This project will describe the mechanisms of action and the relative contributions of GIP to changes in gastrointestinal blood flow induced by oral glucose and endogenous GIP with the use of a receptor antagonists GIP(3-30)NH2 in patients with type 2 diabetes.
Each participant will attend four independent randomised experimental days in the MRI-scanner with intravenous infusion (hormone/placebo) and oral ingestion (glucose/water): An intravenous infusion of saline or GIP(3-30)NH2 starts at time point -20 minutes.The infusions are combined with an oral glucose tolerance test (75 gram of glucose dissolved in 250 ml water ingested orally) at time point 0 minutes on two of the experimental days (with and without GIP(3-30)NH2). MRI measurements are repeatedly performed and blood samples are drawn to be analysed for endocrine responses from the intestines, pancreas, and bones.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
10
NaCl (9 mg/ml)
GIP(3-30)NH2
Rigshospitalet
Copenhagen, Denmark
RECRUITINGRedistribution of splanchnic blood flow in the vessel mesenteric superior artery (functional MRI)
Measued with phase-contrast MRI in ml/min
Time frame: 80 minutes
GIP levels
Radioimmuno assay on plasma blood sample (pmol/L)
Time frame: 80 minutes
GIP(3-30)NH2 levels
Radioimmuno assay on plasma blood sample (nmol/L)
Time frame: 80 minutes
Glucose
Bedside measurement of whole blood sample (mmol/L)
Time frame: 80 minutes
C-peptide
Electrochemiluminescence immunoassay of plasma blood sample (pmol/L)
Time frame: 80 minutes
Insulin
Electrochemiluminescence immunoassay of plasma blood sample (pmol/L)
Time frame: 80 minutes
Glucagon
Radioimmuno assay on plasma blood samples (pmol/L)
Time frame: 80 minutes
Blood flow in portal vein
Measued with phase-contrast MRI in ml/min
Time frame: 80 minutes
Blood flow in coeliac trunc
Measued with phase-contrast MRI in ml/min
Time frame: 80 minutes
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Blood flow in hepatic artery
Measued with phase-contrast MRI in ml/min
Time frame: 80 minutes