Journal ArticleDOI
Dynamics of Insulin Secretion by the Perfused Rat Pancreas
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The dynamics of insulin release in response to relatively long infusions of glucose were studied in the isolated perfused rat pancreas and Histological examination of the perfused pancreases and measurement of oxygen consumption by these tissues indicated that optimal physiological conditions were used.Abstract:
The dynamics of insulin release in response to relatively long infusions of glucose were studied in the isolated perfused rat pancreas. Insulin secretion was determined by immunochemical assay of the total portal vein effluent. Histological examination of the perfused pancreases and measurement of oxygen consumption by these tissues indicated that optimal physiological conditions were used. It was observed that, when glucose was infused for a period of approximately 1 hr into a perfused pancreas, there appeared 2 distinctly different phases of insulin release. There was an early, or rapid, release of insulin which subsided within approximately 2 min, followed by a late, or slow release phase which continually increased in rate until termination of the glucose infusion. The contribution of newly synthesized insulin to either phase was determined by comparing the insulin release by normal control preparations to that by preparations which were treated with puromycin. Incorporation of L-valine-14C was used a...read more
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Journal ArticleDOI
Glucose clamp technique: a method for quantifying insulin secretion and resistance.
TL;DR: Methods for the quantification of beta-cell sensitivity to glucose (hyperglycemic clamp technique) and of tissue sensitivity to insulin (euglycemic insulin clamp technique] are described.
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Pathogenesis of NIDDM: A balanced overview
TL;DR: Information concerning the loss of first-phase insulin secretion, altered pulsatility of insulin release, and enhanced proinsulin-insulin secretory ratio is discussed as it pertains to altered β-cell function in NIDDM.
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Quantitative estimation of insulin sensitivity.
TL;DR: From a single glucose injection it is possible to obtain a quantitative index of insulin sensitivity that may have clinical applicability, and this index was defined as the ratio of two parameters of the chosen model and could be estimated with good reproducibility from the 300 mg/kg injection experiments.
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Pathogenesis of type 2 diabetes mellitus
TL;DR: A review of the mechanisms involved in the maintenance of normal glucose homeostasis in the basal or postabsorptive state (10−12 h overnight fast) and following ingestion of a typical mixed meal can be found in this article.
Journal ArticleDOI
Five Stages of Evolving Beta-Cell Dysfunction During Progression to Diabetes
Gordon C. Weir,Susan Bonner-Weir +1 more
TL;DR: Five stages in the progression of diabetes are proposed, each of which is characterized by different changes in beta-cell mass, phenotype, and function, which provides insight into the pathophysiology of both progression and remission of diabetes.