Circulating levels of gastrointestinal hormones in prediabetes reversing to normoglycemia or progressing to diabetes in a year–A cross-sectional and prospective analysis

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Aims: We aimed to compare the concentrations of GLP-1, glucagon and GIP (established regulators of glucose homeostasis) and glicentin (emerging new metabolic marker)during an OGTT in patients with normal glucose tolerance (NGT), prediabetes and diabetes at onset, and one-year before, when all had prediabetes. Methods: GLP-1, glucagon, GIP and glicentin concentrations were measured and compared with markers of body composition, insulin sensitivity and β-cell function at a 5-timepoint OGTT in 125 subjects (30 diabetes, 65 prediabetes, 30 NGT) and in 106 of them one-year before, when all had prediabetes. Results: At baseline, when all subjects were in prediabetic state, hormonal levels did not differ between groups. One year later, patients progressing to diabetes had lower postprandial increases of glicentin and GLP-1, lower postprandial decrease of glucagon, and higher levels of fasting GIP compared to patients regressing to NGT. Changes in glicentin and GLP-1 AUC within this year correlated negatively with changes in Glucose AUC of OGTT and with changes in markers of beta cell function. Conclusion: Incretins, glucagon and glicentin profiles in prediabetic state cannot predict future glycemic traits, but prediabetes progressing to diabetes is accompanied by deterioration of postprandial increases of GLP-1 and glicentin.

Details

Original languageEnglish
Article number110636
JournalDiabetes research and clinical practice
Volume199
Publication statusPublished - May 2023
Peer-reviewedYes

External IDs

PubMed 36940795

Keywords

Sustainable Development Goals

Keywords

  • Incretins, Proglucagon-Derived Peptides, Type 2 Diabetes Mellitus, Gastric Inhibitory Polypeptide, Glucose Tolerance Test, Glucagon-Like Peptide 1, Glucagon, Cross-Sectional Studies, Gastrointestinal Hormones, Humans, Blood Glucose/metabolism, Glicentin, Insulin/metabolism, Prediabetic State, Diabetes Mellitus, Type 2

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