Blood glucose, serum insulin and glucagon response to arginine in premature infants.

The effect of arginine infusion on the peripheral blood sugar, plasma insulin and plasma glucagon was studied in 28 appropriate-for-gestational-age premature newborn infants, 1-day-old, and in 12 normal children 4-10 years old. In the premature plasma insulin and glucagon concentrations increased after arginine though less noticeably than in the older children, and their insulin/glucagon molar ratio was low at fasting and did not change after arginine. It is assumed that the endocrine pancreatic activity is already developed at birth and adequate to the metabolic state in neonatal life.