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Impaired glucose-induced glucagon suppression after partial ...

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In conclusion, the present study has shown that the <strong>glucose</strong>-<strong>induced</strong> <strong>suppression</strong> in<br />

<strong>glucagon</strong> levels is lost <strong>after</strong> a 50% <strong>partial</strong> pancreatectomy in humans. The changes in post-<br />

challenge <strong>glucagon</strong> levels are closely related to the impairment in insulin concentrations.<br />

These findings suggest that the defects in alpha-cell function typically observed in patients<br />

with type 2 diabetes are likely secondary to the reduction in beta-cell mass. Alterations in<br />

<strong>glucagon</strong> regulation should be considered as potential side effects of <strong>partial</strong> pancreatectomies<br />

in humans.<br />

Acknowledgements: The excellent technical assistance of Birgit Baller, Yvonne Dabrowski,<br />

Kirsten Mros, Heike Achner and Gudrun Müller is gratefully acknowledged.<br />

These studies were supported by grants from the Deutsche Forschungsgemeinschaft (DFG<br />

grant-no. Me2096/5-1 to JJM) and the Ruhr-University of Bochum (FoRUM grants to JJM).<br />

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