Deteriorated Glucose Homeostasis, Inactivity, Insulin Resistance
Conditions
Keywords
Incretin hormones, Glucagon, Insulin/c-peptide, Plasma glucose, Insulin resistance, Deteriorated glucose homeostasis, Inactivity
Brief summary
The incretin effect in patients with type two diabetes is reduced. The investigators have previously shown that it is possible to induce a defect in the incretin effect in healthy individuals. The purpose of this study is to evaluate the insulinotropic affect of the incretin hormones in healthy individuals before and after a deterioration of the glucose homeostasis.
Detailed description
The incretin effect in patients with type two diabetes is reduced. The investigators have previously shown that it is possible to induce a defect in the incretin effect in healthy individuals. The purpose of this study is to evaluate the insulinotropic affect of the incretin hormones in healthy individuals before and after a deterioration of the glucose homeostasis. The evaluation is done by infusing GIP, GLP-1 or saline during hyperglycemic clamps.
Interventions
Steroid hormone: 37,5 mg of prednisolone; High energy diet: 130 % of recommended daily energy intake; Relative physical inactivity: no exercise and at least 8 hours of rest/day
Sponsors
Study design
Eligibility
Inclusion criteria
* Caucasians without type 2 diabetes mellitus * Normal OGTT (75 g of glucose) according to WHO's criteria * BMI 20-30 * Hemoglobin \> 8.0 mmol/l * Informed consent
Exclusion criteria
* Liver disease (ALAT \> 2 x normal level) * Nephropathy (s-creatinin \> 130 µM or albuminuria) * Relatives (parents/siblings) with T2DM * Medical treatment witch cannot be stopped for 12 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insulinotropic effect of incretin hormones | 12 days | Measurements of the insulinotropic effect of incretin hormones before and after 12 days intervention with steroid treatment, high calorie diet and relative physical inactivity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plasma concentration of glucagon | 12 days | Measurements of plasma concentration of glucagon before and after 12 days intervention with steroid treatment, high calorie diet and relative physical inactivity |
Countries
Denmark