Antecedent Hypercortisolemia Is Not Primarily Responsible for Generating Hypoglycemia-Associated Autonomic Failure
Goldberg PA, Weiss R, McCrimmon RJ, Hintz EV, Dziura JD, Sherwin RS. Antecedent Hypercortisolemia Is Not Primarily Responsible for Generating Hypoglycemia-Associated Autonomic Failure. Diabetes 2006, 55: 1121-1126. PMID: 16567537, DOI: 10.2337/diabetes.55.04.06.db05-1169.Peer-Reviewed Original ResearchConceptsEndogenous cortisol productionAntecedent hypoglycemiaEpinephrine responseAutonomic failureCortisol productionHypoglycemia-Associated Autonomic FailureSubsequent counterregulatory responsesNondiabetic human subjectsAntecedent euglycemiaMetyrapone blockadeOral metyraponeHydrocortisone infusionLongstanding diabetesSubsequent hypoglycemiaSympathoadrenal responseCounterregulatory responsesConcurrent blockadeSevere hypoglycemiaACTH levelsSelective blockadeHypercortisolemiaHypoglycemiaExperimental modelBlockadeHuman subjects