Glucose Metabolism Disorders Clinical Trial
Official title:
The Role of GLP-1 Receptor Signalling in the Glucose-lowering Effect of Metformin During Meal Ingestion in Patients With T2D
Delineation of the role of glucagon-like peptide-1 receptor signalling in the glucose-lowering effect of metformin during meal ingestion in patients with type 2 diabetes.
Aim: To evaluate the contribution of metformin-induced GLP-1 secretion on the
glucose-lowering effect of metformin in patients with type 2 diabetes treated with metformin
for 14 days. Furthermore, the investigators aim to elucidate the mechanisms by which
metformin-induced GLP-1 secretion may affect glucose levels in patients with type 2 diabetes.
Fifteen patients with type 2 diabetes treated with lifestyle intervention and/or metformin as
the only glucose-lowering drug will be enrolled in the study. The effect of a 14-day
metformin treatment course on postprandial glucose tolerance will be examined with and
without infusion of the GLP-1 receptor antagonist exendin9-39 in 15 patients with type 2
diabetes.
The double-blinded, placebo-controlled, randomised, cross-over study consists of four study
days with concomitant infusions of A) placebo + placebo, B) placebo + exendin9-39, C)
metformin + placebo and D) metformin + exendin9-39.
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