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. 1973 Feb;229(1):87–97. doi: 10.1113/jphysiol.1973.sp010128

Failure of thermoregulation in the cold during hypoglycaemia induced by exercise and ethanol

J S J Haight, W R Keatinge
PMCID: PMC1350213  PMID: 4689995

Abstract

1. After young men had exercised for approximately 2 hr at 70% maximum O2 uptake, and taken 28 ml. ethanol by mouth, their mean blood glucose fell to 2·17 mM. It fell further to 1·77 mM during a 30 min exposure to air at 14·5° C. Plasma lactate, glycerol, β-hydroxybutyrate and free fatty acid concentrations increased.

2. Rectal temperature fell to reach a mean level of 34·49° C by the end of the cold exposure; oesophageal temperature fell to as low as 33·00° C in one case.

3. Virtually no increase in metabolic rate and no visible shivering occurred during the cold exposure.

4. Administration of glucose (mean 60·4 g) prevented the falls in temperature, and restored metabolic response to the cold to the size found in control experiments without exercise or ethanol.

5. Neither exercise without ethanol or ethanol without exercise significantly lowered the blood glucose or impaired the maintenance of body temperature in the cold.

6. One obese subject showed almost as great a fall in blood glucose and depression of metabolic response to cold as the thinner men, but no fall in body temperature.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALLWOOD M. J., GINSBURG J., PATON A. The effect of insulin hypoglycaemia on blood flow in intact and sympathectomized extremities in man. J Physiol. 1957 Nov 14;139(1):97–107. doi: 10.1113/jphysiol.1957.sp005878. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. ANDERSEN K. L., HELLSTROM B., LORENTZEN F. V. COMBINED EFFECT OF COLD AND ALCOHOL ON HEAT BALANCE IN MAN. J Appl Physiol. 1963 Sep;18:975–982. doi: 10.1152/jappl.1963.18.5.975. [DOI] [PubMed] [Google Scholar]
  3. Arky R. A., Abramson E. A., Freinkel N. Alcohol hypoglycemia. VII. Further studies on the refractoriness of obese subjects. Metabolism. 1968 Nov;17(11):977–987. doi: 10.1016/0026-0495(68)90003-6. [DOI] [PubMed] [Google Scholar]
  4. BROZEK J., KEYS A. The evaluation of leanness-fatness in man; norms and interrelationships. Br J Nutr. 1951;5(2):194–206. doi: 10.1079/bjn19510025. [DOI] [PubMed] [Google Scholar]
  5. Freinkel N., Singer D. L., Arky R. A., Bleicher S. J., Anderson J. B., Silbert C. K. ALCOHOL HYPOGLYCEMIA. I. CARBOHYDRATE METABOLISM OF PATIENTS WITH CLINICAL ALCOHOL HYPOGLYCEMIA AND THE EXPERIMENTAL REPRODUCTION OF THE SYNDROME WITH PURE ETHANOL. J Clin Invest. 1963 Jul;42(7):1112–1133. doi: 10.1172/JCI104797. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. HAMMOND W. H. Measurement and interpretation of subcutaneous fat, with norms for children and young adult males. Br J Prev Soc Med. 1955 Oct;9(4):201–211. doi: 10.1136/jech.9.4.201. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Haight J. S., Keatinge W. R. Elevation in set point for body temperature regulation after prolonged exercise. J Physiol. 1973 Feb;229(1):77–85. doi: 10.1113/jphysiol.1973.sp010127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. ITAYA K., UI M. COLORIMETRIC DETERMINATION OF FREE FATTY ACIDS IN BIOLOGICAL FLUIDS. J Lipid Res. 1965 Jan;6:16–20. [PubMed] [Google Scholar]
  9. Ide T., Steinke J., Cahill G. F., Jr Metabolic interactions of glucose, lactate, and beta-hydroxybutyrate in rat brain slices. Am J Physiol. 1969 Sep;217(3):784–792. doi: 10.1152/ajplegacy.1969.217.3.784. [DOI] [PubMed] [Google Scholar]
  10. KEATINGE W. R., EVANS M. Effect of food, alcohol, and hyoscine on body-temperature and reflex responses of men immersed in cold water. Lancet. 1960 Jul 23;2(7143):176–178. doi: 10.1016/s0140-6736(60)91324-6. [DOI] [PubMed] [Google Scholar]
  11. KEDES L. H., FIELD J. B. HYPOTHERMIA. A CLUE TO HYPOGLYCEMIA. N Engl J Med. 1964 Oct 8;271:785–787. doi: 10.1056/NEJM196410082711509. [DOI] [PubMed] [Google Scholar]
  12. Krebs H. A., Freedland R. A., Hems R., Stubbs M. Inhibition of hepatic gluconeogenesis by ethanol. Biochem J. 1969 Mar;112(1):117–124. doi: 10.1042/bj1120117. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Owen O. E., Morgan A. P., Kemp H. G., Sullivan J. M., Herrera M. G., Cahill G. F., Jr Brain metabolism during fasting. J Clin Invest. 1967 Oct;46(10):1589–1595. doi: 10.1172/JCI105650. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Strang P. J. Death due to exposure to cold in the New Zealand mountains. N Z Med J. 1969 Jan;69(440):4–11. [PubMed] [Google Scholar]
  15. VIGNAIS P. M., GALLAGHER C. H., ZABIN I. Activation and oxidation of long chain fatty acids by rat brain. J Neurochem. 1958;2(2-3):283–287. doi: 10.1111/j.1471-4159.1958.tb12375.x. [DOI] [PubMed] [Google Scholar]
  16. VOLK M. E., MILLINGTON R. H., WEINHOUSE S. Oxidation of endogenous fatty acids of rat tissues in vitro. J Biol Chem. 1952 Apr;195(2):493–501. [PubMed] [Google Scholar]
  17. WILLIAMSON D. H., MELLANBY J., KREBS H. A. Enzymic determination of D(-)-beta-hydroxybutyric acid and acetoacetic acid in blood. Biochem J. 1962 Jan;82:90–96. doi: 10.1042/bj0820090. [DOI] [PMC free article] [PubMed] [Google Scholar]

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