Page 303 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Hyperinsulinism
           Glucose

                                Oral
                   After        antidiabetic
                   gastric resection  drugs
                                                        Liver failure

                                                Enzyme defect
                       Glucose
                                                2                      Hyperinsulinism, Hypoglycemia
                           1
              Gastrointestinal                     Amino acids
              hormones
                                 K +  Ca 2+
                              ATP                In diabetic mother:
                 Beta cells                      Glucose  Amino acids
                of pancreas

                         3                       In fetuses:           Plate 9.19
                                                 Beta cell hyperplasia
                           Tumors
                                                 After birth:
        Exogenous insulin supply                 increased     4
                                                 insulin release


          Insulin-antagonistic
          hormones                Insulin
          e.g. cortisol
                        5
         Glucose consumption                      Lipolysis
          by physical exercise,  Hypoglycemia
          tumors
         Glucose formation                        Ketone bodies
          by enzyme defects,
          alcohol,
          malnutrition                6
                                             Abnormal supply to
                    Activation               the nervous system
                  of sympathetic  Voracious
                  nervous system  appetite
                       Sweating                      Loss of
                                                     consciousness
                                                            Seizures
                        Tremors

                    Tachycardia                  Irreversible damage  293


       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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