Article |

Cortisol Secretion in Acidotic and Nonacidotic Diabetes Mellitus

Mark A. Sperling, MB, MRACP; George Bacon, MD; Frederick M. Kenny, MD; Allan L. Drash, MD
Am J Dis Child. 1972;124(5):690-692. doi:10.1001/archpedi.1972.02110170068009.
Text Size: A A A
Published online

Acute changes in adrenocortical function were assessed by a method which permits simultaneous determination of cortisol and short-term cortisol secretion rates from specific activities in serum. Four children were studied during the first two hours of their initial hospitalization for impending ketoacidosis. Three were acidotic (plasma bicarbonate [unk] 19 mEq/liter); two of these were restudied one week later following stabilization of their disease. In all six studies cortisol secretion rate was directly correlated to the degree of acidosis (r =.96), being high in the presence of, but normal in the absence or following correction of, acidosis. These studies document the magnitude of adrenal response to the stress of diabetic ketoacidosis. The consistent presence of normal cortisol secretion rate in diabetic children without acidosis argues against the contention that increased cortisol secretion is a factor in the pathogenesis of juvenile diabetes mellitus.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.