Diabetes, Vol 26, Issue 6 596-599, Copyright © 1977 by American Diabetes Association
The controversy concerning counterregulatory hormone secretion. A hypothesis for the prevention of diabetic ketoacidosis?
DS Schade and RP Eaton
Diabetic ketoacidosis is characterized by an excess secretion of
counterregulatory hormones (glucagon, catecholamines, cortisol, and growth
hormone). Experimental evidence obtained in both diabetic man and animals
suggests that elevation of the plasma concentration of these hormones is
necessary to initiate excess hepatic production of ketone bodies. This
increase in hepatic ketogenesis in concert with inability of peripheral
tissues to completely utilize ketone bodies results in clinical
ketoacidosis. This hypothesis would suggest that pharmacologic control of
excess counterregulatory hormone secretion would be a rational therapeutic
modality to prevent diabetic ketoacidosis.