Title : Sustained influence of metformin therapy on circulating glucagon-like peptide-1 levels in individuals with and without type 2 diabetes.

Pub. Date : 2017 Mar

PMID : 27862873






7 Functional Relationships(s)
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1 AIMS: To investigate, in the Carotid Atherosclerosis: Metformin for Insulin Resistance (CAMERA) trial (NCT00723307), whether the influence of metformin on the glucagon-like peptide (GLP)-1 axis in individuals with and without type 2 diabetes (T2DM) is sustained and related to changes in glycaemia or weight, and to investigate basal and post-meal GLP-1 levels in patients with T2DM in the cross-sectional Diabetes Research on Patient Stratification (DIRECT) study. Metformin glucagon like peptide 1 receptor Homo sapiens
2 Using 6-monthly fasted total GLP-1 levels over 18 months, we evaluated metformin"s effect on total GLP-1 with repeated-measures analysis and analysis of covariance. Metformin glucagon like peptide 1 receptor Homo sapiens
3 RESULTS: In CAMERA, metformin increased total GLP-1 at 6 (+20.7%, 95% confidence interval [CI] 4.7-39.0), 12 (+26.7%, 95% CI 10.3-45.6) and 18 months (+18.7%, 95% CI 3.8-35.7), an overall increase of 23.4% (95% CI 11.2-36.9; P < .0001) vs placebo. Metformin glucagon like peptide 1 receptor Homo sapiens
4 In the DIRECT study, metformin was associated with higher fasting active (39.1%, 95% CI 21.3-56.4) and total GLP-1 (14.1%, 95% CI 1.2-25.9) but not post-meal incremental GLP-1. Metformin glucagon like peptide 1 receptor Homo sapiens
5 In the DIRECT study, metformin was associated with higher fasting active (39.1%, 95% CI 21.3-56.4) and total GLP-1 (14.1%, 95% CI 1.2-25.9) but not post-meal incremental GLP-1. Metformin glucagon like peptide 1 receptor Homo sapiens
6 CONCLUSIONS: In people without diabetes, metformin increases total GLP-1 in a sustained manner and independently of changes in weight or glycaemia. Metformin glucagon like peptide 1 receptor Homo sapiens
7 Metformin-treated patients with T2DM also have higher fasted GLP-1 levels, independently of weight and glycaemia. Metformin glucagon like peptide 1 receptor Homo sapiens