Abstract
In the normal individual, glucose is perhaps the metabolic substrate least subject to deviation from the “norm.” This metabolite is highly regulated and has minimal alternatives for metabolic conversion. Glucose may be entered into enzymatic degradation through glycolysis, glycogen formation, or the pentose shunt. In general, the initial enzyme steps in these reactions are rate-limiting and, therefore, they have little influence on substrate concentration. Gluconate and sorbitol pathways are also possible, although these latter pathways have high km values and therefore probably play a small role in biology during periods of extremely high glucose concentrations. Another alternative to substrate utilization of glucose is through the nonenzymatic glycosylation of proteins. These reactions, known as the Maillard Reaction, occur in two forms: (1) nonenzymatic glycosylation and (2) nonenzymatic browning resulting from rearranged products of the glycosylation reaction itself.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Selected Bibliography
Abram HS, Moore GL, Westervelt FB. Suicidal behavior in chronic dialysis patients. Am J Psych 127: 1199–1207, 1971.
Amair P. Khanna R, Leibel B, et al. Continuous ambulatory peritoneal dialysis in diabetics with end stage renal disease. N Engl J Med 306: 225–330, 1982.
Avram MM. Natural history of diabetic renal failure and paradoxical insulin requirements in uremia. In: Diabetic Renal-Retinal Syndrome, Friedman EA, L’Esperance FA (eds). New York: Grune and Stratton, 1980, p. 175.
Cahill FG, McDevitt HD. Insulin-dependent diabetes mellitus: the initial lesion. N Engl J Med 304: 1454–1465, 1981.
Dupuis A. Assessment of the psychological factors and responses in self-managed patients. Diabetes Care 3: 117–120, 1980.
Dupuis A, Jones RL, Peterson CM. Psychological effects of a program of strict carbohydrate control through self-monitored blood glucose determinations on insulin dependent diabetics. Psychosomatics 21: 581–591, 1981.
Eaton RP, Schade DS. “Normal” human insulin secretion: the goal of management of the diabetic patient. In: Diabetes Management in the 80’s, Peterson CM (ed). Philadelphia: Praeger, 1982, pp. 82–89.
Fluckiger R, Harmon W. Meier W, et al. Hemoglobin carbamylation in uremia. N Engl J Med 304: 823–827, 1981.
Guthrow CE, Morris MA, Day JF, et al. Enchanced non-enzymatic glycosylation of human serum albumin in diabetes mellitus. Proc Nat Acad Sci 76: 4258–4261, 1979.
Jovanovic L, Peterson CM. The clinical utility of glycosylated hemoglobin. Am J Med 70:- 331–338, 1981.
Knowles HC. Magnitude of the renal failure problem in diabetic patients. Kidney Int. 6 (Suppl. 1): 2 — 7, 1974.
Levin ME, Bonink I, Anderson B, Avioli LV. Prevention and treatment of diabetic complications. Arch Intern Med 140: 691–696, 1980.
McVerry BA, Hopp A, Fisher C, Huehns ER. Production of pseudodiabetic renal glomerular changes in mice after repeated injections of glucosylated proteins. Lancet 1: 738–740, 1980.
National Diabetes Data Group. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes 28: 1039–1057, 1979.
Peterson CM (ed). Proceedings of a conference on non-enzymatic glycosylation and browning reactions: their relevance to diabetes mellitus. Diabetes 31 (Suppl. 3): 1982.
Peterson CM, Jones RL. Minor hemoglobins, diabetic “control” and diseases of postsynthetic protein modification. Annals Int Med 87: 489–491, 1977.
Peterson CM, Jones RL, Esterly JA, et al. Changes in basement membrane thickening and pulse volume concomitant with improved glucose control and exercise in patients with insulin- dependent diabetes mellitus. Diabetes Care 3: 586–589, 1980.
Peterson CM, Jones RL, Koenig RJ, et al. Reversible hematologic sequelae of diabetes mellitus. Ann Intern Med 86: 425 - 429, 1977.
Peterson CM, Jones RL, Koenig RJ, Melvin ET, Lehrman ML. Reversible hematologic sequelae of diabetes mellitus. Ann Intern Med 86: 359–364, 1977.
Peterson CM, Koenig RJ, Jones RL, Saudek CD, Cerami A. Correlation of serum triglyceride levels and hemoglobin Ale concentrations in diabetes mellitus. Diabetes 26: 507–509, 1977.
Pickup JC, Keen H, Viberti GC, Bilons RW. Patient reactions to long-term outpatient treatment with continuous subcutaneous insulin infusion. Br Med J 282: 347–350, 1981.
Pietri A, Dunn F, Raskin P. The effect of improved diabetic control on plasma lipid and lipoprotein levels: a comparison of conventional therapy and continuous subcutaneous insulin infusion. Diabetes 29: 1001–1005, 1980.
Rupp WM, Barbosa JJ, Blackshear PJ, et al. The use of an implantable insulin pump in the treatment of type II diabetes. N Engl J Med 307: 265–270, 1982.
Saltin B, Lindgarde F, Houston M, Horlin R, et al. Physical training and glucose tolerance in middle-aged men with chemical diabetes. Diabetes 28 (Suppl 30): 1979.
Stein RA, Goldberg N, Lundin P, Kapelners, Rubin J. Exercise EKG testing in diabetic patients. In: Diabetic Renal-Retinal Syndrome, Friedman EA, L’Esperance FA (eds). New York: Grune and Stratton, 1980, pp 229–237.
Tamborlane WV, Sherwin RS, Genel M, Felig P. Outpatient treatment of juvenile-onset diabetes with a preprogrammed portable subcutaneous insulin infusion system. Am J Med 68: 190–196, 1980.
Tchorbroutsky G. Relation of diabetic control to development of microvascular complications. Diabetologia 15: 143–152, 1978.
West KM. Epidemiology of diabetes and its vascular lesions. New York: Elsevier, 1978, p. 357.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Martinus Nijhoff Publishing, Boston
About this chapter
Cite this chapter
Peterson, C.M., Jovanovic, L. (1986). Insulin, Oral Agents, and Monitoring Techniques. In: Friedman, E.A., Peterson, C.M. (eds) Diabetic Nephropathy. Developments in Nephrology, vol 9. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2287-0_2
Download citation
DOI: https://doi.org/10.1007/978-1-4613-2287-0_2
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9410-8
Online ISBN: 978-1-4613-2287-0
eBook Packages: Springer Book Archive