Increased hepatic glucose production response to glucagon in trained subjects. Drouin, Rojean, Carole Lavoie, Jose Bourque, Francine Ducros, Danielle Poisson, and Jean-Louis Chiasson. Research Group on Diabetes and Metabolic Regulation Research Center, CHUM, Htel-Dieu Pavilion Department of Medicine, University of Montreal Montreal (Quebec) H2W 1T8, Canada. Department of Physical Activities Universite du Quebec [alpha] Trois-Rivires Trois-Rivires (Qu[theta]bec) G9A 5H7, Canada
APStracts 4:0213E, 1997.
The study was designed to characterize the impact of endurance training on hepatic response to glucagon. We measured the effect of glucagon on hepatic glucose production (HGP) in resting trained (n[acute]a=[acute]a8) and untrained (n[acute]a=[acute]a8) healthy male subjects (VO2max: 65.9[acute]a [acute]a1.6 vs 46.8[acute]a [acute]a0.6[acute]amlO2[grave]okg-1[grave]omin-1 respectively, p[acute]a<[acute]a0.001). Endogenous insulin and glucagon were suppressed by somatostatin (SRIF) infusion (450[acute]a(g/hr) over 4 hours. Insulin (0.15[acute]amU[grave]okg-1[grave]omin-1) was infused throughout the study and glucagon (1.5[acute]ang[grave]okg -1[grave]omin-1) over the last 2 hours. During the latter period, plasma glucagon and insulin remained constant at 138.2[acute]a 3.1 vs 145.3[acute]a [acute]a2.1[acute]ang(L-1 and at 95.5[acute]a [acute]a4.5 vs 96.2[acute]a [acute]a1.9[acute]apmol(L-1 in trained and untrained subjects respectively. Plasma glucose increased and peaked at 11.4[acute]a [acute]a1.1[acute]ammol/l in trained subjects and at 8.9[acute]a [acute]a0.8[acute]ammol/l in untrained subjects (p[acute]a<[acute]a0.001). During the first hour of glucagon stimulation, the peak increase in HGP was 15.8[acute]a [acute]a2.8[acute]a mol[grave]okg-1[grave]omin-1 in trained subjects compared to 7.4[acute]a [acute]a1.6[acute]a mol[grave]okg -1[grave]omin-1 in untrained subjects (p[acute]a<[acute]a0.01) over the first hour and declined gradually to 6.8[acute]a [acute]a2.8[acute]a mol[grave]okg-1[grave]omin-1 and 4.9[acute]a [acute]a1.4[acute]a mol[grave]okg-1[grave]omin-1 by the end of the second hour. In conclusion, these observations indicate that endurance training is associated with an increase in hepatic glucose production in response to physiologic level of glucagon, thus suggesting an increase in hepatic glucagon sensitivity.

Received 1 April 1997; accepted in final form 19 September 1997.
APS Manuscript Number E150-7.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1997 The American Physiological Society.
Published in APStracts on 7 October 1997