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Glucose clamp technique

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97:: The plasma insulin concentration is acutely raised and maintained at 100 ÎĽU/ml by a continuous infusion of insulin. Meanwhile, the plasma glucose concentration is held constant at basal levels by a variable glucose infusion. When the steady-state is achieved, the glucose infusion rate equals glucose uptake by all the 87:: The plasma glucose concentration is acutely raised to 125 mg/dl above basal levels by a continuous infusion of glucose. This hyperglycemic plateau is maintained by adjustment of a variable glucose infusion, based on the rate of insulin secretion and 76:
respond to glucose. The hyperinsulinemic clamp, which requires maintaining a high insulin level by perfusion or infusion with insulin, is a way to quantify how sensitive the tissue is to insulin. The hyperinsulinemic clamp is also called
91:. Because the plasma glucose concentration is held constant, the glucose infusion rate is an index of insulin secretion and glucose metabolism. The hyperglycemic clamps are often used to assess insulin secretion capacity. 72:
Two types of clamp are quite commonly used. The hyperglycemic clamp, which requires maintaining a high blood sugar level by perfusion or infusion with glucose, is a way to quantify how fast
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Marcus Hompesch and Klaus Rave. “An Analysis of How to Measure Glucose during Glucose Clamps: Are Glucose Meters Ready for Research?” J. Diabetes Sci. Technol. 2008, 2, 896–898.
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drug development and diagnostics evaluation. In human clinical trials, manual glucose clamps as well as the more modern method of automated glucose clamp find common use.
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DeFronzo RA, Tobin JD, Andres R. “Glucose Clamp Technique: a Method for Quantifying Insulin Secretion and Resistance.” Am. J. Physiol. 1979, 237, E214–E223.
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Professors DeFronzo, Andres and Tobin in 1979. It has since been the gold standard for
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Linda von Wartburg, “What's a Glucose Clamp, Anyway?” Diabetes Health. Nov 7, 2007.
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secretion and resistance. It is used to measure either how well an individual
215: 162: 130: 40: 61: 54: 105:. The hyperinsulinemic clamps are often used to measure 81:, meaning a normal blood sugar level is maintained. 23: 18: 237:GmbH, Profil Institut fĂĽr Stoffwechselforschung. 101:in the body and is therefore a measure of tissue 148:Metabolic Score for Insulin Resistance (METS-IR) 64:or how sensitive an individual is to insulin. 239:"ClampArt and other glucose clamps at Profil" 117:The glucose clamp technique was developed by 8: 95:Hyperinsulinemic-euglycemic clamp technique 189: 15: 7: 36: 14: 274:Dynamic endocrine function tests 1: 85:Hyperglycemic clamp technique 153:Homeostatic model assessment 53:is a method for quantifying 290: 37: 51:Glucose clamp technique 19:Glucose clamp technique 178:Diabetes management 119:University of Texas 103:insulin sensitivity 202:2010-01-31 at the 143:Insulin resistance 123:School of Medicine 107:insulin resistance 89:glucose metabolism 269:Insulin therapies 173:Diabetes mellitus 168:Disposition index 48: 47: 281: 253: 252: 250: 249: 234: 228: 223: 217: 212: 206: 194: 79:euglycemic clamp 41:edit on Wikidata 33: 16: 289: 288: 284: 283: 282: 280: 279: 278: 259: 258: 257: 256: 247: 245: 236: 235: 231: 224: 220: 213: 209: 204:Wayback Machine 195: 191: 186: 139: 127:pharmacodynamic 115: 70: 44: 29: 12: 11: 5: 287: 285: 277: 276: 271: 261: 260: 255: 254: 243:www.profil.com 229: 218: 207: 188: 187: 185: 182: 181: 180: 175: 170: 165: 160: 155: 150: 145: 138: 135: 114: 111: 69: 66: 46: 45: 38: 35: 34: 27: 21: 20: 13: 10: 9: 6: 4: 3: 2: 286: 275: 272: 270: 267: 266: 264: 244: 240: 233: 230: 227: 222: 219: 216: 211: 208: 205: 201: 198: 193: 190: 183: 179: 176: 174: 171: 169: 166: 164: 161: 159: 156: 154: 151: 149: 146: 144: 141: 140: 136: 134: 132: 128: 124: 120: 112: 110: 108: 104: 100: 96: 92: 90: 86: 82: 80: 75: 67: 65: 63: 60: 56: 52: 42: 32: 28: 26: 22: 17: 246:. Retrieved 242: 232: 221: 210: 192: 116: 94: 93: 84: 83: 78: 71: 50: 49: 158:SPINA-GBeta 129:studies in 59:metabolizes 263:Categories 248:2015-09-24 184:References 74:beta-cells 68:Procedure 200:Archived 163:SPINA-GR 137:See also 131:diabetes 113:History 99:tissues 62:glucose 55:insulin 31:D015309 121:(UT) 39:[ 25:MeSH 265:: 241:. 109:. 251:. 43:]

Index

MeSH
D015309
edit on Wikidata
insulin
metabolizes
glucose
beta-cells
glucose metabolism
tissues
insulin sensitivity
insulin resistance
University of Texas
School of Medicine
pharmacodynamic
diabetes
Insulin resistance
Metabolic Score for Insulin Resistance (METS-IR)
Homeostatic model assessment
SPINA-GBeta
SPINA-GR
Disposition index
Diabetes mellitus
Diabetes management

Archived
Wayback Machine


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