Hypoglycemia Unawareness Prevention: Targeting Glucagon Production

Abstract

Insulin-dependent individuals with diabetes are at risk for a severe hypoglycemic event that may predispose them to several repeat episodes during which the normal counter regulatory mechanisms that protect against hypoglycemia fail to be activated. This state of hypoglycemia unawareness is characterized by a failure of glucagon release, preventing mobilization of endogenous glucose stores from the liver. We describe the discovery of a novel hormone, produced in pancreatic delta cells, which stimulates glucagon production and release, particularly under low glucose conditions. We hypothesize that this hormone, called neuronostatin, may be effective as a co-therapy with insulin to prevent repeated, potentially fatal episodes of recurrent hypoglycemia.

Department(s)

Biological Sciences

Comments

National Institutes of Health, Grant 121456

Keywords and Phrases

Glucagon; Hypoglycemia; Insulin; Neuronostatin

International Standard Serial Number (ISSN)

1873-507X; 0031-9384

Document Type

Article - Journal

Document Version

Citation

File Type

text

Language(s)

English

Rights

© 2025 Elsevier, All rights reserved.

Publication Date

15 Jan 2016

PubMed ID

27080082

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