GLP-1 and Glucose Tolerance After Sleeve Gastrectomy in Morbidly Obese Subjects With Type 2 Diabetes. (Articolo in rivista)

Type
Label
  • GLP-1 and Glucose Tolerance After Sleeve Gastrectomy in Morbidly Obese Subjects With Type 2 Diabetes. (Articolo in rivista) (literal)
Anno
  • 2014-01-01T00:00:00+01:00 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
  • 10.2337/db14-0357 (literal)
Alternative label
  • Jimenez, A.; Mari, A.; Casamitjana, R.; Lacy, A.; Ferrannini, E.; Vidal, J. (2014)
    GLP-1 and Glucose Tolerance After Sleeve Gastrectomy in Morbidly Obese Subjects With Type 2 Diabetes.
    in Diabetes (N.Y.N.Y. : Online)
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Jimenez, A.; Mari, A.; Casamitjana, R.; Lacy, A.; Ferrannini, E.; Vidal, J. (literal)
Pagina inizio
  • 3372 (literal)
Pagina fine
  • 7 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url
  • http://www.ncbi.nlm.nih.gov/pubmed/24848069 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 63 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo
  • 10 (literal)
Note
  • ISI Web of Science (WOS) (literal)
  • Scopu (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • 1: Obesity Unit, Hospital Clinic Universitari, Barcelona, Spain / Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain; 2: Consiglio Nazionale delle Ricerche Institute of Biomedical Engineering, Padua, Italy; 3: Obesity Unit, Hospital Clinic Universitari, Barcelona, Spain / Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain / CIBERDEM, Barcelona, Spain; 4: Obesity Unit, Hospital Clinic Universitari, Barcelona, Spain / CIBERDEM, Barcelona, Spain; 5: Department of Clinical and Experimental Medicine, University of Pisa School of Medicine, Pisa, Italy 6: Obesity Unit, Hospital Clinic Universitari, Barcelona, Spain / Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain / CIBERDEM, Barcelona, Spain; (literal)
Titolo
  • GLP-1 and Glucose Tolerance After Sleeve Gastrectomy in Morbidly Obese Subjects With Type 2 Diabetes. (literal)
Abstract
  • Although GLP-1 has been suggested as a major factor for the marked improvement of glucose tolerance commonly seen after sleeve gastrectomy (SG), several observations challenge this hypothesis. To better understand the role of GLP-1 in the remission of type 2 diabetes mellitus (T2DM) long term after SG in humans, we conducted two separate cross-sectional studies: 1) the GLP-1 response to a standardized mixed liquid meal (SMLM) was compared in subjects with T2DM antedating SG but with different long-term (>2 years) T2DM outcomes (remission, relapse, or lack of remission) (study 1) and 2) the effect of GLP-1 receptor blockade with exendin (9-39) on glucose tolerance was examined in subjects with T2DM antedating surgery, who had undergone SG and presented with long-term T2DM remission (study 2). In study 1, we observed a comparable GLP-1 response to the SMLM regardless of the post-SG outcome of T2DM. In study 2, the blockade of GLP-1 action resulted in impaired insulin secretion but limited deterioration of glucose tolerance. Thus, our data suggest the enhanced GLP-1 secretion observed long term after SG is neither sufficient nor critical to maintain normal glucose tolerance in subjects with T2DM antedating the surgery. (literal)
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