Diabetes, Vol 25, Issue 3 227-229, Copyright © 1976 by American Diabetes Association
Effect of insulin on the exaggerated glucagon response to arginine stimulation in diabetes mellitus
P Raskin, I Aydin and RH Unger
The effect of insulin on the glucagon response to intravenous arginine was
studied in eight juvenile-type and six adult-onset diabetics. In the
juvenile-type diabetics, concomitant administration of insulin
significantly blunted the glucagon response from a mean maximal rise of 310
+/- 54 pg./ml. to only 184 +/- 39 pg./ml. (p less than 0.01), about the
same as in nondiabetics. In the adult-onset patients, however, insulin had
no effect, the mean maximal rise being 250 +/- 50 pg./ml. without insulin
and 307 +/- 71 pg./ml. with insulin (N.S.). This study demonstrates that in
juvenile-type diabetics concomitant administration of supraphysiologic
quantities of insulin can reduce the exaggerated glucagon response to
intravenous arginine to normal, whereas in the adult-type group, it has no
apparent effect.