This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Hypothesis: The selective serotonin reuptake inhibitor fluoxetine will blunt neuroendocrine, ANS and metabolic counterregulatory mechanisms during hypoglycemia in T1DM and healthy subjects. It is hypothesized that individuals who are chronically taking selective serotonin reuptake inhibitors might have a reduced ability to defend against hypoglycemia compared to individuals not taking the medication, thus leaving them more susceptible to hypoglycemia. The results could potentially be important to patients with diabetes, by demonstrating to physicians how to modify therapy for those taking antidepressants in order to avoid hypoglycemia.
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