Insulin loading and some hormonal metabolic parameters in patients with the hypothalamic syndrome
Thirty-two men aged 18 to 28 with the hypothalamic syndrome and 64 age-matched healthy men were examined. Insulin test was carried out in 3 steps: before and 30 and 120 min after intravenous infusion of 0.15 U insulin per kg b.w. At all stages of insulin test, spirography parameters reflected the status of hypermetabolism connected with increased energy consumption and with a lesser efficacy of oxygen utilization. Measurements of hormones: ACTH, STH, and hydrocortisone in the blood and of adrenaline, noradrenaline, dopamine, and DOPA in the urine indicated a reduced regulatory function of the hypothalamo-pituitary-adrenal and sympathoadrenal systems in patients with the hypothalamic syndrome. Time course of IRI, glucose, pyruvate, and lactate levels in the blood plasma of patients with the hypothalamic syndrome was indicative of reduced insulin and glucose tolerance and of impaired utilization of glucose as an energy substrate.