We aim to demonstrate that oral administration of glibenclamide stimulates pancreatic glucagon secretion during hypoglycemia in insulin-deficient (C-peptide negative) patients with type 1 diabetes when compared to type 1 diabetic patients with residual insulin secretion (C-peptide positive).
The glucagon response during insulin induced hypoglycemia and rate of glucose recovery will be monitored in 10 C-peptide positive and 10 C-Peptide negative patients with type 1 DM following the application of glibenclamide and placebo in a randomized, single-blind, cross-over study. Cognitive function during hypoglycemia with and without glibenclamide pretreatment will be a secondary outcome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
18
glibenclamide 15 mg single dose
placebo capsules, single dose
University Hospital Basel
Basel, Basel, Switzerland
plasma glucagon concentrations during insulin induced hypoglycemia with and without glibenclamide pretreatment
Time frame: cross-sectional
rate of glucose recovery following insulin induced hypoglycemia with and without glibenclamide pretreatment
Time frame: cross-sectional
cognitive function during insulin induced hypoglycemia with and without glibenclamide pretreatment
Time frame: cross-sectional
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