Dose Response of Gastric Acid to Insulin in Patients with Duodenal Ulcer

Autor: J. Tinker, D.J. Cowley, F.I. Iweze, L.V. Gutierrez, J.H. Baron, J. Spencer
Rok vydání: 1972
Předmět:
Zdroj: Gastroenterology. 62:203-206
ISSN: 0016-5085
DOI: 10.1016/s0016-5085(72)80170-7
Popis: Patients with duodenal ulcer were given intravenous injections of 0.1, 0.2, and 0.4 U per kg of insulin on different days. In each of 8 patients the peak acid output was higher after 0.2 U per kg than after 0.1 U per kg and the difference was significant. In 19 patients the peak acid output after 0.2 U per kg was significantly higher than after 0.4 U per kg. The mean lowest blood glucose concentration was significantly lower after the larger dose of insulin. These results support the concept that insulin-stimulated acid secretion is not an all or none phenomenon but is dose-related and also hypoglycemia-related. An optimum dose of insulin is proposed for gastric function tests and defined as "That dose which in most subjects lowers the blood glucose concentration sufficiently to allow near-maximum vagal stimulation to occur without producing so low a blood glucose concentration that acid secretion is depressed. The desirable range of blood glucose concentration is probably about 15 to 25 mg per 100 ml."
Databáze: OpenAIRE