Insulin Inhibition of Insulin Secretion

Elliott Chideckel, John H. Karam, Gerold M. Grodsky, Dariush Elahi, Denis C. Muller, Jordan D. Tobin, Reubin Andres, Murugasu Nagulesparan, Richard J. Hershcopf, Petra M. Blix, Arthur H. Rubenstein, Roger H Unger

Research output: Contribution to journalLetter

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Abstract

To the Editor: The studies by Elahi et al. (May 20 issue)1 demonstrate that insulin administration to “glucose-clamped” subjects results in suppression of endogenous insulin secretion. However, contrary to their claims regarding a short-loop feedback, they have not demonstrated the directness of the effect. For instance, circulating branched-chain amino acids can stimulate insulin secretion,2 are more likely to do so in obese subjects,3 and are diminished in response to acute elevations of plasma insulin.4 , 5 Might not the insulin infusions described by Elahi et al. have lowered plasma branched-chain amino acids, thus lessening beta-cell stimulation, bringing about the decreased C-peptide.

Original languageEnglish (US)
Pages (from-to)1084-1085
Number of pages2
JournalNew England Journal of Medicine
Volume307
Issue number17
DOIs
StatePublished - Oct 21 1982

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chideckel, E., Karam, J. H., Grodsky, G. M., Elahi, D., Muller, D. C., Tobin, J. D., Andres, R., Nagulesparan, M., Hershcopf, R. J., Blix, P. M., Rubenstein, A. H., & Unger, R. H. (1982). Insulin Inhibition of Insulin Secretion. New England Journal of Medicine, 307(17), 1084-1085. https://doi.org/10.1056/NEJM198210213071719