Effects of hyperglycemia on glucose metabolism before and after oral glucose ingestion in normal men.

Details

Serval ID
serval:BIB_04C6C44285AF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effects of hyperglycemia on glucose metabolism before and after oral glucose ingestion in normal men.
Journal
American Journal of Physiology. Endocrinology and Metabolism
Author(s)
Rigalleau V., Beauvieux M.C., Gallis J.L., Gin H., Schneiter P., Tappy L.
ISSN
0193-1849
Publication state
Published
Issued date
06/2006
Peer-reviewed
Oui
Volume
290
Number
6
Pages
E1198-204
Language
english
Notes
Publication types: Clinical Trial ; Journal Article
Abstract
The plasma glucose excursion may influence the metabolic responses after oral glucose ingestion. Although previous studies addressed the effects of hyperglycemia in conditions of hyperinsulinemia, it has not been evaluated whether the route of glucose administration (oral vs. intravenous) plays a role. Our aim was to determine the effects of moderately controlled hyperglycemia on glucose metabolism before and after oral glucose ingestion. Eight normal men underwent two oral glucose clamps at 6 and 10 mmol/l plasma glucose. Glucose turnover and cycling rates were measured by infusion of [2H7]glucose. The oral glucose load was labeled by D-[6,6-2H2]glucose to monitor exogenous glucose appearance, and respiratory exchanges were measured by indirect calorimetry. Sixty percent of the oral glucose load appeared in the systemic circulation during both the 6 and 10 mmol/l plasma glucose tests, although less endogenous glucose appeared during the 10 mmol/l tests before glucose ingestion (P < 0.05). This inhibitory effect of hyperglycemia was not detectable after oral glucose ingestion, although glucose utilization was increased (+28%, P < 0.05) due to increased nonoxidative glucose disposal [10 vs. 6 mmol/l: +20%, not significant (NS) before oral glucose ingestion; +40%, P < 0.05 after oral glucose ingestion]. Glucose cycling rates were increased by hyperglycemia (+13% before oral glucose ingestion, P < 0.001; +31% after oral glucose ingestion, P < 0.05) and oral glucose ingestion during both the 6 (+10%, P < 0.05) and 10 mmol/l (+26%, P < 0.005) tests. A moderate hyperglycemia inhibits endogenous glucose production and contributes to glucose tolerance by enhancing nonoxidative glucose disposal. Hyperglycemia and oral glucose ingestion both stimulate glucose cycling.
Keywords
Administration, Oral, Blood Glucose/metabolism, C-Peptide/blood, Glucagon/blood, Glucose/metabolism, Humans, Hyperglycemia/metabolism, Insulin/blood, Male, Middle Aged, Time Factors
Pubmed
Web of science
Create date
24/01/2008 13:36
Last modification date
20/08/2019 12:26
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