1974
DOI: 10.2337/diab.23.5.424
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A Study of Glucose Tolerance and Insulin Response in Partially Depancreatized Dogs

Abstract: The effects of a standard glucose tolerance test (GTT) and of pretreatment with aminophylline (AM) were examined in dogs with a reduced reserve of islet function prepared by partial removal of the pancreas and in normal intact dogs. Serum glucose, free fatty acid and insulin levels were measured. No significant differences were found before and after partial pancreatectomy when less than 50 per cent of the pancreas was removed or after sham operation. When AM was infused prior to the GTT, serum insulin levels … Show more

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Cited by 42 publications
(20 citation statements)
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“…This probably reflects the islet cell mass which has successfully implanted. This apparent failure of insulin secretion appears similar to the "exhaustion" seen clinically after subtotal pancreatectomy [7], and experimentally in partially pancreatectomized animals [8], although the exact cause remains unknown. One possible cause may be that a reduced mass of B cells may be able to maintain fasting normoglycaemia, but at other times, when hyperglycaemia ensues, the chronic secretory overstimulation resulting from persistent hyperglycaemia results in eventual exhaustion.…”
Section: Discussionmentioning
confidence: 82%
“…This probably reflects the islet cell mass which has successfully implanted. This apparent failure of insulin secretion appears similar to the "exhaustion" seen clinically after subtotal pancreatectomy [7], and experimentally in partially pancreatectomized animals [8], although the exact cause remains unknown. One possible cause may be that a reduced mass of B cells may be able to maintain fasting normoglycaemia, but at other times, when hyperglycaemia ensues, the chronic secretory overstimulation resulting from persistent hyperglycaemia results in eventual exhaustion.…”
Section: Discussionmentioning
confidence: 82%
“…* p < 0.001 between group 2 and isolated islets and group 1. ** p < 0.001 between isolated islets and groups 3 and 4 beta-cell mass than restoring it [24], and under several clinical and experimental conditions normoglycaemia has been maintained with just 10-30 % of the normal islet tissue [25][26][27]. In insulin-treated mice, transplanted islets had to maintain, but not restore, normoglycaemia.…”
Section: Discussionmentioning
confidence: 97%
“…These results correspond with previous findings on the transplantation therapy of the pancreas in humans and the experimental pancreatectomy in animals; the donors of 50 to 80% extirpated pancreas can keep the normal PG concentration and insulin secretion. [19][20][21] However, it has also been reported that the pancreatectomized patients result in a deterioration of insulin secretion and glucose tolerance because of suffering from stress against eating habits such as high glucose or high fat intake. 21) In ITT, the PG concentration of STZ alone group was sustained at the value of over 150 mg/dl and it was significantly higher than that in normal control group at 120 min after injection of insulin (153.7Ϯ37.9 mg/dl, pϽ0.001).…”
Section: Discussionmentioning
confidence: 99%