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Below 70? The 15-15 rule

All forDiabetes

Neuronal PTP1B regulates body weight, adiposity, and leptin action

All for DiabetesPublished October 10, 20062 min read

Key points

  • Neuronal PTP1B regulates body weight, adiposity and leptin action.
  • “We generated tissue-specific PTP1B knockout (Ptpn1-/-) mice.
  • Neel, Beth Israel Deaconess Medical Center, Dept. of Medical, Division Endocrinol Diabetes & Metab, Research N 380C, 99 Brookline Avenue, Boston, MA 02215, USA.
  • According to recent research from the United States, “Obesity is a major health problem and a risk factor for type 2 diabetes.

Neuronal PTP1B regulates body weight, adiposity and leptin action.

According to recent research from the United States, “Obesity is a major health problem and a risk factor for type 2 diabetes. Leptin, an adipocyte-secreted hormone, acts on the hypothalamus to inhibit food intake and increase energy expenditure. Most obese individuals develop hyperleptinemia and leptin resistance, limiting the therapeutic efficacy of exogenously administered leptin. Mice lacking the tyrosine phosphatase PTP1B are protected from diet-induced obesity and are hypersensitive to leptin, but the site and mechanism for these effects remain controversial.”

“We generated tissue-specific PTP1B knockout (Ptpn1-/-) mice. Neuronal Ptpn1-/- mice have reduced weight and adiposity, and increased activity and energy expenditure. In contrast, adipose PTP1B deficiency increases body weight, whereas PTP1B deletion in muscle or liver does not affect weight. Neuronal Ptpn1-/- mice are hypersensitive to leptin, despite paradoxically elevated leptin levels, and show improved glucose homeostasis,” described K.K. Bence and colleagues, Beth Israel Deaconess Medical Center.

“Thus,” concluded the authors, “PTP1B regulates body mass and adiposity primarily through actions in the brain. Furthermore, neuronal PTP1B regulates adipocyte leptin production and probably is essential for the development of leptin resistance.”

Bence and colleagues published their study in Nature Medicine (Neuronal PTP1B regulates body weight, adiposity and leptin action. Nat Med, 2006;12(8):917-924).

For additional information, contact B.G. Neel, Beth Israel Deaconess Medical Center, Dept. of Medical, Division Endocrinol Diabetes & Metab, Research N 380C, 99 Brookline Avenue, Boston, MA 02215, USA.

Publisher contact information for the journal Nature Medicine is: Nature Publishing Group, 75 Varick Street, 9TH Floor, New York, NY 10013-1917, USA.

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.