The purpose of the study is to determine the contribution of endogenous Glucagon-like peptide 1 (GLP-1) to the postprandial secretion of insulin and glucagon and the incretin effect in healthy subjects and patients with type 2 diabetes mellitus (T2DM).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
24
intravenous infusion of exendin(9-39)
intravenous infusion of saline
duodenal perfusion of a meal
Ludwig Maximilians-University, Clinical Research Unit
Munich, Germany
Clinical Research unit, Dept. of Internal Medicine II - Großhadern, University of Munich
Munich, Germany
The incretin effect
The incretin effect is the difference between postprandial plasma concentrations of insulin and C-peptide, respectively, and those during the isoglycemic fasting control experiment. The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion.
Time frame: Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion
Plasma concentrations of glucagon
The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion.
Time frame: Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion
Plasma concentrations of insulin
The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion.
Time frame: Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion
Plasma concentrations of C-peptide
The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion.
Time frame: Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion
Plasma concentrations of Glucagon-like peptide-1(7-36) (GLP-1(7-36))
The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion.
Time frame: Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion
Plasma concentrations of Glucose-dependent insulinotropic polpypeptide (GIP)
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duodenal perfusion of saline
The AUC is calculated after priming intravenous infusion (saline or exendin(9-39)) and under steady state duodenal meal perfusion.
Time frame: Area Under Curve (AUC) Time Frame: from 0 to 90 minutes under duodenal meal perfusion