Incretin hormone responses to carbohydrate and protein/fat are preserved in adults with sulfonylurea-treated KCNJ11 neonatal diabetes
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Incretin hormone responses to carbohydrate and protein/fat are preserved in adults with sulfonylurea-treated KCNJ11 neonatal diabetes. / Bowman, Pamela; Patel, Kashyap A.; McDonald, Timothy J.; Holst, Jens J.; Hartmann, Bolette; Leveridge, Maria; Shields, Beverley M.; Hammersley, Suzie; Spaull, Steve R.; Knight, Bridget A.; Flanagan, Sarah E.; Shepherd, Maggie H.; Andrews, Rob C.; Hattersley, Andrew T.
In: Journal of Diabetes Investigation, Vol. 14, No. 12, 2023, p. 1378-1382.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Incretin hormone responses to carbohydrate and protein/fat are preserved in adults with sulfonylurea-treated KCNJ11 neonatal diabetes
AU - Bowman, Pamela
AU - Patel, Kashyap A.
AU - McDonald, Timothy J.
AU - Holst, Jens J.
AU - Hartmann, Bolette
AU - Leveridge, Maria
AU - Shields, Beverley M.
AU - Hammersley, Suzie
AU - Spaull, Steve R.
AU - Knight, Bridget A.
AU - Flanagan, Sarah E.
AU - Shepherd, Maggie H.
AU - Andrews, Rob C.
AU - Hattersley, Andrew T.
N1 - Publisher Copyright: © 2023 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.
PY - 2023
Y1 - 2023
N2 - The incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), are thought to be the main drivers of insulin secretion in individuals with sulfonylurea (SU)-treated KCNJ11 permanent neonatal diabetes. The aim of this study was to assess for the first time the incretin hormone response to carbohydrate and protein/fat in adults with sulfonylurea-treated KCNJ11 permanent neonatal diabetes compared with that of controls without diabetes. Participants were given a breakfast high in carbohydrate and an isocaloric breakfast high in protein/fat on two different mornings. Incremental area under the curve and total area under the curve (0-240 minutes) for total GLP-1 and GIP were compared between groups, using non-parametric statistical methods. Post-meal GLP-1 and GIP secretion were similar in cases and controls, suggesting this process is adenosine triphosphate-sensitive potassium channel-independent. Future research will investigate whether treatments targeting the incretin pathway are effective in individuals with KCNJ11 permanent neonatal diabetes who do not have good glycemic control on sulfonylurea alone.
AB - The incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), are thought to be the main drivers of insulin secretion in individuals with sulfonylurea (SU)-treated KCNJ11 permanent neonatal diabetes. The aim of this study was to assess for the first time the incretin hormone response to carbohydrate and protein/fat in adults with sulfonylurea-treated KCNJ11 permanent neonatal diabetes compared with that of controls without diabetes. Participants were given a breakfast high in carbohydrate and an isocaloric breakfast high in protein/fat on two different mornings. Incremental area under the curve and total area under the curve (0-240 minutes) for total GLP-1 and GIP were compared between groups, using non-parametric statistical methods. Post-meal GLP-1 and GIP secretion were similar in cases and controls, suggesting this process is adenosine triphosphate-sensitive potassium channel-independent. Future research will investigate whether treatments targeting the incretin pathway are effective in individuals with KCNJ11 permanent neonatal diabetes who do not have good glycemic control on sulfonylurea alone.
KW - GIP
KW - GLP-1
KW - incretin hormones
KW - Neonatal diabetes
KW - sulfonylurea
U2 - 10.1111/jdi.14071
DO - 10.1111/jdi.14071
M3 - Journal article
C2 - 37602910
AN - SCOPUS:85168469971
VL - 14
SP - 1378
EP - 1382
JO - Journal of Diabetes Investigation
JF - Journal of Diabetes Investigation
SN - 2040-1116
IS - 12
ER -
ID: 371567165