EASD e-Learning’s Post

EASD e-Learning reposted this

View profile for Filip K. Knop, graphic

Senior Medical Officer (Diabetes & Obesity), Novo Nordisk; Professor of Endocrinology, University of Copenhagen

Big congrats to Henriette Holst Nerild et al.* for publishing this one in Diabetes, Obesity and Metabolism 👏🤩👊 "Elucidating the glucose-lowering effect of the bile acid sequestrant sevelamer" Bile acid sequestration is recommended for the treatment of type 2 diabetes, but little is known about the mode of action. Using the bile acid sequestrant sevelamer and the GLP-1R antagonist exendin(9-39)NH2 in a randomized, double-blind, placebo-controlled, crossover design, Henriette Holst Nerild et al. show that sevelamer improved insulin sensitivity and beta cell sensitivity to glucose in patients with type 2 diabetes and that the latter effect was GLP-1-dependent. https://lnkd.in/dsjDsMVW *Andreas Brønden, Abdullah E. Haddouchi, Anne Marie Gade Ellegaard, Bolette Hartmann, Jens F. Rehfeld, Jens Juul Holst, David P. Sonne, MD PhD, Tina Vilsbøll, Filip K. Knop

  • A) Schematic illustration of the study design. At days 15 and 17 of each treatment period, an MMT was performed with infusion of either ex(9-39)NH2or saline. Plasma concentrations and corresponding AUCs (bsAUC for glucose) for the period 0-240 min of (B,C) glucose (E,F) acetaminophen as well as(G,H) gallbladder volumes during four different liquid MMTs (initiated at time 0 min; indicated by a dotted line) with continuous intravenous infusion of ex(9-39)NH2 (closed symbols) or saline (open symbols). (D) Calculated ex(9-39)NH2-subtracted difference in bsAUC with sevelamer or placebo treatment. The meal tests were performed on days 15 and 17 of the treatment periods with placebo (circles) or sevelamer (squares) treatment, respectively. (B,E,G) Data are presented as mean ± SEM. (C,D,F,H) Data are presented as mean ± SEM. (C,D,F,H) Data are presented as median with interquartile ranges (boxes) and ranges (whiskers), and were analysed by one-way rmANOVA with Greenhouse-Geisser correction.

To view or add a comment, sign in

Explore topics