Similar incretin secretion in obese and non-obese Japanese subjects with type 2 diabetes

Junji Kozawa, Kohei Okita, Akihisa Imagawa, Hiromi Iwahashi, Jens Juul Holst, Kazuya Yamagata, Iichiro Shimomura

26 Citations (Scopus)

Abstract

Incretin secretion and effect on insulin secretion are not fully understood in patients with type 2 diabetes. We investigated incretin and insulin secretion after meal intake in obese and non-obese Japanese patients with type 2 diabetes compared to non-diabetic subjects. Nine patients with type 2 diabetes and 5 non-diabetic subjects were recruited for this study. Five diabetic patients were obese (BMI ≥ 25) and 4 patients were non-obese (BMI < 25). In response to a mixed meal test, the levels of immunoreactive insulin during 15-90 min and C-peptide during 0-180 min in non-obese patients were significantly lower than those in obese patients. Total GLP-1 and active GIP levels showed no significant difference between obese and non-obese patients throughout the meal tolerance test. In addition, there were no significant differences between diabetic patients and non-diabetic subjects. In conclusion, incretin secretion does not differ between Japanese obese and non-obese patients with type 2 diabetes and non-diabetic subjects.

Original languageEnglish
JournalBiochemical and Biophysical Research Communications
Volume393
Issue number3
Pages (from-to)410-3
Number of pages4
ISSN0006-291X
DOIs
Publication statusPublished - 12 Mar 2010

Keywords

  • Body Mass Index
  • C-Peptide
  • Diabetes Mellitus, Type 2
  • Glucagon-Like Peptide 1
  • Humans
  • Incretins
  • Insulin
  • Middle Aged
  • Obesity

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