scholarly journals Influence of dietary fat on postprandial glucose metabolism (exogenous and endogenous) using intrinsically 13C-enriched durum wheat

2001 ◽  
Vol 86 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Sylvie Normand ◽  
Yadh Khalfallah ◽  
Corinne Louche-Pelissier ◽  
Christiane Pachiaudi ◽  
Jean-Michel Antoine ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Glucose Metabolism ◽  
Glucose Production ◽  
Postprandial Glucose ◽  
Endogenous Glucose Production ◽  
Glucose Turnover ◽  
Exogenous Glucose ◽  
Esterified Fatty Acids ◽  
Secondary Recovery ◽  
Total Glucose

The present study evaluates the influence of different amounts of fat added to starch on postprandial glucose metabolism (exogenous and endogenous). Nine women (24 (SE 2) YEARS OLD, BMI 20·4 (se 0·7) kg/m2) ingested 1 week apart 75 g glucose equivalent of 13C-labelled starch in the form of pasta without (low fat; LF) or with 15 (medium fat; MF) or 40 (high fat; HF) g sunflower oil. During the 7 h following meal consumption, plasma glucose, non-esterified fatty acids, triacylglycerols (TG) and insulin concentrations, and endogenous (using [6,6-2H2]glucose) and exogenous glucose turnover were determined. With MF and HF meals, a lower postprandial glucose peak was observed, but with a secondary recovery. A decrease in exogenous glucose appearance explained lower glycaemia in HF. At 4 h after the HF meal the insulin, insulin:glucose and postprandial blood TG were higher than those measured after the LF and MF meals. Despite higher insulinaemia, total glucose disappearance was similar and endogenous glucose production was suppressed less than after the LF and MF meals, suggesting insulin resistance. Thus, the addition of a large amount of fat appears to be unfavourable to glucose metabolism because it leads to a feature of insulin resistance. On the contrary, the MF meal did not have these adverse effects, but it was able to decrease the initial glycaemic peak.

scholarly journals Absorption and metabolism of glucose by the mesenteric-drained viscera of sheep fed on dried-grass or ground, maize-based diets

1985 ◽  
Vol 54 (2) ◽  
pp. 449-458 ◽  
Author(s):  
A. N. Janes ◽  
T. E. C. Weekes ◽  
D. G. Armstrong
Keyword(s):  
Small Intestine ◽  
Turnover Rate ◽  
Glucose Utilization ◽  
Venous Blood ◽  
Glucose Production ◽  
Glucose Absorption ◽  
Endogenous Glucose Production ◽  
Whole Body ◽  
Glucose Turnover ◽  
Total Glucose

1. Sheep fitted with re-entrant canulas in the proximal duodenum and terminal ileum were used to determine the amount of α-glucoside entering, and apparently disappearing from, the small intestine when either dried-grass or ground maize-based diets were fed. The fate of any α-glucoside entering the small intestine was studied by comparing the net disappearance of such a-glucoside from the small intestine with the absorption of glucose into the mesenteric venous blood.2. Glucose absorption from the small intestine was measured in sheep equipped with catheters in the mesenteric vein and carotid artery. A continuous infusion of [6-3H]glucose was used to determine glucose utilization by the mesenteric-drained viscera and the whole-body glucose turnover rate (GTR).3. The amounts of α-glucoside entering the small intestine when the dried-grass and maize-based diets were given were 13.9 (SE 1.5) and 95.4 (SE 16.2) g/24 h respectively; apparent digestibilities of such α-glucoside in the small intestine were 60 and 90% respectively.4. The net absorption of glucose into the mesenteric venous blood was —2.03 (SE 1.20) and 19.28 (SE 0.75) mmol/h for the dried-grass and maize-based diets respectively. Similarly, total glucose absorption amounted to 1.52 (SE 1.35) and 23.33 (SE 1.86) mmol/h (equivalent to 7 and 101 g/24 h respectively). These values represented 83 and 11 1% of the a-glucoside apparently disappearing from the small intestine, determined using the re-entrant cannulated sheep.5. Total glucose absorption represented 8 and 61% of the whole-body GTR for the dried-grass and maize-based diets respectively. Endogenous glucose production was significantly lower when the sheep were fed on the maize-based diet compared with the dried-grass diet.6. The mesenteric-drained viscera metabolized a small amount of glucose, equivalent to 234 and 17% of the total glucose absorbed for the dried-grass and maize-based diets respectively.7. It is concluded that a large proportion of the starch entering the small intestine of sheep given a maize-based diet is digested and absorbed as glucose, and thus contributes to the whole-body GTR.

Role of glucagon in countering hypoglycemia induced by insulin infusion in dogs

1991 ◽  
Vol 261 (6) ◽  
pp. E773-E781 ◽  
Author(s):  
R. L. Dobbins ◽  
C. C. Connolly ◽  
D. W. Neal ◽  
L. J. Palladino ◽  
A. F. Parlow ◽  
...  
Keyword(s):  
Insulin Infusion ◽  
Glucose Production ◽  
Endogenous Glucose Production ◽  
Glucose Turnover ◽  
Major Contributor ◽  
Normal Response ◽  
Counterregulatory Hormones ◽  
Exogenous Glucose ◽  
Experimental Protocols

The aim of the present study was to characterize the role of glucagon in countering the prolonged hypoglycemia resulting from insulin infusion and to determine whether its effect is manifest through glycogenolysis and/or gluconeogenesis. Two groups of 18-h fasted somatostatin-treated dogs were given intraportal insulin at 5 mU.kg-1.min-1. In one group (SimGGN; n = 6), glucagon was infused intraportally so as to mimic the normal response to hypoglycemia. In a second group (BasGGN; n = 6), glucagon was infused at a basal rate. Glucose turnover and gluconeogenesis were assessed by combining tracer and hepatic balance techniques. Exogenous glucose was infused as needed to maintain equivalent hypoglycemia at approximately 45 mg/dl in the two groups. Although glucagon concentrations were significantly different, the levels of other counterregulatory hormones were equivalent in both experimental protocols. Endogenous glucose production (EGP) in SimGGN doubled from 2.4 +/- 0.2 to 5.4 +/- 0.8 mg.kg-1.min-1 by 1 h before dropping to 4.5 +/- 0.2 mg.kg-1.min-1 in the 3rd h of insulin infusion. EGP in BasGGN was initially 2.5 +/- 0.1 mg.kg-1.min-1, unchanged by 1 h, and increased to 3.9 +/- 0.2 mg.kg-1.min-1 by the 3rd h of insulin infusion. In the 1st h of insulin infusion, the rise in gluconeogenesis in both groups was equal and represented only a small part of total EGP. By the 3rd h, gluconeogenesis was the major contributor to total EGP, and gluconeogenic efficiency increased significantly more in SimGGN than BasGGN (261 vs. 140%, P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

scholarly journals The Rate of Glucose Appearance Is Related to Postprandial Glucose and Insulin Responses in Adults: A Systematic Review and Meta-analysis of Stable Isotope Studies

2019 ◽  
Vol 149 (11) ◽  
pp. 1896-1903 ◽  
Author(s):  
Hanny M Boers ◽  
Marjan Alssema ◽  
David J Mela ◽  
Harry P F Peters ◽  
Roel J Vonk ◽  
...  
Keyword(s):  
Stable Isotope ◽  
Meta Analysis ◽  
Glucose Production ◽  
Postprandial Glucose ◽  
Peripheral Circulation ◽  
Endogenous Glucose Production ◽  
Glucose Disposal ◽  
Cochrane Library ◽  
Circulation Rate ◽  
Total Glucose

Abstract Background It is often assumed that lower postprandial glucose (PPG) and insulin (PPI) responses are induced by slower glucose influx from the gut (e.g., by delayed carbohydrate digestion). However, changes in the rate of appearance of glucose in the peripheral circulation [rate of appearance of exogenous glucose (RaE)] may be accompanied by changes in endogenous glucose production (EGP) and the rate of disappearance of total glucose into tissues (RdT). The quantitative relationships between reductions in RaE and PPG/PPI levels are unclear. Objectives The objective was to perform a meta-analysis to quantify the effect of changes in RaE on changes in PPG and PPI levels (primary) and EGP and RdT (secondary). Methods We systematically searched the Scopus, Medline, and Cochrane library databases through 10 January 2019 for randomized, controlled, carbohydrate-rich interventions that aimed to reduce RaE in humans, measured using dual or triple stable isotope methods. The 2-h net incremental AUCs for all variables were extracted or calculated. Relationships between RaE and outcomes were quantified by weighted regression analyses. Results There were 12 articles, including 17 comparisons, that satisfied the inclusion criteria. The subjects were mainly men (60%), with age and BMI ranges of 18–40 y and 20.0–27.5 kg/m2, respectively. A 10% reduction in RaE was associated with reductions in PPG levels, PPI levels, and the RdT of 7% (95% CI: 2%, 12%; P = 0.010), 8% (95% CI: 2%, 13%; P = 0.012), and 11% (95% CI: 4%, 17%; P = 0.005), respectively, but was not significantly associated with a change in EGP (13%; 95% CI: −7%, 33%; P = 0.176). All fluxes together explained 70% and 26% of the variances in PPG and PPI levels, respectively. Conclusions In adults, reducing glucose RaE by diet is associated with significant reductions in PPG levels, PPI levels, and the rate of glucose disposal. This trial was registered in the PROSPERO database with identifier CRD42018084824.

scholarly journals Effect of macronutrients, age, and obesity on 6- and 24-h postprandial glucose metabolism in cats

2011 ◽  
Vol 301 (6) ◽  
pp. R1798-R1807 ◽  
Author(s):  
Margarethe Hoenig ◽  
Erin T. Jordan ◽  
John Glushka ◽  
Saskia Kley ◽  
Avinash Patil ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Metabolic Pathways ◽  
Glucose Production ◽  
Postprandial Glucose ◽  
Endogenous Glucose Production ◽  
High Carbohydrate ◽  
Postprandial State ◽  
Peripheral Insulin Resistance ◽  
Important Pathway

Obesity and age are risk factors for feline diabetes. This study aimed to test the hypothesis that age, long-term obesity, and dietary composition would lead to peripheral and hepatorenal insulin resistance, indicated by higher endogenous glucose production (EGP) in the fasted and postprandial state, higher blood glucose and insulin, and higher leptin, free thyroxine, and lower adiponectin concentrations. Using triple tracer—2H2O, [U-13C3] propionate, and [3,4-13C2] glucose infusion, and indirect calorimetry—we investigated carbohydrate and fat metabolic pathways in overnight-fasted neutered cats (13 young lean, 12 old lean, and 12 old obese), each fed three different diets (high protein with and without polyunsaturated fatty acids, and high carbohydrate) in a crossover design. EGP was lowest in fasted and postprandial obese cats despite peripheral insulin resistance, indicated by hyperinsulinemia. Gluconeogenesis was the most important pathway for EGP in all groups, but glycogen contributed significantly. Insulin and leptin concentrations were higher in old than in young lean cats; adiponectin was lowest in obese cats but surprisingly highest in lean old cats. Diet had little effect on metabolic parameters. We conclude that hepatorenal insulin resistance does not develop in the fasted or postprandial state, even in long-term obese cats, allowing the maintenance of euglycemia through lowering EGP. Glycogen plays a major role in EGP, especially in lean fasted cats, and in the postprandial state. Aging may predispose to insulin resistance, which is a risk factor for diabetes in cats. Mechanisms underlying the high adiponectin of healthy old lean cats need to be further explored.

Glucose metabolism in pregnant sheep when placental growth is restricted

1989 ◽  
Vol 257 (2) ◽  
pp. R350-R357 ◽  
Author(s):  
J. A. Owens ◽  
J. Falconer ◽  
J. S. Robinson
Keyword(s):  
Glucose Metabolism ◽  
Glucose Utilization ◽  
Glucose Production ◽  
Endogenous Glucose Production ◽  
Gravid Uterus ◽  
Glucose Turnover ◽  
Fetal Sheep ◽  
Arterial Blood ◽  
Pregnant Sheep ◽  
Endogenous Glucose

The effect of restricting placental growth on glucose metabolism in pregnant sheep in late gestation was determined by primed constant infusions of D-[U-14C]- and D-[2-3H]glucose and antipyrine into fetuses of six control sheep and six sheep from which endometrial caruncles had been removed before pregnancy (caruncle sheep). In the latter, placental and fetal weights were reduced, as was the concentration of glucose in fetal arterial blood. Fetal glucose turnover in caruncle sheep was only 52-59% of that in controls, largely because of lower umbilical loss of glucose back to the placenta (38-39% of control) and lower fetal glucose utilization (61-74% of control). However, fetal glucose utilization on a weight-specific basis was similar in control and caruncle sheep. Significant endogenous glucose production occurred in control and caruncle fetal sheep. Maternal glucose production and partition of glucose between the gravid uterus and other maternal tissues were similar in control and caruncle sheep. In conclusion, when placental and fetal growth are restricted, fetal glucose utilization is maintained by reduced loss of glucose back to the placenta and mother and by maintaining endogenous glucose production.

Use of a novel triple-tracer approach to assess postprandial glucose metabolism

2003 ◽  
Vol 284 (1) ◽  
pp. E55-E69 ◽  
Author(s):  
Rita Basu ◽  
Barbara Di Camillo ◽  
Gianna Toffolo ◽  
Ananda Basu ◽  
Pankaj Shah ◽  
...  
Keyword(s):  
Glucose Metabolism ◽  
Glucose Production ◽  
Compartment Model ◽  
Postprandial Glucose ◽  
Endogenous Glucose Production ◽  
Two Compartment Model ◽  
Nonsteady State ◽  
Model Independent ◽  
Endogenous Glucose ◽  
Dual Tracer

Numerous studies have used the dual-tracer method to assess postprandial glucose metabolism. The present experiments were undertaken to determine whether the marked tracer nonsteady state that occurs with the dual-tracer approach after food ingestion introduces error when it is used to simultaneously measure both meal glucose appearance (Ra meal) and endogenous glucose production (EGP). To do so, a novel triple-tracer approach was designed: 12 subjects ingested a mixed meal containing [1-13C]glucose while [6-3H]glucose and [6,6-2H2]glucose were infused intravenously in patterns that minimized the change in the plasma ratios of [6-3H]glucose to [1-13C]glucose and of [6,6-2H2]glucose to endogenous glucose, respectively. Ra meal and EGP measured with this approach were essentially model independent, since non-steady-state error was minimized by the protocol. Initial splanchnic glucose extraction (ISE) was 12.9% ± 3.4%, and suppression of EGP (EGPS) was 40.3% ± 4.1%. In contrast, when calculated with the dual-tracer one-compartment model, ISE was higher ( P < 0.05) and EGPS was lower ( P < 0.005) than observed with the triple-tracer approach. These errors could only be prevented by using time-varying volumes different for Ra meal and EGP. Analysis of the dual-tracer data with a two-compartment model reduced but did not totally avoid the problems associated with marked postprandial changes in the tracer-to-tracee ratios. We conclude that results from previous studies that have used the dual-tracer one-compartment model to measure postprandial carbohydrate metabolism need to be reevaluated and that the triple-tracer technique may provide a useful approach for doing so.

scholarly journals L-arabinose co-ingestion delays glucose absorption derived from sucrose in healthy men and women: a double-blind, randomized crossover trial

2021 ◽  
pp. 1-29
Author(s):  
Kenneth Pasmans ◽  
Ruth C.R. Meex ◽  
Jorn Trommelen ◽  
Joan M.G. Senden ◽  
Elaine E. Vaughan ◽  
...  
Keyword(s):  
Plasma Glucose ◽  
Glucose Production ◽  
Glucose Absorption ◽  
Endogenous Glucose Production ◽  
Dietary Interventions ◽  
Glucose Kinetics ◽  
Double Blind ◽  
Exogenous Glucose ◽  
Total Glucose ◽  
Glucose Output

Abstract Dietary interventions to delay carbohydrate digestion or absorption can effectively prevent hyperglycemia in the early postprandial phase. L-arabinose can specifically inhibit sucrase. It remains to be assessed whether co-ingestion of L-arabinose with sucrose delays sucrose digestion, attenuates subsequent glucose absorption, and impacts hepatic glucose output. In this double-blind, randomized crossover study, we assessed blood glucose kinetics following ingestion of a 200-mL drink containing 50 g sucrose with 7.5 g L-arabinose (L-ARA) or without L-arabinose (CONT) in twelve young, healthy participants (24±1 y; BMI: 22.2±0.5 kg/m2). Plasma glucose kinetics were determined by a dual stable isotope methodology involving ingestion of [U-13C6]-glucose-enriched sucrose, and continuous intravenous infusion of [6,6-2H2]-glucose. Peak glucose concentrations reached 8.18±0.29 mmol/L for CONT 30 min after ingestion. In contrast, the postprandial rise in plasma glucose was attenuated for L-ARA, because peak glucose concentrations reached 6.62±0.18 mmol/L only 60 min after ingestion. The rate of exogenous glucose appearance for L-ARA was 67 and 57% lower compared with CONT at t = 15 min and 30 min, respectively, whereas it was 214% higher at t = 150 min, indicating a more stable absorption of exogenous glucose for L-ARA compared with CONT. Total glucose disappearance during the first hour was lower for L-ARA compared with CONT (11±1 versus 17±1 g, p<0.0001). Endogenous glucose production was not differentially affected at any time point (p=0.27). Co-ingestion of L-arabinose with sucrose delays sucrose digestion, resulting in a slower absorption of sucrose-derived glucose without causing adverse effects in young, healthy adults.

scholarly journals Sex-specific programming of adult insulin resistance in guinea pigs by variable perinatal growth induced by spontaneous variation in litter size

2019 ◽  
Vol 316 (4) ◽  
pp. R352-R361
Author(s):  
Dane M. Horton ◽  
David A. Saint ◽  
Kathryn L. Gatford ◽  
Karen L. Kind ◽  
Julie A. Owens
Keyword(s):  
Insulin Resistance ◽  
Insulin Sensitivity ◽  
Glucose Metabolism ◽  
Guinea Pigs ◽  
Glucose Utilization ◽  
Glucose Production ◽  
Endogenous Glucose Production ◽  
Whole Body ◽  
Catch Up ◽  
Endogenous Glucose

Intrauterine growth restriction (IUGR) and subsequent neonatal catch-up growth are implicated in programming of insulin resistance later in life. Spontaneous IUGR in the guinea pig, due to natural variation in litter size, produces offspring with asymmetric IUGR and neonatal catch-up growth. We hypothesized that spontaneous IUGR and/or accelerated neonatal growth would impair insulin sensitivity in adult guinea pigs. Insulin sensitivity of glucose metabolism was determined by hyperinsulinemic-euglycemic clamp (HEC) in 38 (21 male, 17 female) young adult guinea pigs from litters of two-to-four pups. A subset (10 male, 8 female) were infused with d-[3-3H]glucose before and during the HEC to determine rates of basal and insulin-stimulated glucose utilization, storage, glycolysis, and endogenous glucose production. n males, the insulin sensitivity of whole body glucose uptake ( r = 0.657, P = 0.002) and glucose utilization ( r = 0.884, P = 0.004) correlated positively and independently with birth weight, but not with neonatal fractional growth rate (FGR10–28). In females, the insulin sensitivity of whole body and partitioned glucose metabolism was not related to birth weight, but that of endogenous glucose production correlated negatively and independently with FGR10–28 ( r = −0.815, P = 0.025). Thus, perinatal growth programs insulin sensitivity of glucose metabolism in the young adult guinea pig and in a sex-specific manner; impaired insulin sensitivity, including glucose utilization, occurs after IUGR in males and impaired hepatic insulin sensitivity after rapid neonatal growth in females.

Acute hyperaminoacidemia does not suppress insulin-mediated glucose turnover in healthy young men

2020 ◽  
Author(s):  
Sergio A. Burgos ◽  
Stéphanie Chevalier ◽  
José A. Morais ◽  
Marie Lamarche ◽  
Samantha Kellett ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Amino Acids ◽  
Growth Hormone ◽  
Hormone Replacement ◽  
Glucose Production ◽  
Endogenous Glucose Production ◽  
Glucose Disposal ◽  
Glucose Turnover ◽  
Healthy Men ◽  
Branched Chain

Elevated circulating amino acid (AA) concentrations are purported to cause insulin resistance (IR) in humans. To quantify hyperaminoacidemia effects on insulin-mediated glucose turnover in healthy men, we performed two-stage pancreatic clamps using octreotide with glucagon and growth hormone replacement. In the basal stage, insulin was infused to maintain euglycemia at postabsorptive levels. During the clamp stage, insulin was raised to postprandial levels, glycemia clamped at 5.5 mmol/L by glucose infusion and branched-chain AA (BCAA) maintained at either postabsorptive (Hyper1; n=8) or postprandial (Hyper2; n=7) by AA infusion. Glucose turnover was measured by D-3-[3H]glucose dilution. Octreotide suppressed C-peptide; glucagon, growth hormone and glycemia were maintained at postabsorptive levels throughout. Insulin did not differ at postabsorptive (72±5 vs. 60±5 pmol/L; Hyper1 vs. Hyper2) and increased to similar concentrations at basal (108±11 vs. 106±14) and clamp stages (551±23 vs. 540±25). Postabsorptive BCAA were maintained during Hyper1 and increased >2-fold (830±26 µmol/L) during Hyper2. Endogenous glucose production was similarly suppressed (0.95±0.16 vs. 1.37±0.23 mg/kg lean body mass/min; Hyper1 vs. Hyper2) and basal glucose disposal (3.44±0.12 vs. 3.67±0.14) increased to similar levels (10.89±0.56 vs. 11.11±1.00) during the clamp. Thus, acute physiological elevation of AA did not cause IR in healthy men. NOVELTY • A two-step pancreatic clamp was used to quantify the effect of amino acids on insulin sensitivity in humans. • Acute physiological elevation of circulating amino acids does not cause insulin resistance in healthy men.

Effects of cold exposure and time relative to feeding on glucose metabolism of sheep using a glucose clamp approach

2003 ◽  
Vol 140 (3) ◽  
pp. 335-341 ◽  
Author(s):  
A. TAKEBAYASHI ◽  
H. SANO ◽  
T. FUJITA ◽  
K. AMBO
Keyword(s):  
Blood Glucose ◽  
Glucose Metabolism ◽  
Cold Exposure ◽  
Glucose Production ◽  
Endogenous Glucose Production ◽  
Glucose Clamp ◽  
Glucose Infusion ◽  
Isotope Dilution Method ◽  
Glucose Turnover ◽  
Dilution Method

An experiment combining a hyperinsulinaemic euglycaemic clamp approach and an isotope dilution method determined the effects of cold exposure and time relative to feeding on blood glucose metabolism in four sheep. The sheep, fed 20 g/kg body-weight (BW) of lucerne hay cubes and 5 g/kg BW of maize-based concentrates once daily, were exposed in turn to a thermoneutral environment (20 °C) and a cold environment (0 °C) for 20 days. The combined experiments were performed at four different times relative to feeding, i.e. 3 to 2 h, 2 to 1 h and 1 to 0 h before, and 1 to 2 h after the initiation of feeding for the basal periods, and 1 to 0 h before, and 0 to 1 h, 1 to 2 h and 3 to 4 h after the initiation of feeding for the glucose clamp periods in both environments. [U-13C]Glucose was continuously infused for 6 h after a priming injection. Insulin was continuously infused at 6·0 mU/kg BW per min for 2 h, which corresponded to the last 2 h of the [U-13C]glucose infusion. Blood glucose concentrations were maintained euglycaemic during the insulin infusion by concomitant variable glucose infusion. Blood glucose turnover rate (GTR) during the basal period was enhanced by cold exposure (P=0·01) and feeding (P=0·04). Blood GTR increased (P<0·01) with the glucose clamp. During the glucose clamp, blood GTR and glucose infusion rate (GIR) were greater (P=0·003 and P=0·001, respectively) during cold exposure than in the thermoneutral environment. Time relative to feeding influenced (P=0·003) the GIR, whereas changes in blood GTR and endogenous glucose production rate were not significant. No significant cold×feeding interaction was observed in these variables. It was suggested that, in sheep, glucose metabolism was enhanced by cold exposure and the glucose clamp. It was probable that blood glucose metabolism during the glucose clamp was influenced by cold exposure and feeding, but the combined effect of cold exposure and feeding was not significant.

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