Insulin Secretion during Hemorrhagic Shock

  • M. Vigaš
  • R. E. Haist
  • F. Bauer
  • W. R. Drucker
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 33)


Hemorrhage as a stress stimulus activates the endocrine system which results in an increase of circulating catecholamines (7), glucocorticoids and ACTH (8). These hormones induce various metabolic changes including hyperglycemia which regularly appears in the early period of hemorrhagic shock in well-fed animals (l7), being predominantly mediated by catecholamines, whereas glucocorticoids contribute to its intensity and persistence (9). The hyperglycemia acts as a physiological stimulus for insulin secretion, but in the presence of an increased blood catecholamine level the secretory response of the islets is blocked (1,14). The activation of the endocrine system with resulting metabolic changes may increase the demand for insulin and its absolute or relative deficiency may seriously jeopardize survival in shock.


Insulin Secretion Beta Cell Insulin Level Arterial Blood Pressure Hemorrhagic Shock 
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Copyright information

© Plenum Press, New York 1973

Authors and Affiliations

  • M. Vigaš
    • 1
    • 2
  • R. E. Haist
    • 1
    • 2
  • F. Bauer
    • 1
    • 2
  • W. R. Drucker
    • 1
    • 2
  1. 1.Institute of Experimental EndocrinologySlovak Academy of SciencesBratislavaSlovakia
  2. 2.Departments of Physiology and SurgeryUniversity of TorontoOntarioCanada

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