Neuroendocrine responses to hypoglycemia.

Abstract:

:The counterregulatory response to hypoglycemia is a complex and well-coordinated process. As blood glucose concentration declines, peripheral and central glucose sensors relay this information to central integrative centers to coordinate neuroendocrine, autonomic, and behavioral responses and avert the progression of hypoglycemia. Diabetes, both type 1 and type 2, can perturb these counterregulatory responses. Moreover, defective counterregulation in the setting of diabetes can progress to hypoglycemia unawareness. While the mechanisms that underlie the development of hypoglycemia unawareness are not completely known, possible causes include altered sensing of hypoglycemia by the brain and/or impaired coordination of responses to hypoglycemia. Further study is needed to better understand the intricacies of the counterregulatory response and the mechanisms contributing to the development of hypoglycemia unawareness.

journal_name

Ann N Y Acad Sci

authors

Tesfaye N,Seaquist ER

doi

10.1111/j.1749-6632.2010.05820.x

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

12-28

eissn

0077-8923

issn

1749-6632

journal_volume

1212

pub_type

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