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dc.contributor.authorUmapathysivam, M.en
dc.contributor.authorLee, M.en
dc.contributor.authorJones, K.en
dc.contributor.authorAnnink, C.en
dc.contributor.authorCousins, C.en
dc.contributor.authorTrahair, L.en
dc.contributor.authorRayner, C.en
dc.contributor.authorChapman, M.en
dc.contributor.authorNauck, M.en
dc.contributor.authorHorowitz, M.en
dc.contributor.authorDeane, A.en
dc.identifier.citationDiabetes, 2014; 63(2):785-790en
dc.description.abstractAcute administration of glucagon-like peptide 1 (GLP-1) and its agonists slows gastric emptying, which represents the major mechanism underlying their attenuation of postprandial glycemic excursions. However, this effect may diminish during prolonged use. We compared the effects of prolonged and intermittent stimulation of the GLP-1 receptor on gastric emptying and glycemia. Ten healthy men received intravenous saline (placebo) or GLP-1 (0.8 pmol/kg $ min), as a continuous 24-h infusion (“prolonged”), two 4.5-h infusions separated by 20 h (“intermittent”), and a 4.5-h infusion (“acute”) in a randomized, double-blind, crossover fashion. Gastric emptying of a radiolabeled mashed potato meal was measured using scintigraphy. Acute GLP-1 markedly slowed gastric emptying. The magnitude of the slowing was attenuated with prolonged but maintained with intermittent infusions. GLP-1 potently diminished postprandial glycemia during acute and intermittent regimens. These observations suggest that short-acting GLP-1 agonists may be superior to long-acting agonists when aiming specifically to reduce postprandial glycemic excursions in the treatment of type 2 diabetes.en
dc.description.statementofresponsibilityMahesh M. Umapathysivam, Michael Y. Lee, Karen L. Jones,Christopher E. Annink, Caroline E. Cousins, Laurence G. Trahair, Chris K. Rayner, Marianne J. Chapman, Michael A. Nauck, Michael Horowitz, and Adam M. Deaneen
dc.publisherAmerican Diabetes Associationen
dc.rights© 2014 by the American Diabetes Associationen
dc.subjectHumans; Insulin; Glucose; Blood Glucose; Receptors, Glucagon; Area Under Curve; Cross-Over Studies; Double-Blind Method; Gastric Emptying; Male; Glucagon-Like Peptide 1; Young Adulten
dc.titleComparative effects of prolonged and intermittent stimulation of the glucagon- like peptide 1 receptor on gastric emptying and glycemiaen
dc.typeJournal articleen
pubs.library.collectionAnaesthesia and Intensive Care publicationsen
dc.identifier.orcidJones, K. [0000-0002-1155-5816]en
dc.identifier.orcidRayner, C. [0000-0002-5527-256X]en
dc.identifier.orcidChapman, M. [0000-0003-0710-3283]en
dc.identifier.orcidHorowitz, M. [0000-0002-0942-0306]en
dc.identifier.orcidDeane, A. [0000-0002-7620-5577]en
Appears in Collections:Anaesthesia and Intensive Care publications

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