Cholesterol Education Program Adult Treatment Panel III criteria for the metabolic syndrome.

    abstract::The underlying pathophysiology of the metabolic syndrome is the subject of debate, with both insulin resistance and obesity considered as important factors. We evaluated the differential effects of insulin resistance and central body fat distribution in determining the metabolic syndrome as defined by the National Cho...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.8.2087

    authors: Carr DB,Utzschneider KM,Hull RL,Kodama K,Retzlaff BM,Brunzell JD,Shofer JB,Fish BE,Knopp RH,Kahn SE

    更新日期:2004-08-01 00:00:00

  • Responses to arginine of the perfused pancreas of the genetically diabetic Chinese hamster.

    abstract::Nonketotic, genetically diabetic Cinese hamsters show subnormal pancreatic insulin release and impaired suppression of glucagon in response to glucose. To study the pancreatic effects of other agents, dynamic insulin and glucagon release was measured from the in vitro perfused pancreases of normal and diabetic Chinese...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.24.3.273

    authors: Frankel BJ,Gerich JE,Fanska RE,Gerritsen GC,Grodsky GM

    更新日期:1975-03-01 00:00:00

  • Influence of arginine on splanchnic glucose metabolism in man.

    abstract::To examine the mechanism of the arginine-induced rise in blood glucose concentration, splanchnic glucose output (SGO) and precursor uptake were studied during i.v. infusion of arginine (30 g/30 min) with and without somatostatin infusion (500 microgram/h, 90 min) in postabsorptive and in 60-h fasted healthy subjects. ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.28.2.126

    authors: Bratusch-Marrain P,Björkman O,Hagenfeldt L,Waldhäusl W,Wahren J

    更新日期:1979-02-01 00:00:00

  • Highly Angiogenic, Nonthrombogenic Bone Marrow Mononuclear Cell-Derived Spheroids in Intraportal Islet Transplantation.

    abstract::Highly angiogenic bone marrow mononuclear cell-derived spheroids (BM-spheroids), formed by selective proliferation of the CD31+CD14+CD34+ monocyte subset via three-dimensional (3D) culture, have had robust angiogenetic capacity in rodent syngeneic renal subcapsular islet transplantation. We wondered whether the effica...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db17-0705

    authors: Oh BJ,Jin SM,Hwang Y,Choi JM,Lee HS,Kim G,Kim G,Park HJ,Kim P,Kim SJ,Kim JH

    更新日期:2018-03-01 00:00:00

  • Dual effects of veratridine on glucagon and insulin secretion: dependence upon extracellular and intracellular calcium.

    abstract::The stimulatory effect of the sodium ionophore, veratridine (10, 25 and 50 microM), on glucagon and insulin secretion was investigated using monolayer cultures of newborn rat pancreas. The results suggest that intracellular accumulation of sodium modulates hormone secretion from both alpha- and beta-cells. The action ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.30.5.446

    authors: Kawazu S,Ikeuchi M,Kikuchi M,Kanazawa Y,Fujimoto WY,Kosaka K

    更新日期:1981-05-01 00:00:00

  • Potential role of bradykinin in forearm muscle metabolism in humans.

    abstract::Using the euglycemic-hyperinsulinemic glucose clamp and the human forearm technique, we have demonstrated that the improved glucose disposal rate observed after the administration of an angiotensin-converting enzyme (ACE) inhibitor such as captopril may be primarily due to increased muscle glucose uptake (MGU). These ...

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/diab.45.1.s110

    authors: Dietze GJ,Wicklmayr M,Rett K,Jacob S,Henriksen EJ

    更新日期:1996-01-01 00:00:00

  • Is there a role for locally produced interleukin-1 in the deleterious effects of high glucose or the type 2 diabetes milieu to human pancreatic islets?

    abstract::Different degrees of beta-cell failure and apoptosis are present in type 1 and type 2 diabetes. It has been recently suggested that high glucose-induced beta-cell apoptosis in type 2 diabetes shares a final common pathway with type 1 diabetes, involving interleukin-1beta (IL-1beta) production by beta-cells, nuclear fa...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.54.11.3238

    authors: Welsh N,Cnop M,Kharroubi I,Bugliani M,Lupi R,Marchetti P,Eizirik DL

    更新日期:2005-11-01 00:00:00

  • A genome-wide scan for type 2 diabetes in African-American families reveals evidence for a locus on chromosome 6q.

    abstract::African Americans are at increased risk of type 2 diabetes and many diabetes complications. We have carried out a genome-wide scan for African American type 2 diabetes using 638 affected sibling pairs (ASPs) from 247 families ascertained through impaired renal function to identify type 2 diabetes loci in this high-ris...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.3.830

    authors: Sale MM,Freedman BI,Langefeld CD,Williams AH,Hicks PJ,Colicigno CJ,Beck SR,Brown WM,Rich SS,Bowden DW

    更新日期:2004-03-01 00:00:00

  • Fine-mapping gene-by-diet interactions on chromosome 13 in a LG/J x SM/J murine model of obesity.

    abstract::Obesity is one of the most serious threats to human health today. Although there is general agreement that environmental factors such as diet have largely caused the current obesity pandemic, the environmental changes have not affected all individuals equally. To model gene-by-environment interactions in a mouse model...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.54.6.1863

    authors: Ehrich TH,Hrbek T,Kenney-Hunt JP,Pletscher LS,Wang B,Semenkovich CF,Cheverud JM

    更新日期:2005-06-01 00:00:00

  • Antibodies against gastrointestinal carcinoid tumors in IDDM.

    abstract::In this study, 92% of patients' serums known to contain antibodies against islet cells, including the Juvenile Diabetes Foundation provisional reference serum, had antibodies reacting with gastrointestinal carcinoid tumors. Twelve percent of the control serums from healthy individuals bound to carcinoid cells, and 2% ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.38.5.667

    authors: Miettinen A,Holthöfer H,Kontiainen S,Miettinen M,Andersson LC

    更新日期:1989-05-01 00:00:00

  • PDX-1 protein containing its own antennapedia-like protein transduction domain can transduce pancreatic duct and islet cells.

    abstract::The pancreatic and duodenal homeobox factor-1 (PDX-1), also known as IDX-1/STF-1/IPF1, a homeodomain-containing transcription factor, plays a central role in regulating pancreatic development and insulin gene transcription. Furthermore, even in adults, PDX-1 is associated with islet neogenesis and differentiation of i...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.52.7.1732

    authors: Noguchi H,Kaneto H,Weir GC,Bonner-Weir S

    更新日期:2003-07-01 00:00:00

  • Biohybrid artificial pancreas. Long-term insulin secretion by devices seeded with canine islets.

    abstract::Long-term insulin secretion was investigated in seven biohybrid capillary devices seeded with canine islets. Approximately 50,000 islets could be isolated from a single canine pancreas using collagenase digestion in conjunction with the recently described Velcro technique. Devices were perfused with tissue culture med...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.34.9.850

    authors: Araki Y,Solomon BA,Basile RM,Chick WL

    更新日期:1985-09-01 00:00:00

  • Overexpression of monocarboxylate transporter-1 (SLC16A1) in mouse pancreatic β-cells leads to relative hyperinsulinism during exercise.

    abstract::Exercise-induced hyperinsulinism (EIHI) is an autosomal dominant disorder characterized by inappropriate insulin secretion in response to vigorous physical exercise or pyruvate injection. Activating mutations in the monocarboxylate transporter-1 (MCT1, SLC16A1) promoter have been linked to EIHI. Expression of this pyr...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db11-1531

    authors: Pullen TJ,Sylow L,Sun G,Halestrap AP,Richter EA,Rutter GA

    更新日期:2012-07-01 00:00:00

  • Heterogeneous Nuclear Ribonucleoprotein F Stimulates Sirtuin-1 Gene Expression and Attenuates Nephropathy Progression in Diabetic Mice.

    abstract::We investigated the mechanism of heterogeneous nuclear ribonucleoprotein F (hnRNP F) renoprotective action in a type 2 diabetes (T2D) mouse model (db/db). Immortalized rat renal proximal tubular cells (IRPTCs) and kidneys from humans with T2D were also studied. The db/db mice developed hyperglycemia, oxidative stress,...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db16-1588

    authors: Lo CS,Shi Y,Chenier I,Ghosh A,Wu CH,Cailhier JF,Ethier J,Lattouf JB,Filep JG,Ingelfinger JR,Zhang SL,Chan JSD

    更新日期:2017-07-01 00:00:00

  • Excitatory GABAergic Action and Increased Vasopressin Synthesis in Hypothalamic Magnocellular Neurosecretory Cells Underlie the High Plasma Level of Vasopressin in Diabetic Rats.

    abstract::Diabetes mellitus (DM) is associated with increased plasma levels of arginine-vasopressin (AVP), which may aggravate hyperglycemia and nephropathy. However, the mechanisms by which DM may cause the increased AVP levels are not known. Electrophysiological recordings in supraoptic nucleus (SON) slices from streptozotoci...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db17-1042

    authors: Kim YB,Kim WB,Jung WW,Jin X,Kim YS,Kim B,Han HC,Block GD,Colwell CS,Kim YI

    更新日期:2018-03-01 00:00:00

  • High-fat meals reduce 24-h circulating leptin concentrations in women.

    abstract::Leptin induces weight loss in rodents via its effects on food intake and energy expenditure. High-fat diets induce weight gain, but the mechanism is not well understood. Previous studies have not found an effect of dietary fat content on fasting leptin. There is a nocturnal increase of leptin, however, which is relate...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.48.2.334

    authors: Havel PJ,Townsend R,Chaump L,Teff K

    更新日期:1999-02-01 00:00:00

  • Increased QTc dispersion is related to blunted circadian blood pressure variation in normoalbuminuric type 1 diabetic patients.

    abstract::A reduced nocturnal fall in blood pressure (BP) and increased QT dispersion both predict an increased risk of cardiovascular events in diabetic as well as nondiabetic subjects. The relationship between these two parameters remains unclear. The role of diabetic autonomic neuropathy in both QT dispersion and circadian B...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.50.4.837

    authors: Poulsen PL,Ebbehøj E,Arildsen H,Knudsen ST,Hansen KW,Mølgaard H,Mogensen CE

    更新日期:2001-04-01 00:00:00

  • Hyperlipoproteinemia in streptozotocin-treated rats.

    abstract::In order to study hyperlipidemia in diabetes mellitus, rats were made diabetic by administration of streptozotocin and the optimal conditions for production of severe and persistent hyperlipoprotenemia determined. Two groups of rats were compared: rats fed sucrose-rich diets and rats fed laboratory chow. The optimal d...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.25.6.509

    authors: Bar-On H,Roheim PS,Eder HA

    更新日期:1976-06-01 00:00:00

  • Distinguishing the type I and type II isozymes of hexokinase: the need for a reexamination of past practice.

    abstract::The type I and type II isozymes of hexokinase coexist in insulin-sensitive tissues, such as cardiac and skeletal muscle and adipose tissue. Based on an early report that the purified type I isozyme was stable at 45 degrees C whereas the purified type II isozyme was not, investigators in a number of studies have used h...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.47.10.1544

    authors: Wilson JE

    更新日期:1998-10-01 00:00:00

  • Tetracycline treatment retards the onset and slows the progression of diabetes in human amylin/islet amyloid polypeptide transgenic mice.

    abstract:OBJECTIVE:Aggregation of human amylin/islet amyloid polypeptide (hA/hIAPP) into small soluble beta-sheet-containing oligomers is linked to islet beta-cell degeneration and the pathogenesis of type 2 diabetes. Here, we used tetracycline, which modifies hA/hIAPP oligomerization, to probe mechanisms whereby hA/hIAPP cause...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db09-0548

    authors: Aitken JF,Loomes KM,Scott DW,Reddy S,Phillips AR,Prijic G,Fernando C,Zhang S,Broadhurst R,L'Huillier P,Cooper GJ

    更新日期:2010-01-01 00:00:00

  • Defective free-fatty acid and oxidative glucose metabolism in IDDM during hypoglycemia. Influence of glycemic control.

    abstract::To examine the impact of diabetes and its treatment on plasma free-fatty acid (FFA) and oxidative fuel metabolism during hypoglycemia, we combined indirect calorimetry with [3-3H]glucose during a 4-h low-dose insulin infusion (plasma insulin approximately 2-fold above basal) in six poorly controlled and nine well-cont...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章

    doi:10.2337/diab.39.2.134

    authors: Caprio S,Amiel S,Tamborlane WV,Gelfand RA,Sherwin RS

    更新日期:1990-02-01 00:00:00

  • Forkhead transcription factor FoxO1 in adipose tissue regulates energy storage and expenditure.

    abstract:OBJECTIVE:Adipose tissue serves as an integrator of various physiological pathways, energy balance, and glucose homeostasis. Forkhead box-containing protein O subfamily (FoxO) 1 mediates insulin action at the transcriptional level. However, physiological roles of FoxO1 in adipose tissue remain unclear. RESEARCH DESIGN...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db07-0698

    authors: Nakae J,Cao Y,Oki M,Orba Y,Sawa H,Kiyonari H,Iskandar K,Suga K,Lombes M,Hayashi Y

    更新日期:2008-03-01 00:00:00

  • Reduced expression of Th1-associated chemokine receptors on peripheral blood lymphocytes at diagnosis of type 1 diabetes.

    abstract::We investigated the expression of Th1- and Th2-associated chemokine receptors on peripheral blood lymphocytes at diagnosis and in the first phase of type 1 diabetes. Peripheral blood mononuclear cells (PBMCs) of 25 patients with newly diagnosed type 1 diabetes, 10 patients with longstanding type 1 diabetes, and 35 hea...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.51.8.2474

    authors: Lohmann T,Laue S,Nietzschmann U,Kapellen TM,Lehmann I,Schroeder S,Paschke R,Kiess W

    更新日期:2002-08-01 00:00:00

  • Inhibition of N-acetylheparosan deacetylase in diabetic rats.

    abstract::The effects on N-acetylheparosan deacetylase (N-deacetylase) activity exerted by poorly and well-regulated diabetes and variation of genetic background were investigated in insulin-treated streptozocin-induced diabetic rats of two different strains (H and U). N-deacetylase plays a key role in heparan sulfate biosynthe...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.40.11.1449

    authors: Kofoed-Enevoldsen A,Eriksson UJ

    更新日期:1991-11-01 00:00:00