You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 123 No. 3, March 1969 TABLE OF CONTENTS
  Archives
  •  Online Features
  ARTICLES
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (196)
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Sympathetic Regulation of Insulin Secretion

Its Relation to Diabetes Mellitus

Daniel Porte, Jr., MD

Arch Intern Med. 1969;123(3):252-260.


Abstract

This review summarizes evidence showing inhibition of insulin release by epinephrine and norepinephrine. The receptor theory for catecholamine action is discussed and the inhibition shown to be mediated by {alpha}-adrenergic receptor stimulation; β-adrenergic receptors are also described which stimulate insulin release, indicating a unique dual receptor system in the pancreatic islet. The possible physiologic importance of these findings is suggested in a discussion of the carbohydrate intolerance found in patients with pheochromocytoma and during severe hypothermia in children. A possible relation of the inhibition of insulin release and the increased fatty acid mobilization caused by catecholamines to exacerbations of the diabetic syndrome is examined. It is postulated that the catecholamine release which is stimulated by volume depletion, infection, or stress may be an important "reversible" factor in some patients with diabetic ketoacidosis.



Author Affiliations

Seattle


Footnotes

Received for publication Oct 18, 1968; accepted Dec 10.

From the Department of Medicine, University of Washington School of Medicine, and Veterans Administration Hospital, Seattle. Dr. Porte is a recipient of a Public Health Service research career dedevelopment award from the National Institutes of Health.

Reprint requests to Veterans Administration Hospital, 4435 Beacon Ave S, Seattle 98108.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Role of Neuronal Glucosensing in the Regulation of Energy Homeostasis
Levin et al.
Diabetes 2006;55:S122-S130.
ABSTRACT | FULL TEXT  

The patient with a severe degree of metabolic acidosis: a deductive analysis.
Maccari et al.
QJM 2006;99:475-485.
ABSTRACT | FULL TEXT  

Acute and fatal hyponatraemia after resection of a craniopharyngioma: a preventable tragedy
Bohn et al.
QJM 2005;98:691-703.
ABSTRACT | FULL TEXT  

An approach to the patient with severe hypokalaemia: the potassium quiz
Groeneveld et al.
QJM 2005;98:305-316.
ABSTRACT | FULL TEXT  

Acidosis in a patient with cholera: a need to redefine concepts
Zalunardo et al.
QJM 2004;97:681-696.
ABSTRACT | FULL TEXT  

Osmotic demyelination syndrome: a potentially avoidable disaster
Lin et al.
QJM 2003;96:935-947.
ABSTRACT | FULL TEXT  

Hyponatraemia and hyperglycaemia during laproscopic surgery
Davids et al.
QJM 2002;95:321-330.
ABSTRACT | FULL TEXT  

Diabetic Ketoacidosis: New Concepts and Trends in Pathogenesis and Treatment
KREISBERG
ANN INTERN MED 1978;88:681-695.
ABSTRACT  

Hypoinsulinemia of Hypothyroidism
Shah and Cerchio
Arch Intern Med 1973;132:657-661.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1969 American Medical Association. All Rights Reserved.