Oral lactate intensifies insulin toxicity during severe insulin-induced hypoglycemia in mice

ABSTRACT We investigated whether oral lactate could prevent seizures and deaths in mice with severe hypoglycemia induced by a high dose of insulin. For this purpose, mice were fasted for 15 h and then given an intraperitoneal injection of regular insulin (5.0 U/kg or 10.0 U/kg). Immediately after insulin injection, the mice received an oral dose of saline (control), glucose (5.5 mmol/kg), or lactate (18.0 mmol/kg). Glucose and lactate levels were measured in the blood and brain before and after the seizures began. Glucose and lactate delayed (p < 0.05) the onset of seizures associated with severe insulin-induced hypoglycemia. Elevated (p < 0.05) brain levels of lactate were associated with an absence of seizures in mice that received glucose or lactate, suggesting that lactate could prevent convulsions associated with severe insulin-induced hypoglycemia. However, the same oral dose of lactate that delayed the onset of convulsions also increased the mortality rate. In contrast, diazepam (3.0 mg/kg) prevented seizures and markedly decreased the frequency of death during severe insulin-induced hypoglycemia. The results demonstrated that in contrast to oral glucose, oral lactate intensifies insulin toxicity.

Acute exercise and caffeine improve insulin-induced hypoglycemia in normal and malnourished rats / Exercício agudo e cafeína melhoram a hipoglicemia induzida por insulina em ratos normais e desnutridos

In food restriction, hypoglycemic episodes can be more severe and persistent. This study assessed the influence of acute exercise and caffeine on the insulin-induced hypoglycemia in freely-fed or malnourished (50% food restriction) young rats. At the age of 60 days, rats under overnight fasting received an insulin injection to cause an episode of hypoglycemia. In some animals, hypoglycemia was preceded by an acute session of exercise, in others, caffeine was orally given 15 minutes after insulin injection; or exercise and caffeine were combined. Blood samples were collected at regular intervals for five hours after insulin injection. A beneficial effect of both exercise or caffeine on the hypoglycemic episode in the malnourished rats was found. In the control rats, the association of exercise+caffeine was more beneficial than either intervention alone. It is discussed that exercise and caffeine, alone or combined, can be used as exogenous anti-hypoglycemic resources, but considering the nutritional status of the subject.

Na restrição alimentar, os episódios de hipoglicemia podem ser mais severos e persistentes. Este trabalho avaliou a influência do exercício agudo e da cafeína sobre a hipoglicemia induzida por insulina em ratos jovens alimentados livremente ou desnutridos (50% de restrição alimentar) desde o nascimento. Aos 60 dias de idade, os ratos em jejum noturno receberam injeção de insulina para causar um episódio de hipoglicemia. Em alguns animais, a hipoglicemia foi precedida por sessão aguda de exercício; em outros foi administrada a cafeína via oral, 15 min. após a injeção de insulina; ou foi associada a exercício e cafeína. Amostras de sangue foram coletadas em intervalos regulares por 5h desde a aplicação da insulina. Registrou-se efeito benéfico do exercício e da cafeína isolados sobre o episódio hipoglicêmico nos ratos desnutridos. Nos ratos controle, a associação de exercício+cafeína teve efeito benéfico mais acentuado do que as intervenções separadas. É discutido que exercício físico e cafeína, isolados ou combinados, podem ser explorados como recursos anti-hipoglicêmicos exógenos, levando-se em consideração porém o estado nutricional do indivíduo.