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Am J Physiol Endocrinol Metab (October 7, 2008). doi:10.1152/ajpendo.90563.2008
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Submitted on July 7, 2008
Revised on August 12, 2008
Accepted on October 1, 2008

Berson Award Lecture 2008 Four Grams of Glucose

David H. Wasserman1*

1 Vanderbilt University School of Medicine

* To whom correspondence should be addressed. E-mail: david.wasserman{at}vanderbilt.edu.

Four grams of glucose circulate in the blood of a person weighing 70 kilograms. This glucose is critical for normal function in many cell types. In accordance with the importance of these four grams of glucose, a sophisticated control system is in place to maintain blood glucose constant. Our focus has been on the mechanisms by which the flux of glucose from liver to blood and from blood to skeletal muscle is regulated. The body has a remarkable capacity to satisfy the nutritional need for glucose, while still maintaining blood glucose homeostasis. The essential role of glucagon and insulin and the importance of distributed control of glucose fluxes are highlighted in this review. With regard to the latter, studies are presented that show how regulation of muscle glucose uptake is regulated by glucose delivery to muscle, glucose transport into muscle, and glucose phosphorylation within muscle.




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