Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/9207
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Type: Journal article
Title: Small intestinal glucose absorption and duodenal motility in type 1 diabetes mellitus
Author: Rayner, C.
Schwartz, M.
van Dam, P.
Renooij, W.
de Smet, M.
Horowitz, M.
Smout, A.
Samsom, M.
Citation: American Journal of Gastroenterology, 2002; 97(12):3123-3130
Publisher: Elsevier Science Inc
Issue Date: 2002
ISSN: 0002-9270
1572-0241
Statement of
Responsibility: 
C.K Rayner, M.P Schwartz, P.S van Dam, W Renooij, M de Smet, M Horowitz, A.J.P.M Smout and M Samsom
Abstract: Objective: Small intestinal glucose absorption is increased in animal models of diabetes mellitus, but little data are available in humans. Small intestinal motility is reported to be frequently abnormal in patients with diabetes and could potentially affect glucose absorption. Our aim was to evaluate small intestinal glucose absorption and duodenal motor responses to intraduodenal nutrients, in patients with type 1 diabetes and controls. Methods: Eight type 1 patients (two with autonomic neuropathy) and nine controls were studied during euglycemia. A manometric catheter was positioned across the pylorus, and nutrient infused intraduodenally (90 kcal over 30 min), followed by a bolus of 3-O-methylglucose (3-OMG). Blood was sampled to measure glucose and 3-OMG concentrations. Results: During nutrient infusion, the number of duodenal waves did not differ between patients and controls. After the infusion, patients with diabetes had more propagated duodenal wave sequences (p < 0.05). The area under the plasma 3-OMG curve did not differ between the groups but correlated with both the blood glucose concentration at the time of 3-OMG administration (r = 0.64, p < 0.005) and the number of duodenal waves (r = 0.52, p < 0.05) and antegrade propagated duodenal sequences (r = 0.51, p < 0.05) preceding the 3-OMG bolus. Conclusions: During euglycemia, duodenal motor responses to small intestinal nutrient are comparable in patients with relatively uncomplicated type 1 diabetes and healthy subjects, but duodenal motility after nutrient infusion is increased in patients. Small intestinal glucose absorption is similar in patients and controls, but may be dependent on the blood glucose concentration and
Keywords: Intestine, Small; Duodenum; Autonomic Nervous System; Humans; Diabetes Mellitus, Type 1; 3-O-Methylglucose; Glucose; Blood Glucose; Gastrointestinal Motility; Intestinal Absorption; Postprandial Period; Osmolar Concentration; Pressure; Time Factors; Adult; Middle Aged; Female; Male
Description: The definitive version is available at www.blackwell-synergy.com
RMID: 0020022441
DOI: 10.1111/j.1572-0241.2002.07109.x
Appears in Collections:Medicine publications

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