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1 Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN, USA; Diabetes Research and Training Center, Vanderbilt University School of Medicine, Nashville, TN, USA
* To whom correspondence should be addressed. E-mail: genie.moore{at}vanderbilt.edu.
The impact of pregnancy on the counterregulatory response to insulin-induced hypoglycemia was
examined in 6 nonpregnant (NP) and 6 pregnant (P; 3rd trimester) conscious dogs using tracer and
arteriovenous difference techniques. After basal sampling, insulin was infused intraportally at 30
pmol.kg-1.min-1 for 180 min. Insulin rose from 7.0±15 to 158.6±221 pmol/l and 2.7±4 to 124.7±61
pmol/l in the 3rd h in NP and P, respectively. Arterial glucose fell from 5.9±0.2 to 2.3±0.2 mmol/l
in P. Glucose was infused in NP to equate the rate of fall of glucose and the steady-state
concentrations in the groups (5.9±0.2 to 2.3±0.1 mmol/l in NP). Glucagon was 32±6, 69±11, and
48±10 ng/l (basal, 1st and 3rd h) in NP, but the response was attenuated in P (34±5, 46±6, 41±9 ng/l).
Cortisol and epinephrine rose similarly in both groups, but norepinephrine rose more in NP
(
3.01±0.46 and
1.31±0.13 nmol/l, P < 0.05). Net hepatic glucose output (NHGO; µmol.kg-1.min-
1) increased from 10.6±1.8 to 21.2±3.3 in NP (3rd h), but did not increase in P (15.1±1.5 to 15.3±2.8
µmol.kg-1.min-1, P < 0.05 between groups). The glycogenolytic contribution to NHGO in NP
increased from 5.8±0.7 to 10.4±2.5 µmol.kg-1.min-1 by 90 min, but steadily declined in P. The
increase in glycerol levels and the gluconeogenic contribution to NHGO were 50% less in P than
NP, but ketogenesis did not differ. The glucagon and norepinephrine responses to insulin-induced
hypoglycemia are blunted in late pregnancy in the dog, impacting on the magnitude of the metabolic
responses to the fall in glucose.
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