title: Pre-exercise ingestion of carbohydrate and transient hypoglycemia during exercise.
abstract: To study the occurrence and contributing factors of transient hypoglycemia after pre-exercise ingestion of glucose after a 4-hour fast, 19 well-trained cyclists ingested 50 grams of glucose dissolved in water around noon after having a normal breakfast. The ingestion of the glucose solution was followed by 30 minutes rest after which the subjects cycled for 40 minutes at 60% of the predetermined maximal power output. Every 10 minutes blood was sampled for determination of glucose, catecholamines, and insulin concentrations. In 6 subjects (hypo-group) plasma glucose levels dropped transiently below 3.0 mmol/l, while in the other 13 subjects (non-hypo group) plasma glucose level remained above this level. Although at the onset of exercise the plasma glucose levels were lower in the hypo-group, insulin levels were similar in both groups, suggesting a higher insulin sensitivity in the hypo-group. During exercise, norepinephrine was lower in the hypo-group, indicating a lower sympathetic activity in the hypo-group. The lowest plasma glucose levels in both groups were observed after 20 minutes of exercise, after which plasma glucose concentration returned to normal levels. It is concluded that pre-exercise carbohydrate ingestion after a 4-hour fast is sufficient to induce a transient hypoglycemia. The data suggest that the occurrence of hypoglycemia is determined by a combination of a high insulin sensitivity, a small amount of ingested glucose, and a low sympathetic activity.
authors.affiliation: Department of Movement Sciences, University of Maastricht, The Netherlands. H.Kuipers@bw.unimaas.nl
authors.forename: H
authors.initials: H
authors.lastname: Kuipers
authors.forename: E J
authors.initials: EJ
authors.lastname: Fransen
authors.forename: H A
authors.initials: HA
authors.lastname: Keizer
mesh_terms: D000328:Adult; D001642:Bicycling / Q000502:physiology; D001786:Blood Glucose / Q000502:physiology; D004040:Dietary Carbohydrates / Q000008:administration & dosage*; D004435:Eating; D015444:Exercise / Q000502:physiology*; D005215:Fasting; D006801:Humans; D006946:Hyperinsulinism / Q000503:physiopathology; D007003:Hypoglycemia / Q000503:physiopathology*; D008297:Male
chemical_list: D001786:Blood Glucose; D004040:Dietary Carbohydrates