Severe Obesity
Conditions
Brief summary
The purpose of this study is to examine the effects of bile acids on GLP-1 secretion after Roux-en-Y gastric bypass.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Uncomplicated RYGB performed minimum 3 months prior to the study. * Fasting plasma glucose \< 7.0mM, HbA1c \< 48mmol/mol 3 months after RYGB.
Exclusion criteria
* Fasting plasma glucose \> 7.0mM, HbA1c \> 48mmol/mol 3 months after RYGB. * Dysregulated hypothyroidism, use of antithyroid treatment. * Late diabetic complications as retinopathy, renal insufficiency, neuropathy or previous pancreatitis. * Complications to RYGB: Documented reactive hypoglycaemia, severe dumping (vomiting, diarrhea, severe abdominal pain after food intake).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| GLP-1 secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
Secondary
| Measure | Time frame |
|---|---|
| PYY secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
| Glucagon secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
| GIP secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
| CCK secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
| C-peptide secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
| Changes in bile acids/FGF-19 | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
| TSH/T3/T4 | 0, 60, 120, 180 |
| Appetite measurements (VAS-score) | Baseline, 30, 60, 120, 180 |
| Gherlin secretion (evaluated by iAUC) | Baseline, 0, 5, 10, 15, 20, 25, 30, 45, 60, 90, 120, 180 |
Countries
Denmark