Exenatide: effect of injection time on postprandial glucose in patients with Type 2 diabetes

Autor: Prajakti A. Kothare, A. de la Peña, Helle Linnebjerg, C. S. Ernest, M E Trautmann, M. Atkins, Z. Skrivanek
Rok vydání: 2006
Předmět:
Zdroj: Diabetic medicine : a journal of the British Diabetic Association. 23(3)
ISSN: 0742-3071
Popis: Aims Exenatide is an incretin mimetic whose effect on glycaemic control in patients with Type 2 diabetes is currently under investigation. This study assessed the effect of injection time relative to a standardized meal on postprandial pharmacodynamics of exenatide in patients with Type 2 diabetes. Methods Eighteen patients participated in this single-centre, open-label, placebo-controlled, randomized, six-way crossover study. Patients received subcutaneous injections of either placebo (−15 min) or 10 µg of exenatide at −60, −15, 0, +30 or +60 min relative to a standardized breakfast meal on six consecutive days. Serial blood samples were assayed for plasma glucose and insulin concentrations. Results For all exenatide treatments, incremental postprandial glucose area under the postprandial plasma glucose curve from zero to 6 h (AUC0−6 h) was significantly reduced compared with placebo. When exenatide was administered before (−60, −15 min) or with the meal (0 min), peak postprandial glucose concentrations were significantly decreased (P
Databáze: OpenAIRE