At very low glucose levels, the cognitive function of patients with diabetes mellitus and recurrent iatrogenic hypoglycaemia is often better than that of hypoglycaemia-naive individuals. A new study shows that the brain adapts to recurrent hypoglycaemia by increasing uptake of glucose and lactate, with preferential shuttling of glucose to neurons.
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Seaquist, E., Öz, G. Does lactate sustain brain metabolism during hypoglycaemia?. Nat Rev Endocrinol 9, 386–387 (2013). https://doi.org/10.1038/nrendo.2013.104
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DOI: https://doi.org/10.1038/nrendo.2013.104
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