hypoglycemia-associated autonomic failure(English)

• recent antecedent hypoglycemia, as well as sleep or prior exercise, causes both defective glucose counterregulation (by attenuating the adrenomedullary epinephrine response, in the setting of absent insulin and glucagon responses) and hypoglycemia unawareness (by attenuating the sympathoadrenal, largely the sympathetic neural, response) and thus a vicious cycle of recurrent hypoglycemia
• Diabetes, Insulin, Nervous activity - (para)sympathetic, Sleep medicine, Exercise & Training, Regulation / control
• https://doi.org…53491-0.00023-7