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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1994-3-17
pubmed:abstractText
The effects of peripheral autonomic neuropathy on the symptomatic, physiological, and hormonal responses to acute insulin-induced hypoglycaemia were studied in two groups of patients with Type 1 diabetes, matched for age, duration of diabetes, and prevailing glycaemic control. A group of eight patients who gave a history of normal awareness of hypoglycaemia and had normal cardiovascular autonomic function tests were compared to a group of six patients who had symptoms of autonomic dysfunction and gross abnormalities of cardiovascular autonomic function tests. An additional two patients with autonomic neuropathy who also had hypoglycaemia unawareness were studied. Acute hypoglycaemia was induced by intravenous infusion of insulin (2.5 mU kg-1 min-1) and the onset of the acute autonomic reaction (R) was identified objectively by the sudden rise in heart rate and onset of sweating. Cognitive function and hypoglycaemia symptom scores were estimated serially, and plasma counterregulatory hormones were measured. Acute autonomic activation was observed to occur in all subjects in response to hypoglycaemia and commenced at similar venous plasma glucose concentrations in both groups (neuropathic patients: 1.6 +/- 0.2 mmol l-1 vs non-neuropathic patients 1.6 +/- 0.2 mmol l-1, p = 0.9,). In the neuropathic patients plasma adrenaline responses were significantly lower at all time points from time R until time R + 30 min (MANOVA for repeated measures, F = 19.4, p < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0742-3071
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
940-9
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:8306590-Adult, pubmed-meshheading:8306590-Awareness, pubmed-meshheading:8306590-Blood Glucose, pubmed-meshheading:8306590-C-Peptide, pubmed-meshheading:8306590-Cardiovascular System, pubmed-meshheading:8306590-Cognition, pubmed-meshheading:8306590-Diabetes Mellitus, Type 1, pubmed-meshheading:8306590-Diabetic Neuropathies, pubmed-meshheading:8306590-Diarrhea, pubmed-meshheading:8306590-Epinephrine, pubmed-meshheading:8306590-Female, pubmed-meshheading:8306590-Glucagon, pubmed-meshheading:8306590-Heart Rate, pubmed-meshheading:8306590-Hemoglobin A, Glycosylated, pubmed-meshheading:8306590-Humans, pubmed-meshheading:8306590-Hypoglycemia, pubmed-meshheading:8306590-Hypotension, Orthostatic, pubmed-meshheading:8306590-Insulin, pubmed-meshheading:8306590-Male, pubmed-meshheading:8306590-Middle Aged, pubmed-meshheading:8306590-Pancreatic Polypeptide, pubmed-meshheading:8306590-Reaction Time, pubmed-meshheading:8306590-Sweating, pubmed-meshheading:8306590-Valsalva Maneuver
pubmed:year
1993
pubmed:articleTitle
Physiological, symptomatic and hormonal responses to acute hypoglycaemia in type 1 diabetic patients with autonomic neuropathy.
pubmed:affiliation
Department of Diabetes, Royal Infirmary, Edinburgh, Scotland.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't