The action of insulin is counterregulated by glucagon, epinephrine (adrenaline), norepinephrine (noradrenaline), cortisol, and growth hormone. These counterregulatory hormones—the term is usually used in the plural—raise the level of glucose in the blood by promoting glycogenolysis, gluconeogenesis, ketogenesis, and other catabolic processes.[1] In healthy people, counterregulatory hormones constitute a principal defense against hypoglycemia, and levels are expected to rise as the glucose falls.