Obesity, Diabetes, Roux-en-Y Gastric Bypass
Conditions
Brief summary
Exendin-(9,39) has been shown to have effects on beta-cell function, and after gastric bypass, to accelerate gastrointestinal transit. - infused at rates of 300pmol/kg/min. Given that gastrointestinal transit is typically delayed by Glucagon-Like Peptide-1 (GLP-1) and also that this hormone causes decreased food intake through increased satiation, it is reasonable to expect an effect of Exendin-9,39 on appetite. This may help explain the effects of gastric bypass on food intake. To examine the effect of Exendin on food intake we propose a dose-response study to determine whether the compound has effects in a dose-dependent fashion. We will examine the presence of gastrointestinal symptoms as well as food intake in the immediate aftermath of a test meal and the subsequent hours.
Interventions
use Exendin-9,39 @ 750pmol/kg/min and Exendin-9,39 @ 300pmol/kg/min to block endogenous GLP-1 in humans after gastric bypass and determine contribution of GLP to satiety after meal ingestion
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects who have undergone Roux en-Y Gastric Bypass at least 6 months prior to enrollment in the study. * Subjects without active systemic illness.
Exclusion criteria
* Subjects \<20 years of age will not be studied to minimize the possibility of type 1 diabetes. * Subjects \>70 years of age will not be studied to minimize the potential confounding effects of age on glucose tolerance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Calories consumed during buffet meal test | approximately 300 minutes after initiation | The calories consumed during buffet meal test at the end of each study test will help determine the effect of GLP-1 receptor blockade with Exendin-9,39 on food intake. |
Countries
United States