Effect of RYGB on Alpha- and Beta Cell Function and Sensitivity to Incretins in Patients With Type 2 Diabetes
NCT04782999 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 9
Last updated 2022-03-16
Summary
The aim of the study is to investigate the effect of Roux-en-Y gastric bypass (RYGB) on pancreatic alpha and beta-cell function and for the sensitivity of incretin hormones in patients with pre-operative type 2 diabetes.
Primary hypotheses:
* After RYGB, the sensitivity to GLP-1 and GIP is improved (improved insulinotropic effect).
* After RYGB, the insulin secretion improves during an oral glucose tolerance test within 3 months postoperatively.
* After RYGB, the insulin secretion during intraveneous stimulation with glucose or non-glucose (arginin) is unchanged.
Conditions
- Type2 Diabetes
- Obesity, Morbid
Interventions
- DIAGNOSTIC_TEST
-
Oral Glucose Tolerance Test
Standard test of glucose tolerance with ingestion of 75 g glucose followed by blood sampling.
- DIAGNOSTIC_TEST
-
Hyperglycemic clamp with infusion of saline, GLP-1 or GIP
Blood glucose kept at 15 mmol/L via iv 20% glucose infusions. Primed co-infusion of either: * Saline * GLP-1 (Prime dose 6 pmol/kg, infusion 1 pmol/kg/min) * GIP (Prime dose 3 pmol/kg, infusion 1.5 pmol/kg/min).
Sponsors & Collaborators
-
University of Copenhagen
collaborator OTHER -
Hvidovre University Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-01-31
- Primary Completion
- 2022-01-31
- Completion
- 2022-03-31
Countries
- Denmark
Study Locations
More Related Trials
-
Importance of Meal Fat Content and Gall Bladder Emptying for Postprandial GLP-1 Secretion in Type 2 Diabetes Patients
NCT01374594 ·Status: COMPLETED
-
Effect of Gastric Bypass Surgery on Pancreatic Islet and Incretin Function - Follow-up Study
NCT02161666 ·Status: COMPLETED
-
Glucagon Responses During Oral- and iv Glucose in Patients With Type 1 Diabetes
NCT00704795 ·Status: UNKNOWN
-
The Contribution of Incretin Hormones to the Amelioration of Glucose Metabolism After Roux-en-Y Gastric Bypass
NCT01843855 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Glucagon-like Peptide 1, Glucose Metabolism and Gastric Bypass
NCT01803451 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Separate and Combined Extrapancreatic Effects of GIP and GLP-1
NCT06895408 ·Status: COMPLETED ·Phase: NA
-
Glucagon-Like Peptide-1 (GLP-1) Suppression of Alpha Cell Secretion in Type 2 Diabetes Mellitus (T2DM)
NCT00862589 ·Status: COMPLETED ·Phase: NA
-
GIP, GLP-1 and GLP-2 in Type 2 Diabetic Hyperglucagonemia
NCT00716170 ·Status: COMPLETED
-
Influence of Glucagon Inhibition in Relation to the Anti-Diabetic Effect of Glucagon-Like Peptide-1 (GLP-1) in Patients With Type 2 Diabetes Mellitus
NCT00655603 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Insulin-induced Hypoglycaemia on Gut-derived Glucagon Secretion (Px-Hypo)
NCT04064203 ·Status: COMPLETED ·Phase: NA
-
Endogenous Glucoseproduction in Patients With Type 2 Diabetes Mellitus During Oral Glucose and iv. Glucose Infusion
NCT02010827 ·Status: COMPLETED
-
Hyperglycemia and the Extra-pancreatic Effect of Incretins
NCT01749163 ·Status: COMPLETED ·Phase: NA
-
The Endocrine Impact of the Duodenal-jejunal Bypass Sleeve on Type 2 Diabetes - Potential Role of the Incretin Hormones
NCT02360878 ·Status: COMPLETED
-
The Contribution of Incretin Hormones to Post-prandial Glucose Metabolism After Roux-en-Y Gastric Bypass
NCT01843881 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
The Effect of GIP, GLP-1 and GLP-2 in Individuals With Genetically Altered Receptor Function
NCT06194955 ·Status: COMPLETED ·Phase: NA
-
The Role of Glucagon in Glucose Metabolism in Humans With and Without Bariatric Surgery
NCT07212868 ·Status: RECRUITING ·Phase: PHASE1
-
Beta-Cell Function After Near-Normalisation of Blood Glucose
NCT00612950 ·Status: COMPLETED ·Phase: NA
-
Bile Acid-induced GLP-secretion. A Study in Cholecystectomized Subjects
NCT01251510 ·Status: COMPLETED
-
Separate and Combined Extrapancreatic Effects of the Incretin Hormones
NCT05177653 ·Status: COMPLETED ·Phase: NA
-
GLP-1 Signaling in Truncally Vagotomized Subjects
NCT02940184 ·Status: UNKNOWN ·Phase: NA
-
Hepatic Metabolic Changes in Response to Glucagon Infusion
NCT03526445 ·Status: COMPLETED ·Phase: NA
-
Hyperglucagonaemia in Patients With Type 2 Diabetes - Role of Glucagon Clearance
NCT02475421 ·Status: COMPLETED ·Phase: NA
-
To Define the Role of GLP-1 for Improving Glucose Homeostasis in Humans Following Gastric Bypass Surgery
NCT02204813 ·Status: COMPLETED ·Phase: PHASE1
-
The Effects of GIP and GLP-2 on the Secretion of Glucagon in Patients With Type 1 Diabetes
NCT00732602 ·Status: COMPLETED ·Phase: NA
-
GIP/GLP-1 Co-Activity in Subjects With Obesity: Lowering of Food Intake
NCT02598791 ·Status: COMPLETED ·Phase: NA