Liljenquist J E, Rabin D
J Clin Endocrinol Metab. 1979 Dec;49(6):937-9. doi: 10.1210/jcem-49-6-937.
The present study was undertaken to determine the role of glucagon in determining the disposition of an oral glucose load in normal man. To accomplish this, the plasma glucose response to an oral glucose load was determined in four normal men who were studied on two occasions. During one study, glucagon (3 ng/kg.min) was administered to prevent the fall in plasma glucagon noted after oral glucose ingestion. Despite elevation of plasma glucagon levels to 350 pg/ml in this protocol, the plasma insulin and glucose levels achieved were virtually identical to those obtained after oral glucose alone. These results indicate that neither physiological elevations of plasma glucagon nor the suppression of plasma glucagon seen during oral glucose administration alter glucose tolerance in normal man. Thus, in a normal man capable of secreting appropriate amounts of insulin in response to the ingestion of glucose, glucagon plays no appreciable role in the disposition of this glucose load.
本研究旨在确定胰高血糖素在正常男性口服葡萄糖负荷处置过程中的作用。为实现这一目的,对四名正常男性进行了两次研究,测定他们口服葡萄糖负荷后的血浆葡萄糖反应。在一项研究中,给予胰高血糖素(3纳克/千克·分钟)以防止口服葡萄糖后血浆胰高血糖素水平下降。尽管在此方案中血浆胰高血糖素水平升高至350皮克/毫升,但所达到的血浆胰岛素和葡萄糖水平与仅口服葡萄糖后获得的水平几乎相同。这些结果表明,无论是血浆胰高血糖素的生理性升高,还是口服葡萄糖期间血浆胰高血糖素的抑制,均不会改变正常男性的葡萄糖耐量。因此,在能够对摄入的葡萄糖分泌适量胰岛素的正常男性中,胰高血糖素在该葡萄糖负荷的处置过程中不起明显作用。