Volume 20, Number 5, 547-552, DOI: 10.1007/BF00252763

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European Association for the Study of Diabetes

Effects of calcium and calcitonin on circulating levels of glucagon and glucose in diabetes mellitus

A. Starke, E. Keck, M. Berger and H. Zimmermann

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Abstract

The effects of Ca2+ and calcitonin infusions on circulating glucagon, glucose, C-peptide, Ca2+, and calcitonin were investigated in hyperglucagonaemic insulin-dependent diabetics. In 14 insulin-deprived diabetics and 12 healthy volunteers 2 h infusions of saline (0.154 mol/l), Ca2+ (0.375 mmol/kg body weight), and calcitonin (4.5 IU/kg body weight) were performed. There were no significant changes during saline infusion. In the diabetics, Ca2+ infusions induced a rise of plasma Ca2+ up to 3.2±0.1 mmol/l and a fall of circulating glucagon (-26.4±5.7%; p<0.001) and glucose (-23.3 ±3.6%; p<0.05). Plasma calcitonin rose to twice basal values (p<0.025). During calcitonin infusions plasma Ca2+ decreased slightly to 2.1±0.2 mmol/l; a fall was found in both glucose (— 24.4±4.0%; p<0.05) and circulating glucagon (-22.5±4.3%; p<0.001). Two groups of 6 healthy volunteers were subjected to saline and Ca2+, or to Ca2+ and calcitonin infusions. Both Ca2+ and calcitonin infusions induced a fall of serum insulin (— 30.1±6.6%; p< 0.05). Calcitonin depressed circulating glucagon by-18.6±4.4% (p<0.025), whereas during Ca2+ infusions glucagon decreased only by -6.5±1.9% (p>0.1). We conclude from our results that an increase of circulating calcitonin induced by Ca2+ infusions or by exogenous calcitonin administration appears to depress elevated circulating glucagon and glucose in insulin-dependent diabetics.

Key words  Insulin-dependent diabetes mellitus - Ca2+  - glucagon release - calcitonin release - insulin release

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