Glucose Clamp Forms core 2008 rtf - med upenn-2025

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To perform a hypoglycemic clamp individualized intravenous insulin and glucose infusions are titrated to achieve and maintain a pre-defined blood glucose target for a specified period of time, e.g. 30-60 min, at euglycemic and then hypoglycemic target levels.
Glucose clamp techniques make use of intravenous infusions of glucose to raise blood glucose levels 6.9 mmol/L above basal levels. Constant infusion adjustments maintain the basal level and are followed by arginine stimulation to measure total insulin secretory capacity.
For the hyperglycemic clamp, 30% glucose is infused into the vein, and blood glucose levels are measured from the arterial blood every 5 min or 10 min. The infusion rate of 30% glucose is increased until the blood glucose level becomes 250 mg/dL. Blood is collected to measure insulin concentrations.
A pancreatic clamp is a technique in which we temporarily shut off the bodys production of insulin with intravenous (into the vein) hormone mixtures that allow researchers to vary levels of insulin, over about 7 hours.
The glucose clamp technique was originally developed based on steady-state intravenous insulin infusion and adjustment of the glucose infusion rate to maintain a constant glucose concentration. The components required include a method to take blood glucose samples, a blood glucose analyzer, and a glucose infusion pump.
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