Evidence map›Paper›PMID 19502412›Full record

Trial reportDiabetes2009

Human brain glycogen metabolism during and after hypoglycemia.

Gülin Oz, Anjali Kumar, Jyothi P Rao, Christopher T Kodl, Lisa Chow, Lynn E Eberly, Elizabeth R Seaquist

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Diabetes, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 109 citations in OpenAlex.

  1. Linking neuronal brain activity to the glucose metabolism.Theoretical biology & medical modelling · 2013
    Trial
  2. Simultaneous measurement of glucose transport and utilization in the human brain.American journal of physiology. Endocrinology and metabolism · 2011
    Trial
  3. Review
  4. Article
  5. Neurometabolic and vascular dysfunction as an early diagnostic for Alzheimer's disease and related dementias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Review
  7. Reproducibility of the Determination ofNMR in biomedicine · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gülin OzCenter for MR Research, Department of Radiology, Medical School, University of Minnesota, Minneapolis, Minnesota, USA. gulin@cmrr.umn.edu
Anjali Kumar
Jyothi P Rao
Christopher T Kodl
Lisa Chow
Lynn E Eberly
Elizabeth R Seaquist
University of Minnesota Medical Center · USUniversity of Minnesota · US

Funding

YOUTH DRUG ABUSE, ADHD, AND RELATED DISRUPTIVE DISORDERSM01RR000400 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BACHANOVA, VERONIKA S · 1985 to 2009
$33.7M
ZOOMED FUNCT IMAGING IN HUMAN BRAIN AT 7T W/ SIMULT HIGH SPATIAL &TEMPORAL RESP41RR008079 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI VAN DE MOORTELE, PIERRE-FRANCOIS · 1993 to 2011
$16.3M
Neuroscience Cores For MR Studies of the BrainP30NS057091 · NINDS · UNIVERSITY OF MINNESOTA · PI UGURBIL, KAMIL · 2006 to 2011
$8.5M
Measurement of glucose homestatsis in human brain by NMRR01NS035192 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI OZ, GULIN, SEAQUIST, ELIZABETH R. · 1997 to 2022
$8.3M
NCRR NIH HHS M01 RR000400NCRR NIH HHS M01RR00400NCRR NIH HHS P41 RR008079NCRR NIH HHS P41RR008079NINDS NIH HHS P30 NS057091NINDS NIH HHS P30NS057091NINDS NIH HHS R01 NS035192
6 · The paper itself

Abstract

objectiveWe tested the hypotheses that human brain glycogen is mobilized during hypoglycemia and its content increases above normal levels ("supercompensates") after hypoglycemia. RESEARCH DESIGN AND

methodsWe utilized in vivo (13)C nuclear magnetic resonance spectroscopy in conjunction with intravenous infusions of [(13)C]glucose in healthy volunteers to measure brain glycogen metabolism during and after euglycemic and hypoglycemic clamps.

resultsAfter an overnight intravenous infusion of 99% enriched [1-(13)C]glucose to prelabel glycogen, the rate of label wash-out from [1-(13)C]glycogen was higher (0.12 +/- 0.05 vs. 0.03 +/- 0.06 micromol x g(-1) x h(-1), means +/- SD, P < 0.02, n = 5) during a 2-h hyperinsulinemic-hypoglycemic clamp (glucose concentration 57.2 +/- 9.7 mg/dl) than during a hyperinsulinemic-euglycemic clamp (95.3 +/- 3.3 mg/dl), indicating mobilization of glucose units from glycogen during moderate hypoglycemia. Five additional healthy volunteers received intravenous 25-50% enriched [1-(13)C]glucose over 22-54 h after undergoing hyperinsulinemic-euglycemic (glucose concentration 92.4 +/- 2.3 mg/dl) and hyperinsulinemic-hypoglycemic (52.9 +/- 4.8 mg/dl) clamps separated by at least 1 month. Levels of newly synthesized glycogen measured from 4 to 80 h were higher after hypoglycemia than after euglycemia (P <or= 0.01 for each subject), indicating increased brain glycogen synthesis after moderate hypoglycemia.

conclusionsThese data indicate that brain glycogen supports energy metabolism when glucose supply from the blood is inadequate and that its levels rebound to levels higher than normal after a single episode of moderate hypoglycemia in humans.

Indexed as

Adaptation, PhysiologicalAdultBlood GlucoseBrainCarbon IsotopesEnergy MetabolismFemaleGlucoseGlucose Clamp TechniqueGlycogenHumansHyperinsulinismHypoglycemiaInfusions, IntravenousMagnetic Resonance SpectroscopyMaleBlood GlucoseCarbon IsotopesGlucoseGlycogen

Identifiers

PMID19502412
PMCPMC2731528
OpenAlexW1969322201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.