Blood Flow, Healthy, Postprandial Hypotension
Conditions
Keywords
Physiology, GIP, Blood flow, Postprandial hypotension, Splanchnic blood flow, Mesenteric blood flow
Brief summary
This project will describe the mechanisms of action and the relative contributions of GIP to changes in gastrointestinal blood flow induced by oral glucose and endogenous GIP with the use of a receptor antagonists GIP(3-30)NH2 in patients with postprandial hypotension.
Detailed description
Each participant will attend three independent randomised experimental days in the MRI-scanner with intravenous infusion (hormone/placebo) and oral ingestion (glucose): An intravenous infusion of saline or GIP(3-30)NH2 starts at time point -20 minutes.The infusions are combined with an oral glucose tolerance test (75 gram of glucose dissolved in 250 ml water ingested orally) at time point 0 minutes on two of the experimental days (with and without GIP(3-30)NH2). Furthermore one day will be with handgrip exercise, without an infusion. Therefore the first two days are in randomized order. MRI measurements are repeatedly performed and blood samples are drawn to be analysed for endocrine responses from the intestines and pancreas.
Interventions
GIP(3-30)NH2 infusion, oral glucose during MRI scans
Hangrip exercises, oral glucose during MRI scans
Saline infusion oral glucose during MRI scans
Sponsors
Study design
Intervention model description
Single blind, placebo controlled, randomized, crossover study
Eligibility
Inclusion criteria
For the PPH group Inclusion Criteria: * Postprandial hypotension * Symptoms of postprandial hypotension
Exclusion criteria
* Treatment with drugs that cannot be paused for 12 hours * Metallic implants that does not tolerate MRI * Any other disease or dysfunction that may disturb blood flow to the gut * Intake of more than 14 units of alcohol per week or abuse of drugs * Blood vessels that are not feasible for measuring flow in the MRI scanner * Low blood percent * Decreased kidney function * Decreased liver function * Claustrophobia For the healthy group Inclusion Criteria: * Matched by age, gender and BMI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood flow | 145 minutes | Redistribution of splanchnic blood flow in the vessel mesenteric superior artery. Measured with functional MRI in ml/min |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood flow | 145 minutes | Blood flow in vena portae |
Countries
Denmark