Effect of meal ingestion during hyperglycemic clamp on β-cell hormonal response and gastrointestinal peptides in studies with and without intravenous Ex-9 in subjects with and without diabetes
Time interval (min) . | Diabetic subjects . | Nondiabetic subjects . | Statistical effects (P values) . | ||||
---|---|---|---|---|---|---|---|
Saline . | Ex-9 . | Saline . | Ex-9 . | Ex-9 vs. Saline . | Diabetic vs. nondiabetic subjects . | Interaction . | |
Glucose (mmol/l) | |||||||
Fasting | 6.7 ± 0.3 | 6.5 ± 0.3 | 4.8 ± 0.2 | 4.9 ± 0.1 | NS | <0.001 | NS |
60–90 | 12.3 ± 0.3 | 12.2 ± 0.3 | 9.3 ± 0.2 | 9.5 ± 0.2 | NS | <0.001 | NS |
95–270 | 12.0 ± 0.4 | 12.1 ± 0.4 | 9.3 ± 0.2 | 9.3 ± 0.2 | NS | <0.001 | NS |
GINF (mg/kg/min) | |||||||
60–90 | 3.9 ± 0.4 | 3.5 ± 0.4 | 6.0 ± 0.5 | 5 ± 0.5 | <0.05 | <0.01 | NS |
95–270 | 6.1 ± 1.6 | 4.6 ± 1.4 | 11.5 ± 0.7 | 9.6 ± 0.9 | <0.01 | <0.05 | NS |
Insulin (pmol/l) | |||||||
Fasting | 128 ± 22 | 142 ± 28 | 111 ± 20 | 116 ± 21 | NS | NS | NS |
60–90 | 363 ± 69 | 207 ± 32 | 719 ± 134 | 490 ± 107 | <0.001 | <0.01 | NS |
95–270 | 894 ± 220 | 577 ± 94 | 2,243 ± 365 | 1,531 ± 287 | <0.001 | <0.01 | <0.05 |
C-peptide (nmol/l) | |||||||
Fasting | 1.2 ± 0.1 | 1.0 ± 0.1 | 0.9 ± 0.1 | 0.9 ± 0.2 | 0.09 | NS | NS |
60–90 | 2.1 ± 0.3 | 1.8 ± 0.2 | 3.2 ± 0.4 | 2.6 ± 0.4 | <0.001 | <0.05 | NS |
95–270 | 4.6 ± 1.1 | 3.4 ± 0.6 | 7.6 ± 0.9 | 5.9 ± 1.1 | <0.01 | <0.05 | NS |
ISR (nmol/min) | |||||||
Fasting | 0.34 ± 0.03 | 0.35 ± 0.04 | 0.47 ± 0.11 | 0.49 ± 0.13 | NS | NS | NS |
60–90 | 0.71 ± 0.1 | 0.53 ± 0.08 | 1.20 ± 0.17 | 0.95 ± 0.2 | <0.001 | <0.05 | NS |
95–270 | 1.43 ± 0.32 | 1.03 ± 0.18 | 2.42 ± 0.32 | 1.83 ± 0.36 | <0.01 | <0.05 | NS |
Glucagon (pg/ml) | |||||||
Fasting | 48 ± 4 | 49 ± 4 | 46 ± 4 | 51 ± 5 | NS | NS | NS |
80–90 | 41 ± 3 | 41 ± 4 | 43 ± 2 | 42 ± 3 | NS | NS | NS |
250–260 | 43 ± 4 | 58 ± 8 | 40 ± 4 | 41 ± 5 | <0.05 | NS | 0.06 |
GLP-1 (pmol/l) | |||||||
80–90 | 3.6 ± 0.3 | 3.6 ± 0.2 | 3.1 ± 0.1 | 3.0 ± 0.0 | NS | NS | NS |
AUCGLP-1 (pmol/l/min) | |||||||
95–270 | 438 ± 92 | 1,423 ± 340 | 154 ± 73 | 560 ± 230 | <0.05 | 0.08 | NS |
GIP (μmol/l) | |||||||
80–90 | 0.07 ± 0.0 | 0.06 ± 0.0 | 0.05 ± 0.0 | 0.04 ± 0.0 | NS | NS | NS |
AUCGIP (μmol/l/min) | |||||||
95–240 | 12.7 ± 1.4 | 17.1 ± 1.4 | 7.9 ± 1.9 | 7.7 ± 2.3 | NS | <0.05 | NS |
Time interval (min) . | Diabetic subjects . | Nondiabetic subjects . | Statistical effects (P values) . | ||||
---|---|---|---|---|---|---|---|
Saline . | Ex-9 . | Saline . | Ex-9 . | Ex-9 vs. Saline . | Diabetic vs. nondiabetic subjects . | Interaction . | |
Glucose (mmol/l) | |||||||
Fasting | 6.7 ± 0.3 | 6.5 ± 0.3 | 4.8 ± 0.2 | 4.9 ± 0.1 | NS | <0.001 | NS |
60–90 | 12.3 ± 0.3 | 12.2 ± 0.3 | 9.3 ± 0.2 | 9.5 ± 0.2 | NS | <0.001 | NS |
95–270 | 12.0 ± 0.4 | 12.1 ± 0.4 | 9.3 ± 0.2 | 9.3 ± 0.2 | NS | <0.001 | NS |
GINF (mg/kg/min) | |||||||
60–90 | 3.9 ± 0.4 | 3.5 ± 0.4 | 6.0 ± 0.5 | 5 ± 0.5 | <0.05 | <0.01 | NS |
95–270 | 6.1 ± 1.6 | 4.6 ± 1.4 | 11.5 ± 0.7 | 9.6 ± 0.9 | <0.01 | <0.05 | NS |
Insulin (pmol/l) | |||||||
Fasting | 128 ± 22 | 142 ± 28 | 111 ± 20 | 116 ± 21 | NS | NS | NS |
60–90 | 363 ± 69 | 207 ± 32 | 719 ± 134 | 490 ± 107 | <0.001 | <0.01 | NS |
95–270 | 894 ± 220 | 577 ± 94 | 2,243 ± 365 | 1,531 ± 287 | <0.001 | <0.01 | <0.05 |
C-peptide (nmol/l) | |||||||
Fasting | 1.2 ± 0.1 | 1.0 ± 0.1 | 0.9 ± 0.1 | 0.9 ± 0.2 | 0.09 | NS | NS |
60–90 | 2.1 ± 0.3 | 1.8 ± 0.2 | 3.2 ± 0.4 | 2.6 ± 0.4 | <0.001 | <0.05 | NS |
95–270 | 4.6 ± 1.1 | 3.4 ± 0.6 | 7.6 ± 0.9 | 5.9 ± 1.1 | <0.01 | <0.05 | NS |
ISR (nmol/min) | |||||||
Fasting | 0.34 ± 0.03 | 0.35 ± 0.04 | 0.47 ± 0.11 | 0.49 ± 0.13 | NS | NS | NS |
60–90 | 0.71 ± 0.1 | 0.53 ± 0.08 | 1.20 ± 0.17 | 0.95 ± 0.2 | <0.001 | <0.05 | NS |
95–270 | 1.43 ± 0.32 | 1.03 ± 0.18 | 2.42 ± 0.32 | 1.83 ± 0.36 | <0.01 | <0.05 | NS |
Glucagon (pg/ml) | |||||||
Fasting | 48 ± 4 | 49 ± 4 | 46 ± 4 | 51 ± 5 | NS | NS | NS |
80–90 | 41 ± 3 | 41 ± 4 | 43 ± 2 | 42 ± 3 | NS | NS | NS |
250–260 | 43 ± 4 | 58 ± 8 | 40 ± 4 | 41 ± 5 | <0.05 | NS | 0.06 |
GLP-1 (pmol/l) | |||||||
80–90 | 3.6 ± 0.3 | 3.6 ± 0.2 | 3.1 ± 0.1 | 3.0 ± 0.0 | NS | NS | NS |
AUCGLP-1 (pmol/l/min) | |||||||
95–270 | 438 ± 92 | 1,423 ± 340 | 154 ± 73 | 560 ± 230 | <0.05 | 0.08 | NS |
GIP (μmol/l) | |||||||
80–90 | 0.07 ± 0.0 | 0.06 ± 0.0 | 0.05 ± 0.0 | 0.04 ± 0.0 | NS | NS | NS |
AUCGIP (μmol/l/min) | |||||||
95–240 | 12.7 ± 1.4 | 17.1 ± 1.4 | 7.9 ± 1.9 | 7.7 ± 2.3 | NS | <0.05 | NS |
GINF, glucose infusion rate; NS, not significant.