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Physiological and behavioral defenses against hypoglycemia

Physiological and behavioral defenses against hypoglycemia
Decrements in insulin and increments in glucagon are lost and increments in epinephrine and neurogenic symptoms are often attenuated in insulin-deficient - T1DM and advanced T2DM.
SNS: sympathetic nervous system; PNS: parasympathetic nervous system; NE: norepinephrine; ACh: acetylcholine; α-cell: pancreatic islet α-cells; β -cell: pancreatic islet β -cells.
Reproduced with permission from: Cryer PE. Mechanisms of sympathoadrenal failure and hypoglycemia in diabetes. J Clin Invest 2006; 116:1470. Copyright ©2006 American Society for Clinical Investigation.
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