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Related Concept Videos

Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

664
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
664
Metabolic States of the Body: Fasting and Starvation01:24

Metabolic States of the Body: Fasting and Starvation

2.4K
During the initial hours of fasting, the body uses up its glycogen stores as an energy source. Once these glycogen reserves are depleted, the body begins breaking down stored triglycerides and structural proteins. During this stage, glycerol becomes a key substrate for gluconeogenesis, while free fatty acids undergo beta-oxidation to provide energy for tissues, such as skeletal muscle. In the fasting state, the body spares protein breakdown as much as possible to conserve muscle and structural...
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Metabolic States of the Body: The Postabsorptive State01:18

Metabolic States of the Body: The Postabsorptive State

1.1K
The postabsorptive state usually starts about four hours after a meal and lasts until the next meal is eaten. During this time, the digestive system stops absorbing nutrients, and the body uses stored energy reserves to maintain stable blood glucose levels.
Initially, glycogen stored in the liver is broken down to release glucose into the bloodstream, while glycogen in the muscles is broken down to supply glucose for energy directly within the muscle cells. As glycogen stores diminish,...
1.1K
Hormones Regulating Blood Glucose01:16

Hormones Regulating Blood Glucose

5.9K
Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
5.9K
Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

524
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
524
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

672
Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
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Related Experiment Video

Updated: Dec 7, 2025

Assessment of the Metabolic Effects of Isocaloric 2:1 Intermittent Fasting in Mice
08:06

Assessment of the Metabolic Effects of Isocaloric 2:1 Intermittent Fasting in Mice

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Fasting May Complement Endocrine Therapy

    Cancer Discovery
    |September 25, 2020
    PubMed
    Summary

    Combining fasting or fasting-mimicking diets with endocrine therapy shows promise for hormone receptor-positive breast cancer. This approach may enhance treatment effectiveness and minimize adverse effects.

    Area of Science:

    • Oncology
    • Metabolic research
    • Endocrinology

    Background:

    • Hormone receptor-positive breast cancer remains a significant health concern.
    • Endocrine therapy is a standard treatment, but efficacy and side effects vary.
    • Dietary interventions are being explored to complement conventional therapies.

    Discussion:

    • Intermittent fasting and fasting-mimicking diets alter cellular metabolism.
    • These dietary strategies may sensitize cancer cells to endocrine therapy.
    • Potential mechanisms include reduced insulin-like growth factor 1 (IGF-1) signaling and enhanced autophagy.

    Key Insights:

    • Preliminary data suggest combining fasting interventions with endocrine therapy may improve outcomes for hormone receptor-positive breast cancer.

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    Homogeneous Time-resolved Förster Resonance Energy Transfer-based Assay for Detection of Insulin Secretion
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    Assessment of the Metabolic Effects of Isocaloric 2:1 Intermittent Fasting in Mice
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    Intraperitoneal Glucose Tolerance Test, Measurement of Lung Function, and Fixation of the Lung to Study the Impact of Obesity and Impaired Metabolism on Pulmonary Outcomes
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    Homogeneous Time-resolved Förster Resonance Energy Transfer-based Assay for Detection of Insulin Secretion
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  • This combination may lead to enhanced treatment efficacy.
  • Reduced treatment-related side effects are also indicated.
  • Outlook:

    • Further clinical trials are warranted to validate these preliminary findings.
    • Optimizing fasting protocols for breast cancer patients requires investigation.
    • This research opens avenues for novel, integrated therapeutic strategies in breast cancer management.