期刊
DIABETES CARE
卷 37, 期 3, 页码 666-670出版社
AMER DIABETES ASSOC
DOI: 10.2337/dc13-1473
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资金
- Intramural Research Program of the National Institute of Diabetes and Digestive and Kidney Diseases
- National Institutes of Health Clinical Center
OBJECTIVEExenatide treatment improves glycemia in adults with type 2 diabetes and has been shown to reduce postprandial hyperglycemia in adolescents with type 1 diabetes. We studied the effects of exenatide on glucose homeostasis in adults with long-standing type 1 diabetes.RESEARCH DESIGN AND METHODSFourteen patients with type 1 diabetes participated in a crossover study of 6 months' duration on exenatide (10 g four times a day) and 6 months off exenatide. We assessed changes in fasting and postprandial blood glucose and changes in insulin sensitivity before and after each study period.RESULTSHigh-dose exenatide therapy reduced postprandial blood glucose but was associated with higher fasting glucose concentrations without net changes in hemoglobin A(1c). Exenatide increased insulin sensitivity beyond the effects expected as a result of weight reduction.CONCLUSIONSExenatide is a promising adjunctive agent to insulin therapy because of its beneficial effects on postprandial blood glucose and insulin sensitivity in patients with type 1 diabetes.
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