Banting Memorial Lecture 2013 A life in balance: wandering the pathways of control

S. A. Amiel*

*Corresponding author for this work

Research output: Contribution to journalLiterature reviewpeer-review

3 Citations (Scopus)

Abstract

'To keep in equilibrium', one of the Oxford English Dictionary's many definitions of balance, is a desirable target for any life, but has special meaning for the life of a person with diabetes. Achieving balance-between hypo- and hyper-glycaemia; between energy intake and energy consumption; between insulin action and insulin secretion; between attention to diabetes and attention to everything else-remains challenging, but progress has been made over the last three decades, both in our understanding of how nature achieves balance and in the tools we have to try to reproduce the actions of nature in disease states. In particular, the role of the brain in controlling diabetes, from glucose sensing to decision making, has been investigated. Physiological and neuro-imaging studies are finally being translated into patient benefit, with the aim of improving, as Dr Banting put it, the provision of 'energy for the economic burdens of life'.

Original languageEnglish
Pages (from-to)382-392
Number of pages11
JournalDiabetic Medicine
Volume31
Issue number4
DOIs
Publication statusPublished - Apr 2014

Keywords

  • DEPENDENT DIABETES-MELLITUS
  • COUNTERREGULATORY HORMONE RESPONSES
  • INTENSIFIED INSULIN-TREATMENT
  • BRAIN GLUCOSE-UPTAKE
  • HYPOGLYCEMIA UNAWARENESS
  • REGIONAL DIFFERENCES
  • CEREBRAL FUNCTION
  • GLYCEMIC CONTROL
  • PUMP THERAPY
  • TYPE-1

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