Reactive hypoglycemia tolerance test nor a breakfast test is effective; instead, a hyperglucidic breakfast test or ambulatory glucose testing is the current standard. The body requires a relatively constant input of glucose, a sugar produced upon digestion of carbohydrates, for normal functioning. Glucagon and insulin are among the hormones that ensure a normal range of glucose in the human body. Upon consumption of a meal, blood sugar normally rises, which triggers pancreatic cells to produce insulin. This hormone initiates the absorption of the just-digested blood glucose as glycogen into the liver for metabolism or storage, thereby lowering glucose levels in the blood.
Alpha cell Alpha cell Alpha cells (more commonly alpha-cells or α-cells) are endocrine cells in the pancreatic islets of the pancreas. They make up to 20% of the human islet cells synthesizing and secreting the peptide hormone glucagon, which elevates the glucose levels in the blood. To elevate glucose levels, glucagon binds to receptors on hepatocytes (liver cells) and some other cells (e.g. kidney cells). This activates an enzyme, glycogen phosphorylase, inside the hepatocyte to hydrolyse glycogen to glucose. This process is called glycogenolysis. In rodents, alpha cells are located in the periphery of the islets, however in humans the islet architecture