Summary. In seven insulin-deficient (< 3 mU/1) pancreatectomised dogs, the direct and glucagon-related indirect effects of intraportal insulin infusion (350 ~U/kg-min; 12 + 1 mU/1) on glucose production were determined. Insulin was infused for 300 min during which time the plasma glucagon concentration was allowed to fall (314+94 to 180+63 ng/l) for 150 min before being replaced by an infusion intraportally at 2.6ng/kg-rnin (323+61ng/1) for the remaining 150min. Glucose production and gluconeogenesis were determined using arterio-venous difference and tracer techniques. Insulin infusion shut off net hepatic glucose output and caused the plasma glucose, blood glycerol and plasma non-esterified fatty acid levels to fall. It caused the hepatic fractional extraction of alanine (0.41 +0.10 to 0.21 +0.06) and lactate (0.32__+0.09 to 0.04___0.03) to fall which increased their concentrations. When glucagon was replaced, all of these changes were fully or partly reversed with the exception of the changes in glycerol and nonesterified fatty acids. Indeed, 70% of the fall in hepatic glucose production and virtually 100% of the changes in lactate and alanine metabolism produced by basal insulin infusion were mediated by a fall in glucagon. However, the fall in hepatic uptake of glycerol was unaffected by changes in glucagon and thus gluconeogenesis from this substrate was inhibited by insulin per se probably as a result of reduced lipolysis. The latter effect of insulin may explain the incomplete restoration of hepatic glucose production when hyperglucagonaemia was re-established during insulin infusion.Key words: Diabetes, insulin, glucagon, glycogenolysis, gluconeogenesis, dog.Fasting hyperglycaemia is associated with insulin-deficient diabetes and is accompanied by inappropriately raised plasma glucagon concentrations [1][2][3][4]. However, insulin treatment can reduce or even nonnalise glucagon levels in the diabetic dog [4,5] and man [6,7]. Since both elevations in plasma insulin [8] and reductions in plasma glucagon [9] can reduce hepatic glucose production and gluconeogenesis, the aim of the present study was to determine the relative roles of the changes in insulin and glucagon which result from insulin infusion in reducing the hyperglycaemia and elevated gluconeogenesis apparent in overnight-fasted diabetic (pancreatectomised) dogs. This was accomplished by administering insulin alone via the portal circulation at a low infusion rate then re-establishing the starting glucagon levels in the second half of the study by intraportal infusion of glucagon coincident with the insulin infusion. Since the dogs were prepared with indwelling catheters in the left common hepatic vein, the portal vein and in the femoral artery, net hepatic balances of glucose and gluconeogenic substrates could be calculated using the arteriovenous difference technique.
Materials and methods
Animals and surgical proceduresEleven mongrel dogs (15-23 kg) of either sex were fed a normal diet (Kal Kan meat and Wayne Dog Chow, Wayne Meat Ration, Alli...