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March 1, 2000AJP Endocrinology and Metabolism

Hepatic α- and β-adrenergic receptors are not essential for the increase in Raduring exercise in diabetes

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Why the study?

Does direct hepatic adrenergic blockade reduce endogenous glucose production during exercise in poorly controlled alloxan-diabetic dogs?

Population

12 chronically catheterized and instrumented alloxan-diabetic dogs

Comparison

Alpha and beta adrenergic blockers infused in… vs Vehicle infusion in the portal vein

Design

Preclinical

Follow-up

150 minutes of exercise

Authors

RCRobert H. CokerMontana Technological UniversityDLD. Borden LacyVanderbilt UniversityPWPhillip E. WilliamsVanderbilt University

Discussion

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Implication

Direct hepatic adrenergic blockade does not blunt exercise-induced glucose production in diabetic dogs; leaves open its role in human diabetes.

Structured PICO

Does direct hepatic adrenergic blockade reduce endogenous glucose production during exercise in poorly controlled alloxan-diabetic dogs?

P
Population
12 chronically catheterized and instrumented alloxan-diabetic dogs
I
Intervention
Alpha (phentolamine) and beta (propranolol) adrenergic blockers infused in the portal vein
C
Comparator
Vehicle infusion in the portal vein
O
Outcome
Endogenous glucose production (R(a)) during 150-min moderate exercisesurrogate

Direct hepatic adrenergic stimulation does not play a role in the stimulation of endogenous glucose production during exercise in poorly controlled diabetes.

Cite This Study

Coker et al. (2000) studied this question.

synapsesocial.com/papers/6a83703c9492d09e1bb3fec6https://doi.org/10.1152/ajpendo.2000.278.3.e444
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Splanchnic glucagon kinetics in exercising alloxan-diabetic dogs1999 · 12 citations
  2. 2Handbook of Physiology.1960 · 10,377 citations
  3. 3Regulation of gluconeogenesis during rest and exercise in the depancreatized dog1993 · 10 citations
  4. 4Adrenergic Modulation of Pancreatic A, B, and D Cells1979 · 176 citations