Duodenopancreatectomy induces a severe glucagon deficiency and elevated plasma concentrations of alanine, aspartate, glycine, proline, serine, arginine, citrulline, ornithine, phenylalanine and tyrosine. Restoring high physiological plasma glucagon in six such patients by infusing 0.3 mg/24 h of exogenous glucagon reduced significantly (P less than 0.
View Article and Find Full Text PDFA 66 year old patient with diabetes had a necrolytic migratory erythema, weight loss and anaemia. Plasma immunoreactive glucagon (IRG) of 2465 pmoles/l (normal 35 +/- 5 SEM pmoles/l) suggested the existence of a glucagonoma which was confirmed by arteriography and subsequently removed by surgery. Although plasma IRG returned to normal, glucose tolerance and insulin secretion remained pathological.
View Article and Find Full Text PDFThis report describes an investigation of the effect of an alteration in the amount of protein, carbohydrate and fat in hypocaloric diets on the concentration ratios of valine/(isoleucine + leucine) in the morning fasting blood in healthy men: in some cases the effect of a higher caloric diet was also analysed. During the nutrition periods, each over 10 days, the concentrations of branched chain amino acids and alanine, blood levels of insulin, glucose and free fatty acids and the nitrogen balance were estimated daily. With hypocaloric diets, as well as with hypercaloric diets, supplementation of food protein from 0.
View Article and Find Full Text PDFBlood amino acid concentrations were determined in the postabsorptive state in nine patients with insulin excess (functioning insulinomas), nine juvenile-type diabetics with insulin deficiency (diabetic ketosis due to insulin withdrawal), six juvenile diabetics in moderate metabolic control, and five healthy control subjects. Blood branched-chain amino acid (BCAA) levels were elevated in diabetic ketosis and decreased in patients with insulinomas. Blood concentrations of BCAA were significantly correlated to blood glucose levels, and in diabetics they were also correlated to blood ketone bodies, serum free fatty acids, and glycerol levels.
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