DIABETES: Does lactate sustain brain metabolism during hypoglycaemia?

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Abstract

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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