The HIPER-1 study is a single centre cross sectional study in which a total of 240 participants (in different metabolic states and surgical models) will receive an Oral Mixed Meal Tolerance Test (OMTT). At baseline and after 30, 60 and 120 minutes the PYY levels, GLP-1 levels, glucose and insulin sensitivity will be measured. The primary endpoint of the study will be the area under the GLP-1 and Peptide - YY curves and insulin sensitivity following the OMTT.
Obesity and type 2 diabetes mellitus (T2DM) are increasing worldwide, thus reaching pandemic proportions. Diet, exercise and medication remain the cornerstones of type 2 diabetes mellitus treatment. But, apart from studies demonstrating promising results in some of the developed countries; the long-term success rates of lifestyle and drug modifications are disappointing. In cases where classic strategies proved to be inadequate, broad type of gastrointestinal (GI) surgery methods offer new alternatives to treat obesity and T2DM. The variable levels of incretin stimulation (especially GLP-1) and improved glycaemic control in those with diabetes have been shown following various bariatric techniques. Therefore, investigators aimed to analyze the levels of GLP-1 and Peptide YY hormones together with indices of insulin sensitivity in participants with various health conditions and in participants who underwent different surgical options including sleeve gastrectomy, minigastric bypass, sleeve gastrectomy with ileal transposition and sleeve gastrectomy with transit bipartition.
Study Type
OBSERVATIONAL
Enrollment
240
Measurement of GLP-1, Peptide YY, Glucose and Insulin before and 30-60-120 minutes after Oral Mixed Meal Tolerance Test.
Plasma GLP-1 and P-YY measurements by ELISA in participants with various health conditions.
Measurements will be performed before and 30-60-120 minutes after a mixed meal test and results will be expressed as pmol/L.
Time frame: Up to 6 months.
Plasma GLP-1 and P-YY measurements by ELISA in participants treated by different bariatric and metabolic surgical techniques.
Measurements will be performed before and 30-60-120 minutes after a mixed meal test and results will be expressed as pmol/L.
Time frame: Up to 6 months.
Body Mass Index (BMI) in participants with various health conditions.
BMI will be expressed in kg/m\^2 (weight in kilograms and height in meters).
Time frame: Up to 6 months.
Body Mass Index (BMI) in participants treated by different bariatric and metabolic surgical techniques.
BMI will be expressed in kg/m\^2 (weight in kilograms and height in meters).
Time frame: Up to 6 months.
Waist and hip circumference in participants with various health conditions.
Waist and hip circumferences will be expressed as centimeters.
Time frame: Up to 6 months.
Waist and hip circumference in participants treated by different bariatric and metabolic surgical techniques.
Waist and hip circumferences will be expressed as centimeters.
Time frame: Up to 6 months.
Plasma glucose levels in participants with various health conditions.
Measurements will be performed before and 30-60-120 minutes after a mixed meal test. Plasma glucose levels will be measured by Enzymatic Hexokinase method and results will be expressed as mg/dl.
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Time frame: Up to 6 months.
Plasma glucose levels in participants treated by different bariatric and metabolic surgical techniques.
Measurements will be performed before and 30-60-120 minutes after a mixed meal test. Plasma glucose levels will be measured by Enzymatic Hexokinase method and results will be expressed as mg/dl.
Time frame: Up to 6 months.
Plasma insulin levels in participants with various health conditions.
Measurements will be performed before and 30-60-120 minutes after a mixed meal test. Plasma insulin levels will be measured by ECLIA method and results will be expressed as mU/ml.
Time frame: Up to 6 months.
Plasma insulin levels in participants treated by different bariatric and metabolic surgical techniques.
Measurements will be performed before and 30-60-120 minutes after a mixed meal test. Plasma insulin levels will be measured by ECLIA method and results will be expressed as mU/ml.
Time frame: Up to 6 months.