Wasserman · American journal of physiology. Endocrinology and metabolism 2009 · narrative review · n=?

Four grams of glucose.

Cited 381 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of physiological mechanisms without systematic search methodology.

PubMed 18840763 · doi:10.1152/ajpendo.90563.2008 · record verified 2026-08-28

What was done

This narrative review summarizes physiological mechanisms governing blood glucose homeostasis in humans, specifically focusing on the regulation of glucose flux from the liver to blood and from blood into skeletal muscle. The review outlines the actions of glucagon and insulin, as well as the distributed control points of muscle glucose uptake (delivery, transport, and phosphorylation).

What was found

The abstract provides a baseline physiological reference value noting that approximately 4 grams of glucose circulates in the blood of a 70 kg individual. It outlines the conceptual framework of distributed control across glucose delivery to muscle, transport across cell membranes, and intracellular phosphorylation, along with the regulatory roles of insulin and glucagon. No empirical experimental numbers or statistical effect sizes are reported in the abstract.

Why it matters

It provides a foundational conceptual model showing that glucose homeostasis depends on a distributed network of regulatory steps rather than a single rate-limiting barrier.

Limits

The abstract describes a narrative review rather than an empirical trial or systematic review; sample sizes, study selection criteria, and quantitative results are not reported.

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