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Glucagon | Laboratory research

Also known as: glucagon
SKU: 312

135.00

Study material: Venous blood
Response time (working day): 14
The test is done on an empty stomach: Yes
Home call service: Yes
Country: EU

General Information

Glucagon is a hormone produced by the alpha cells of the pancreas that raises blood sugar levels—especially during fasting, exercise, or hypoglycemia. It acts in opposition to insulin and is critical for maintaining energy balance.

Glucagon

A peptide hormone consisting of 29 amino acids that is synthesized by the alpha islet cells of the pancreas and the hypothalamus.

 

Pancreatic glucagon is involved in carbohydrate metabolism. Its function is the opposite of insulin: it is stimulated in hypoglycemic conditions and causes an increase in blood sugar levels. The hyperglycemic effect of glucagon is carried out in the liver through glycogenolysis (glycogen breakdown) and gluconeogenesis (glucose synthesis). After regulation of blood sugar concentration, glucagon is inactivated.

Glucagon metabolism is influenced by the functional state of the kidneys. In kidney failure, a high fasting glucagon level is observed.

Excess secretion of glucagon causes hyperglycemia. When the blood glucose concentration is regulated by insulin therapy, the glucagon level also returns to normal.

Glucagonomas are rare tumors of the pancreas that develop from the cells of the islets of Langerhans and produce glucagon. Causes symptoms of diabetes, diarrhea, erythema.

Glucagon levels are elevated in carcinoid tumors, hepatocellular carcinomas, and other neuroendocrine tumors.

Decreased or absent glucagon levels are sometimes found in type I diabetes. Glucagon deficiency is associated with loss of pancreatic tissue.

 

 

When should we take the test?

Hormone determination is performed when hypoglycemia, pancreatic function, or hormonal reserve needs to be assessed. It is used as a blood test (glucagon level) or as a stimulation test (to assess GH/ACTH/cortisol reserve).

 

  • Measures hormone levels in the blood.
  • Used to monitor hypoglycemia, pancreatitis, glucagonoma (pancreatic tumor), and diabetes.

Possible interpretation of the results

Increase in the indicatorIt is noted in the following situations:

  • In glucagonomas (glucagon-producing tumors), which are manifested by three options:
  1. Migratory necrolytic erythema (characteristic rash), diabetes or glucose intolerance, weight loss, venous thrombosis. This form is manifested by a very high level of glucagon.
  2. The second option is associated with severe diabetes
  3. The third option is associated with the syndrome of multiple endocrine neoplasias and is characterized by relatively low levels of glucagon.

 

  • Diabetes. Inadequate plasma glucagon secretion and severe hyperglycemia in patients with type 1 diabetes mellitus indicate paradoxical secretion of the hormone, which is an indicator of the severity of the disease. On the other hand, low glucagon levels in the setting of hypoglycemia indicate dysregulation of glucose metabolism.
  • Acute pancreatitis
  • Chronic renal failure
  • Stress conditions: trauma, burns, surgical intervention and others
  • cirrhosis of the liver
  • Blood hyperosmolality (high salt and low water content in the blood)
  • Hypoglycemia

 

Low rates are noted.in the following situations:

  • When dissecting pancreatic tissue
  • in chronic pancreatitis
  • in cystic fibrosis

Reference values

The test is used to diagnose glucagon-producing tumors and diabetic patients.

Patient preparation –The study is conducted on an empty stomach. It is recommended to abstain from food and stressful factors for 8 hours before the research.

 

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This medical information is not intended to be a universal treatment guide for all patients. The treatment process, including the type, volume, and frequency of diagnostic tests and therapeutic procedures, is determined by the physician individually — based on an assessment of the patient's condition and relevant medical indications. The decision is made in consultation with the patient. Before purchasing a test, please read the instructions for its preparation.
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