Glycemic allostasis during mental activities on fasting in non alcohol users and alcohol users with different durations of abstinence

Abstract

Glycemic allostasis is the process by which blood glucose stabilization is achieved through the balancing of glucose consumption rate and release into the blood stream under a variety of stressors.This paper reviews findings on the dynamics of glycemic levels during mental activities on fasting in non‑alcohol users and alcohol users with different periods of abstinence. Referred articles for this review were searched in the databases of PubMed, Scopus, DOAJ and AJOL. The search was conducted in 2013 between January 20 and July 31. The following keywords were used in the search: alcohol action on glycemia OR brain glucose OR cognitive functions; dynamics of glycemia, dynamics of glycemia during mental activities; dynamics of glycemia on fasting; dynamics of glycemia in non‑alcohol users OR alcohol users; glycemic regulation during sobriety. Analysis of the selected articles showed that glycemic allostasis during mental activities on fasting is poorly regulated in alcohol users even after a long duration of sobriety (1‑4 weeks after alcohol consumption), compared to non‑alcohol users. The major contributor to the maintenance of euglycemia during mental activities after the night’s rest (during continuing fast) is gluconeogenesis.

Keywords: Abstainers, Abstinence, Alcohol, Alcohol users, Fasting, Glycemic allostasis, Mental activities, Sobriety