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Journal of Clinical Endocrinology & Metabolism, Vol 54, 459-462, Copyright © 1982 by Endocrine Society


ARTICLES

Stimulatory effects of tolbutamide infusion on plasma glucagon in insulin-dependent diabetic subjects

NV Bohannon, M Lorenzi, GM Grodsky and JH Karam

The effect of iv tolbutamide on endogenous glucagon levels was measured in nine insulin-dependent diabetic patients chosen because they evidenced no C-peptide response to beta-cell secretagogues. Basal glucagon levels were not suppressed by a sustained tolbutamide infusion; in fact, a slight stimulatory effect was observed at 5, 10, 30, and 45 min. In the absence of detectable insulin secretory capacity and suboptimal insulin replacement, tolbutamide appears to be a stimulus, not a suppressant, of glucagon secretion.


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